Medicare Payment Advisory Commission

Federal Health Policy Update for October 6

The following is the latest health policy news from the federal government for the week of September 26 to October 6. Some of the language used below is taken directly from government documents. 340B HHS must immediately end its significant cut in reimbursement for 340B-covered prescription drugs provided on an outpatient basis to eligible patients, a federal court has ruled, writing that “The prospective portion of the 2022 reimbursement rate shall be vacated because it is defective and because vacating this portion of the 2022 OPPS Rule will not cause substantial disruption” and that “HHS should not be allowed to [...]

iqtsupport2022-10-06T17:42:49-04:00October 6, 2022|340b, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, Medicaid, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|

MedPAC Meets

The Medicare Payment Advisory Commission held public meetings on September 1 and 2. Among the subjects discussed during the meeting were: Reforming Medicare’s wage index system – “the commission remains concerned about Medicare’s current wage index policies, including the system’s inaccuracy, the circularity of hospital-reported data, the large volume of permitted exceptions, and administrative complexity and MedPAC commissioners discussed an alternative wage index methodology.” Context for Medicare payment policy – an annual discussion. Standardizing benefits in Medicare Advantage plans – cost sharing for Part A and Part B services Medicare Advantage encounter data – “MedPAC has been concerned about the [...]

iqtsupport2022-09-08T06:00:28-04:00September 8, 2022|Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for the Week of August 24 to September 2

The following is the latest health policy news from the federal government for the week of August 29 to September 2. Some of the language used below is taken directly from government documents. The White House The White House has introduced a new “National HIV Strategy” for 2022-2025. The new strategy updates the 2021 strategy and establishes targets for ending the HIV epidemic in the U.S. by 2030, including a 75 percent reduction in new HIV infections by 2025 and a 90 percent reduction by 2030. Find the strategy here. Proposed Changes in Medicaid, CHIP, and Basic Health Program Enrollment [...]

iqtsupport2022-09-06T15:25:17-04:00September 6, 2022|Centers for Medicare & Medicaid Services, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare reimbursement policy, MedPAC, post-acute care, Telehealth|

Federal Health Policy Update for Tuesday, August 23

The following is the latest health policy news from the federal government as of 2:45 p.m. on Tuesday, August 23. Some of the language used below is taken directly from government documents. CMS “Roadmap for the End of the COVID-19 Public Health Emergency” While the COVID-19 public health emergency (PHE) has not ended and HHS Secretary Becerra has committed to giving states and the health care community 60 days’ notice before formally ending it – notice he has not given – the federal government is already planning for life after the PHE and its latest step in this process is [...]

iqtsupport2022-08-23T17:33:16-04:00August 23, 2022|Centers for Medicare & Medicaid Services, COVID-19, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC, post-acute care, Telehealth|

Federal Health Policy Update for Wednesday, July 27

The following is the latest health policy news from the federal government as of 2:30 p.m. on Wednesday, July 27. Some of the language used below is taken directly from government documents. Final Medicare Payment Regulations for FY 2023 CMS has issued its final FY 2023 Medicare inpatient rehabilitation facility (IRF) payment system regulation, finalizing a rate increase of 3.9 percent, which is greater than the 2.8 percent the agency proposed in April. To learn more about CMS’s final IRF payment rule for FY 2023, see this CMS fact sheet and the final rule itself. CMS also has finalized its [...]

iqtsupport2022-07-27T17:34:40-04:00July 27, 2022|Centers for Medicare & Medicaid Services, Congress, COVID-19, Medicaid, Medicaid long-term services and supports, Medicaid managed care, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, post-acute care, Telehealth|

Federal Health Policy Update for Wednesday, July 20

The following is the latest health policy news from the federal government as of 2:30 p.m. on Wednesday, July 20. Some of the language used below is taken directly from government documents. White House The White House COVID-19 response team has briefed the press about the administration’s latest efforts in the response to COVID-19. Find a transcript of that teleconference briefing here. COVID-19 Public Health Emergency HHS Secretary Xavier Becerra has renewed the COVID-19 public health emergency effective July 15. Centers for Medicare & Medicaid Services CMS has released its proposed Medicare outpatient prospective payment system regulation for calendar year 2023. [...]

iqtsupport2022-07-20T16:23:46-04:00July 20, 2022|340b, Centers for Medicare & Medicaid Services, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|

Federal Health Policy Update for Thursday, June 30

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, June 30. Some of the language used below is taken directly from government documents. White House The White House has unveiled its “White House Blueprint for Addressing the Maternal Health Crisis.” Monkeypox Update The White House has announced the first phase of its national monkeypox vaccine strategy, a part of its monkeypox outbreak response. The major components of the strategy include expanded efforts to vaccinate those most at risk, expanded testing supply and availability, and greater engagement with community leaders and stakeholders. [...]

iqtsupport2022-06-30T17:01:01-04:00June 30, 2022|Centers for Medicare & Medicaid Services, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicaid regulations for long-term care, Medicare, Medicare post-acute care, Medicare regulations, MedPAC|

Federal Health Policy Update for Monday, June 13

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, June 13. Some of the language used below is taken directly from government documents. White House The White House has issued a fact sheet outlining its plan for administering COVID-19 vaccines to children under the age of five. Find the fact sheet here. The White House also held a background call with the press to discuss this plan; go here to see a transcript of that call. The White House COVID-19 response team has held a briefing for the press to discuss [...]

iqtsupport2022-06-13T17:03:53-04:00June 13, 2022|Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|

MedPAC Meets

The government agency that advises Congress on Medicare payment matters met publicly in Washington, D.C. last week. During the virtual meeting, members of the Medicare Payment Advisory Commission discussed: addressing high prices of drugs covered under Medicare Part B initial findings from MedPAC's analysis of Part D data on drug rebates and discounts segmentation in the stand-alone Part D prescription drug plan market leveraging Medicare policies to address social determinants of health an approach to streamline and harmonize Medicare’s portfolio of alternative payment models aligning fee-for-service payment rates across ambulatory settings MedPAC is an independent congressional agency that advises Congress [...]

iqtsupport2022-04-12T06:00:14-04:00April 12, 2022|Alternative payment models, Medicare, MedPAC|

MedPAC Makes 2023 Medicare Payment Recommendations

The Medicare Payment Advisory Commission has released its March 2022 Report to the Congress: Medicare Payment Policy. The report includes MedPAC’s recommendations for Medicare payments in 2023. For the coming year, MedPAC recommends the following changes in Medicare fee-for-service payments: hospital inpatient payments – increase 2.5% hospital outpatient payments – increase 2.0% long-term care hospital payments – increase approximately 2.0% outpatient dialysis payments – increase 1.2% physician, ambulatory surgical center, and hospice payments – no change skilled nursing facility, home health, and inpatient rehabilitation facility payments – reduce 5.0% The report also reviews the status of Medicare Advantage and the [...]

iqtsupport2022-03-21T06:00:52-04:00March 21, 2022|Medicare reimbursement policy, MedPAC|