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Commissioners Continue Discussion on Part D Redesign; Tools to Manage Spending and Concerns for LIS Population Discussed

The Medicare Payment Advisory Commission (MedPAC) convened a session to continue the Commission’s work on a Medicare Part D redesign plan. While the core of the plan was consistent with other recent MedPAC discussions (e.g., here and here), the January session featured additional detail on certain tools to ensure an effective transition into the redesigned benefit for health plans. Commissioners… (LaRosa, 1/17/20) #Costs, #Medicare Part D, #Drug Pricing

Commission Votes on Medicare Payment Adequacy and Update Recommendations for 2021

On January 16, 2020, the Medicare Payment Advisory Commission (MedPAC) held a public meeting in Washington, D.C, at which it voted on a series of payment update recommendations for Medicare payment systems in 2021. By law, MedPAC must review Medicare payment policies each year and make recommendations to Congress. Those approved at the January meeting will be incorporated into the… (Testa, 1/17/20) #Post-Acute Care, #End-Stage Renal Disease, #Long-Term Care Hospitals, #Hospice, #Ambulatory Surgical Centers, #Skilled Nursing Facilities, #Physicians, #Inpatient Rehabilitation Facilities, #Hospitals, #Home Health

Ahead of the Iowa Caucus, Six Democratic Candidates Discuss Medicare Negotiation of Drug Prices, Government Manufacture of Drugs, Medicare for All vs. Public Option

On Tuesday, Jan. 14, six Democratic candidates for President convened for the seventh and final 2020 Democratic primary debate prior to Iowa Caucus on February 3. Candidates took the stage at Drake University in Des Moines, Iowa, each having met the following two qualifying thresholds: (1) at least five percent in at least four DNC-approved early-state (IA, NH, NV, SC)… (Cowey, 1/15/20) #Costs, #Public Option, #Prescription Drugs, #Medicare for All

Survey Examines Importance of Health Care as Early Primary Voting Approaches

The Bipartisan Policy Center hosted a discussion on a snapshot of early primary voters as part of its 20/20 health care series. In collaboration with Morning Consult, BPC conducted a survey of 2000 registered voters in order to determine what topics are most important to voters as we approach early primary voting. The survey’s three primary objectives were 1) determining… (Slifer, 1/8/20) #Cost-Sharing, #Insurance Reform, #Prescription Drugs, #Medicare for All

Commission Releases SUPPORT Act-Mandated Report on Oversight of Institutions for Mental Diseases (IMDs)

The Medicaid and CHIP Payment and Access Commission (MACPAC) has released a SUPPORT Act-mandated Report to Congress regarding state oversight of Institutions for Mental Diseases (IMDs). The law required MACPAC to examine state licensure, certification, or accreditation requirements and Medicaid clinical and quality standards, and state approaches to implementing (or waiving) the Medicaid IMD exclusion – the policy which prohibits… (Cowey, 1/7/20) #Mental and Behavioral Health, #Demonstration Programs, #Opioids, #Coverage Decisions

Comments on the CY 2021 Medicare Advantage Part I Advance Notice Due Mar. 6; Part II Expected Feb. 6; Final Call Letter Expected Apr. 6

On January 6, 2020 the Centers for Medicare & Medicaid Services (CMS) issued Part I of the Calendar Year (CY) 2021 Medicare Advantage Advance Notice (fact sheet). This initial installment is released prior to the rest of the Advance Notice to allow for a 21st Century Cures Act-mandated 60-day comment period on proposed changes regarding Medicare Advantage (MA) risk adjustment. Part II… (Testa) #Medicare Advantage, #Risk Adjustment

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