ASH Comments on Proposed FY 2027 Medicare Inpatient Payment Rule
The Alliance of Safety-Net Hospitals has submitted formal comments in response to the Centers for Medicare & Medicaid Services’ proposed Medicare inpatient prospective payment system regulation for FY 2027. Highlights of ASH’s comments include: The assertion that the proposed Medicare [...]
CMS Defines “Medical Frailty” for Medicaid Eligibility Purposes
With the federal government about to implement a work/community engagement requirement for eligibility for Medicaid coverage, regulators have attempted to define what constitutes “medical frailty” as a reason for exemption from that requirement. In a new report, KFF explains that [...]
Federal Health Policy Update for June 4
Don’t miss: CMS publishes new Medicaid work/community engagement requirements Energy and Commerce Committee looks at price transparency in health care An AI executive order and Congress prepares to weigh in Price cut: IDR dispute fee to fall from $115 [...]
A 340B Scorecard
Hospitals suing CVS Health over 340B savings. The Health Resources and Services Administration’s proposed 340B Rebate Model Pilot Program. Eli Lilly’s demand that hospitals share claims-level data for 340B-covered drugs. The continuing battle over the involvement of contract pharmacies in [...]
CMS Proposes New Medicaid Eligibility Requirements
The Centers for Medicare & Medicaid Services has published an interim final rule implementing the Medicaid work/community engagement requirements mandated by H.R. 1, last year’s federal budget reconciliation bill. The rule defines community engagement requirements for adults to gain or [...]
Federal Health Policy Update for May 28
The following is the latest health policy news from the federal government for May 22-28. Some of the language used below is taken directly from government documents. Congress When Congress returns from the Memorial Day recess next week, lawmakers will [...]
HHS Advisory Committee Holds First Meeting
An advisory panel created by the Department of Health and Human Services to advise the agency on how to improve the financing and delivery of health care by Medicare, Medicaid, and the Children’s Health Insurance Program and through the health [...]
Federal Health Policy Update for May 21
The following is the latest health policy news from the federal government for May 15-21. Some of the language used below is taken directly from government documents. Congress The House Ways and Means Committee marked up several health care bills [...]
HHS Examines Why Rural Hospitals Close
Why are rural hospitals closing at a much faster rate than their non-rural counterparts? The Department of Health and Human Services’ Office of the Assistant Secretary for Planning and Evaluation recently explored this question with an intensive data-based approach that [...]
CMS Sets Final ACA Terms for 2027
The Centers for Medicare & Medicaid Services has issued its annual “Notice of Benefit and Payment Parameters for 2027; Basic Health Program,” which governs health plans offered through the federal health insurance exchange and state exchanges as established under the [...]
