Proposed Medicare Rule Could Hit Hospitals Hard
The Centers for Medicare & Medicaid Services’ proposed 2027 Medicare outpatient prospective payment system rule could pose several serious challenges to hospitals. Among them: A proposed increase of 2.4 percent in payments for outpatient services that could be reduced to [...]
Federal Health Policy Update for July 2
Don’t Miss: CMS proposes CY 2027 Medicare outpatient rates, reviving 340B cuts, expanding site-neutral payments CMS calls for modest Medicare home health pay hike, more ways to oust providers Court halts borrowing limit that jeopardized supply of qualified health [...]
House Weighs Hospital Transparency Bill
A new bill in the House of Representatives would require most non-profit hospitals to provide more detailed financial information to the federal government to justify their continued tax-exempt status. The Tax Exempt Hospital Transparency Act, currently working its way through [...]
ACA Marketplace Enrollment Declines
Nearly three million fewer people have enrolled in health insurance plans through the Affordable Care Act Marketplace than last year, according to new federal data. Enrollment in ACA plans so far this year stands at 19.2 million, down nearly three [...]
States Sue Feds Over Medicaid Work Requirements
Twenty-five states have sued the federal government in response to the interim final rule published by the Centers for Medicare & Medicaid Services to implement the enhanced work and community engagement requirements for Medicaid eligibility established in H.R. 1, last [...]
Federal Health Policy Update for June 25
Don’t Miss: CMS posts a new presentation on Medicaid eligibility under HR 1 House health subcommittee marks up health care price transparency bills Cassidy proposes 340B bill HRSA announces two maternity-related funding opportunities The following is the latest health policy [...]
States Finding Rural Transformation Money Comes With Strings
While the Centers for Medicare & Medicaid Services has announced grant awards to states under the Rural Health Transformation program, agency regulators have made it clear that they are prepared to take back some of that money if they do [...]
Future Moms Face Challenge Finding Docs Who Accept Medicaid
The provider directories of Medicaid managed care plans often list maternal providers who do not accept Medicaid patients. At the same time, many of those provider directories list incorrect contact information for their participating maternal health providers. These are among [...]
Federal Health Policy Update for June 18
Don’t Miss: 340B Rebate Model pilot program – next steps Stricter rules on CMS’s reviews of new and existing section 1115 Medicaid demonstration programs Changes in health care institution accrediting practices HHS posts mental and behavioral health grant opportunities The [...]
Making Sense of New Medicaid Medical Frailty Exemption
The recent release of new Medicaid work and community engagement requirements has raised nearly as many questions as it answers about who will and who will not be eligible for Medicaid when the new criteria take effect next year. While [...]
