Medicare

Basic information and updates on the federal program to provide health insurance to the elderly.
The U.S. Department of Health and Human Services has released a fact sheet related to the Physician-Focused Payment Model Technical Advisory Committee (PTAC).
Last week, Sen. Bernie Sanders (I-Vermont), along with several Democratic Senate and House members, including House Oversight Committee Chairman Elijah Cummings (D-Md.), announced the release of three bills intended to lower drug prices.
The new 116th Congress was sworn in last Thursday and its leadership contains some Massachusetts members.
A U.S. District Court has issued a permanent injunction to CMS, halting the federal government’s nearly 30% reduction in reimbursements to certain hospital outpatient departments purchasing drugs through the 340B program.
MHA is opposed to a proposed federal rule that will make harder for immigrants to access medical care.
AHA and others are suing the federal government over a new rule that changes how certain off-campus hospital departments are reimbursed for the care they provide patients.
CMS recently released the final rule to update the Medicare fee-for-service outpatient prospective payment system and ambulatory surgical center payment system effective Jan. 1, 2019.
Now that Democrats have regained control of the U.S. House of Representatives, Massachusetts Rep. Richard Neal (D) will become chairman of the powerful Ways & Means Committee.
Members of the Massachusetts congressional delegation have signed on to a letter asking CMS to rescind proposed payment reductions to outpatient departments.
A new study indicates that Medicare patients who receive care in a hospital outpatient department are usually poorer and sicker than those treated in an MD's office.
The American Hospital Association last week announced 340B drug program “good stewardship principles.”
AHA and other hospital interests filed suit in U.S. District Court to stop a nearly 30% reduction in Medicare payments to hospitals for purchase of outpatient drugs under the 340B program.
CMS issued its proposed Outpatient Prospective Payment System rule for FY19 last week and an initial review shows that it has the potential to adversely affect hospitals.
Clinicians who participated in the Merit-based Incentive Payment System in 2017 can now access their final MIPS score and performance feedback.
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 following three MHA Education Department programs are focused on hospital finances.
Last Monday, the Trump Administration released its FY2019 budget proposal.
A new healthcare policy/advocacy group – United States of Care – launched last week.
The federal budget package which passed last week after an hours-long government shutdown includes many important healthcare provisions.

Resources

Click on the links below for easy access to important information related to state healthcare issues and advocacy.
Visit the Commonwealth of Massachusetts websites below to find information on legislative hearings and other meetings of interest to the healthcare community.
To guide your navigation of the legislative process and assist your advocacy efforts, please visit the following state websites:
MHA has also developed the following documents for your information and benefit: