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Everything you need to know about Federal policies impacting your work.


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Concise summaries of impactful policy-driving events, including congressional hearings, agency forums, and MedPAC and MACPAC sessions


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Policy Hub

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Hearing Addresses Long-Term Care; Quality, Workforce; Antipsychotic Use Discussed

The House Ways and Means (W&M) Committee convened a hearing on the costs of home and hospice care for the disabled and elderly and how Congress could address these issues, increase quality of care for patients, and reduce the burden for caretakers. Many members of the committee shared personal stories on how nursing home care and diseases such as Alzheimer’s… (Pham, 11/15/19) #Long-Term Care, #Post-Acute Care, #Skilled Nursing Facilities

Parallel Price Transparency Rules Aim to Make Public Hospital and Insurer Negotiated Charges; Final Hospital Requirements Effective Jan. 1, 2020, Comments Sought on Insurer Proposal through Jan. 14

The Department of Health and Human Services (HHS) announced the release of two regulations designed to implement directives in President Trump’s June Executive Order on “Improving Price and Quality Transparency in American Healthcare to Put Patients First” (details). The rules – one final and one proposed – aim to create transparency for consumers and increase competition among hospitals and insurers… (Cowey, 11/15/19) #Hospitals, #Insurance Reform, #Transparency

Bulletin: Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Contracts with MA Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021

The Centers for Medicare & Medicaid Services (CMS) released an informational bulletin designed to provide states with important information and reminders on how to comply with new provisions of the Bipartisan Budget Act of 2018 (BBA), as states update their contract year (CY) 2021 contracts with Medicare Advantage (MA) Dual Eligible Special Needs Plans (D-SNPs), which will be submitted to… (Cowey, 11/14/19) #Dual Eligibles, #Insurance Reform, #Medicare Advantage, #Special Needs Plans


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