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Health Headlines: Also in the News - June 2014 #3

MedPAC Recommends Short- and Long-Term ACO Changes – In a comment letter sent to CMS Administrator Marilyn Tavenner on June 16, 2014, the Medicare Payment Advisory Commission (MedPAC) outlined certain challenges associated...more

MedPAC Report Addresses Synchronizing Medicare Policy Across Payment Models

The Medicare Payment Advisory Commission (MedPAC) recently released its biannual report to Congress. In the report, MedPAC addresses synchronizing Medicare policy across payment models. ...more

Health Care Reform Implementation Update

The Affordable Care Act (ACA) received a great deal of attention this past week in Washington. The House held numerous hearings on implementation issues, including oversight of access to care for ACA enrollees and improper...more

Health Care Reform Implementation Update - April 2014

Last Thursday Kathleen Sebelius resigned from her post as Secretary of Health and Human Services (HHS). On Friday President Obama nominated Sylvia Matthews Burwell, the Office of Management and Budget (OMB) Director. As...more

MedPAC Releases Annual Report on Medicare Payments

The Medicare Payment Advisory Commission (MedPAC) recently submitted its annual report on Medicare payments to Congress. The report analyzes Medicare payment policy and makes payment update recommendations relating to...more

MedPAC Recommends Reduction To Hospital Outpatient Department, LTCH Payment Rates, Increases To Inpatient Acure Care Hospital...

On January 16, the Medicare Payment Advisory Committee (MedPAC) unanimously voted to recommend that Congress direct the Secretary of Health and Human Services to...more

MedPAC Votes to Reduce Payments for Certain Hospital Outpatient Services to Levels Paid at Physician Offices

We reported in last week’s Health Headlines that the commissioners of the Medicare Payment Advisory Commission (MedPAC) voted unanimously on January 16, 2014 to recommend that Congress reduce hospital outpatient rates for...more

MedPAC Vote May Result in a 0.6 Percent Drop in Hospital Payments

News sources are reporting that the Medicare Payment Advisory Commission (MedPAC) voted unanimously on January 16, 2014, to recommend that Congress narrow the differences in what Medicare pays providers depending on where a...more

Capital Thinking: Health Care

LEGISLATIVE ACTIVITY - This Week’s Hearings: - Wednesday, January 15: The House Committee on Veterans’ Affairs will hold a hearing titled “Vendors in the OR- VA’s Failed Oversight of Surgical Implants.” The House...more

MedPAC Issues Draft Recommendations For 2015 Medicare Payments

The Medicare Payment Advisory Commission (MedPAC) met on December 12-13, 2013, to discuss draft recommendations regarding 2015 payment updates for Medicare providers. MedPAC, which is responsible for issuing an annual...more

Health Care Reform Implementation Update - December 19, 2013

The deadline to enroll in coverage for January 1 was officially extended by a week, but the new December 23 deadline is fast approaching, and premium payments are required to be paid by the last day of 2013 for January 2014...more

Capital Thinking: Health Care

LEGISLATIVE ACTIVITY - PREMIUM SUBSIDY BILL - House Majority Leader Eric Cantor (R-VA) will continue to drive legislation to undermine elements of the Affordable Care Act (ACA) and advance “patient-centered systems”...more

MedPAC Recommends “Site-Neutral” Payment Policy

The Medicare Payment Advisory Commission’s (MedPAC) June report to Congress contained several cost-cutting recommendations but one of the more significant ones was its proposal to move “immediately” to “site-neutral payment”...more

Health Care Reform Implementation Update - June 18, 2013

Last week the House Committee on Ways & Means Health Subcommittee held a hearing on Medicare overhaul proposals affecting post-acute care; the Congressional Budget Office (CBO) wrote to House Budget Committee Chairman Paul...more

Health Care Reform Implementation Update - March 26, 2013

Last week, as the Affordable Care Act turned three, the drumbeat of concern over Medicare Advantage cuts grew louder when Senate Finance Committee Chairman Max Baucus and Ranking Member Orrin Hatch – as well as 98 house...more

MedPAC Release Payment Reduction Proposals

On March 15, 2013 MedPAC issued its Report to Congress recommending for 2014 only a one-percent payment update to hospital inpatient and outpatient prospective payments, and no payment update for skilled nursing facilities,...more

Capital Thinking Update - February 25, 2013

In This Issue: - General Legislative - Sequestration - Agriculture & Food - Budget and Appropriations - Cybersecurity - Education - Energy - Financial Services - Health Care -...more

MedPAC Issues FY 2014 Payment Recommendations for Inpatient and Outpatient Hospitals, LTCHs, Hospices and ASCs

The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency established to advise Congress on issues affecting the Medicare program, recently voted on FY 2014 payment recommendations for: (1)...more

Health Reform + Related Health Policy News Update - January 16, 2013

In This Issue: - Fiscal Cliff Deal Lengthens Medicare Overpayment Recovery Period - Cutting Medicaid Provider Tax May Shift Costs to States, CRS Finds - MedPAC Finalizes Payment Recommendations, GAO Solicits...more

MedPAC Issues Draft Recommendations for 2014 Medicare Payment Update Factors

On December 6, 2012, the Medicare Payment Advisory Commission (MedPAC) issued draft recommendations for Medicare payment update factors for 2014. MedPAC, which advises Congress on issues affecting Medicare, included...more

OIG Finds That More Than $1 Billion in Inappropriate Medicare Payments Were Made to SNFs in 2009

The OIG recently issued a report (OEI-02-09-00200) concerning improper skilled nursing facility (SNF) Medicare payments in calendar year 2009 (the Report). The OIG reviewed a stratified random sample of SNF claims from 2009...more

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