Archive for Centers for Medicare & Medicaid Services

 

Federal Health Policy Update for November 17

The following is the latest health policy news from the federal government for the week of November 11 to 17.  Some of the language used below is taken directly from government documents.

Provider Relief Fund

  • Providers that cited extenuating circumstances for failing to submit Provider Relief Fund financial reports on time for reporting period 3 and were approved to submit their reports late must submit those late reports by December 2.  Learn more here.

Centers for Medicare & Medicaid Services

  • CMS has posted three downloadable sample formats that hospitals can use to meet federal requirements for posting in a machine-readable format their prices for a selected range of medical services.  Find them here (scroll down to the first three listings under “Resources”).
  • CMS has written to state Medicaid and CHIP officials describing 2023 and 2024 updates to the Core Set of children’s health care quality measures for Medicaid and the Children’s Health Insurance Program and the Core Set of health care quality measures for adults enrolled in Medicaid.  CMS encourages states to use Core Set data to identify disparities in care and to develop targeted quality improvement efforts to advance health equity, so these updates could affect the data

Federal Health Policy Update for November 10

The following is the latest health policy news from the federal government for the week of November 7 to 10.  Some of the language used below is taken directly from government documents.

Centers for Medicare & Medicaid Services

  • CMS has published a notice advising teaching hospitals that they have until November 18 to ask Medicare to reconsider their per resident amounts or resident caps as shown in the Hospital Cost Report Information System (HCRIS) associated with cost reports that, as of July 1, 2022, were not reopenable.  Learn more from this CMS notice.
  • Due to an unplanned system outage of the No Surprises Act Independent Dispute Resolution (IDR) portal on November 8 and 9, initiating parties may not have been able to submit a Notice of IDR Initiation webform, complete IDR entity selection responses via the webform, and/or submit their IDR Notice of Offer webform.  This system issue has now been resolved.  The Departments have granted a four-day extension for initiating parties to get the Notice of IDR Initiation webform to submit IDR payment disputes where the open negotiation period expired on November 8, 9, or 10; a four-day extension for non-initiating parties of affected disputes to gain access the IDR Entity

FEDERAL HEALTH POLICY UPDATE FOR November 3

The following is the latest health policy news from the federal government for the week of October 31 to November 3.  Some of the language used below is taken directly from government documents.

Medicare Payment Regulations

In the past week CMS has published four regulations presenting how it will pay providers in the coming year.

FEDERAL HEALTH POLICY UPDATE FOR OCTOBER 20

The following is the latest health policy news from the federal government for the week of October 14 to October 20.  Some of the language used below is taken directly from government documents.

White House

  • President Biden has signed an executive order on lowering prescription drug costs.  The order directs HHS to consider additional actions to further drive down prescription drug costs, encourages it to pursue such actions through its Center for Medicare and Medicaid Innovation (CMMI), and directs HHS to submit a formal report within 90 days outlining any plans to use CMMI’s authority to lower drug costs and promote access to innovative drug therapies for Medicare beneficiaries.  Find the executive order here and a fact sheet elaborating on that order here.
  • The White House has released a new “National Biodefense Strategy and Implementation Plan for Countering Biological Threats, Enhancing Pandemic Preparedness, and Achieving Global Health Security.”  Find the plan here; learn more about its objectives and how the administration plans to go about fulfilling them from this White House news release; and about the role of the Department of Health and Human Services from this HHS news release.

Federal Emergency Management Agency (FEMA)

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FEDERAL HEALTH POLICY UPDATE FOR OCTOBER 13

The following is the latest health policy news from the federal government for the week of October 7 to October 13.  Some of the language used below is taken directly from government documents.

Public Health Emergency Declaration

  • HHS Secretary Becerra has renewed the COVID-19 Public Health Emergency declaration.  This renewal does not provide the promised 60-day notice of the PHE’s end, so for now, the current declaration is set expire on January 11, 2023.  We will continue to update you on any changes to the PHE timeline.  You can view the PHE renewal here.

White House

  • The White House COVID-19 response team has briefed the press on the most recent aspects of the federal response to the pandemic.  Find a transcript of that briefing here.

Centers for Medicare & Medicaid Services

  • CMS has released its 2023 star ratings for Medicare Advantage (Medicare Part C) and Medicare Part D prescription drug plans.  Plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance.  Star ratings are released annually and reflect the experiences of people enrolled in Medicare Advantage and Part D prescription drug plans.  Learn more from this CMS news release