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. 
A federal proposed rule to allow short-term, limited-duration insurance could expose individuals to higher healthcare costs.
The IPPS proposed rule would significantly reduce the number of quality measures hospitals have to report.
The U.S. House Ways & Means Committee has issued a white paper summarizing comments the committee received on the opioid crisis within the Medicare program.
The House Ways & Means Committee version of the FY2019 state budget is expected to be released by the committee this Wednesday.
MHA weighed in with the House Ways & Means Committee as it prepares to take the next step in the state’s budget process.
Last Monday, the Trump Administration released its FY2019 budget proposal.
Hospitals are concerned that negotiations over how to raise budget caps may result in further Medicare cuts.
CMS posted a statement saying that it would begin the process to implement the statutorily required therapy cap.
01.29.2018  | Transition
The nation’s new Health & Human Services Secretary is Alex Azar.
The three-day government shutdown came to an end last Monday when Congress passed a continuing resolution package.
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
Providers participating in the Medicaid or Medicare program are facing new “Conditions of Participation”
Last Thursday CMS cancelled two mandatory bundled payment models – relating to hip fracture and cardiac care – that were scheduled to begin on January 1.
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

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.