Medicare/ Medicaid

Medicare is a federal program that pays for certain healthcare expenses for individuals age 65 or older. MHA monitors prospective and recently implemented changes to Medicare and MassHealth, provides information about how specific aspects of the programs affect care providers, and advocates for fair and equitable implementation of the program. 
Last Monday, the Trump Administration released its FY2019 budget proposal.
CMS posted a statement saying that it would begin the process to implement the statutorily required therapy cap.
Hospitals are concerned that negotiations over how to raise budget caps may result in further Medicare cuts.
The three-day government shutdown came to an end last Monday when Congress passed a continuing resolution package.
01.29.2018  | Transition
The nation’s new Health & Human Services Secretary is Alex Azar.
Since 1976 there have been 17 federal government shutdowns.
The Trump Administration announced it would allow state Medicaid programs to seek a Medicaid waiver that would allow states to require certain Medicaid beneficiaries to be either working or preparing to work as a requirement to receive Medicaid.
A U.S. District Court dismissed a lawsuit regarding a Medicare policy that would reduce hospital payments under the 340B program.
SB1174, HB1181/SB1183, SB1269, HB1136, HB1137, HB1207, HB3250, SB1248, SB1270, HB1175, HB1197, SB1230, HB2441, HB2477, HB3514, SB1212, SB1234 Healthcare Facilities
Last Thursday CMS cancelled two mandatory bundled payment models – relating to hip fracture and cardiac care – that were scheduled to begin on January 1.
Providers participating in the Medicaid or Medicare program are facing new “Conditions of Participation”
When CMS issued the final outpatient prospective payment system rule last week it etched into regulation what had only been proposed: significant Medicare reimbursement cuts to hospitals for pharmaceuticals.
When CMS issued the final outpatient prospective payment system rule last week it etched into regulation what had only been proposed: significant Medicare reimbursement cuts to hospitals for pharmaceuticals.
CMS Administrator Seema Verma announced on Monday an initiative to reduce the quality reporting burden on healthcare providers.
Fulfilling a campaign promise, but angering a wide swath of hospitals, physicians, healthcare insurers, patient advocacy groups, and other interests with an interest in practical healthcare policy, President Donald Trump this week issued two decision
The much maligned “star” rating system, whereby CMS reduces the complex healthcare quality and patient satisfaction data on the Hospital Compare website to a rating of one-to-five stars, will continue.
09.04.2017  | A Very Busy August
The so-called August policy-making lull has been anything but relaxing for MHA as the association was active over the past two weeks at both the state and federal levels, commenting on the MassHealth waiver amendment, Health Safety Net funding, Medi
CMS is proposing massive changes to the 340B drug program that will make prescription drugs more expensive to low-income patients and the safety-net hospitals that serve them.
The benefits of funding from the National Institutes of Health run from seeding the research that helps cure disease to strengthening the national life sciences sector.
06.05.2017  | Correction
Last week’s Monday Report incorrectly identified the interim director of Health Care For All.

Resources

Click on the links below for easy access to information on important federal healthcare matters and MHA’s advocacy, outreach and other work on these issues.

Both of these include links to members list, committees, and legislation and records.