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. 
One of the two Medicare Quality Improvement Organizations (QIOs) serving Massachusetts is changing.
Last week, CMS announced the Primary Cares Initiative, which consists of five new voluntary payment models under two paths.
The Centers for Medicare & Medicaid Services (CMS) last week issued its proposed FY2020 inpatient rehabilitation facility prospective payment system rule.
Scrapping the entire current healthcare system and replacing it with a “Medicare for All” plan would cause more harm than good, MHA President & CEO Steve Walsh said last week.
The star system to rate hospitals is essentially meaningless, gives an inaccurate view of quality, and should just be scrapped, according to a letter MHA sent to CMS last Friday.
The Trump administration last week asked a U.S. Appeals Court to strike down the entire Affordable Care Act.
House Democrats introduced a series of bills to strengthen the ACA and expand its reach.
The Medicare Payment Advisory Commission submitted its mandated annual report to Congress last week, and once again called for a total revamping of Medicare’s hospital quality programs.
The Trump Administration released its budget blueprint for federal fiscal year 2020 last week and, by any measure, it does not contain good news for Medicaid, Medicare, hospitals, or coverage expansion.
The 2018 Cost Trends Report from the Health Policy Commission released last month showed the persistent growth in prescription drug spending over the state’s healthcare cost growth benchmark.
Several new Massachusetts policies are aiding the collective fight against the opioid epidemic.
The state’s bold experiment with its dual eligible programs is getting some revisions, while raising some concerns among hospitals and physicians.
The American Hospital Association (AHA) last week laid out its 2019 public policy agenda.
In a letter to CMS last week, MHA urged the federal agency to reconsider rules regarding how Medicaid Managed Care Organizations (MCOs) direct payments to providers.
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 U.S. Department of Health and Human Services has released a fact sheet related to the Physician-Focused Payment Model Technical Advisory Committee (PTAC).
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.
State Attorney Generals across the U.S. will be working through the Christmas holiday preparing expedited briefs supporting the Affordable Care Act.
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.

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.