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The latest in federal health policy.


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

At Politico Event, Policymakers and Stakeholders Convene to Discuss Solutions to Kidney Care

On November 13, 2019, Politico Live hosted a panelist-driven event on “fixing kidney care” in the United States. Moderated by Politico’s Dan Diamond and Rachael Roubein, the panel featured the following four leaders in kidney care reform: Rep. Suzan DelBene (D-WA), Co-chair of the bipartisan Kidney Caucus; Jennifer Erickson, former White House Office of Science and Technology Policy & KidneyX… (LaRosa, 11/13/19) #Chronic Diseases, #Value-Based Purchasing, #Care Coordination, #Demonstration Programs, #End-Stage Renal Disease

Six Topics Affecting Mental Health, Substance Use, and Violence Prevention Identified as Needing More Research

Today, the U.S. Preventive Services Task Force (USPSTF) released its “Ninth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services.” The Task Force is responsible for making evidence-based recommendations about clinical preventive services that help clinicians and patients make informed healthcare decisions. In its report to Congress, the USPSTF identifies high-priority gaps in the scientific evidence base… (Slifer, 11/13/19) #Mental and Behavioral Health, #Prevention, #Primary Care

Agency CMS Issues Proposed Rule to Increase Medicaid Fiscal Accountability; Comments due Jan. 11

The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (press release, fact sheet) on Medicaid Fiscal Accountability. The agency said the proposed rule is intended to strengthen the fiscal integrity of the Medicaid program and ensure that supplemental payments and financial arrangements are transparent and value-driven. See discussion in the fact sheet regarding how recent study findings… (Slifer, 11/12/19) #Costs, #Physicians, #Program Integrity

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