MedPAC considers one-time funding boosts for Medicare in 2023 due to COVID-19 confusion
Fierce Healthcare
SEPTEMBER 2, 2021
MedPAC considers one-time funding boosts for Medicare in 2023 due to COVID-19 confusion. Thu, 09/02/2021 - 17:11.
Humana boosts 2023 expectations for Medicare Advantage growth
Healthcare Dive
APRIL 26, 2023
The insurer reported favorable MA inpatient utilization as COVID-19 claims decreased in the first quarter.
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Strategic Maneuvers in Response to COVID-19 Denialist Laws and Policies
Bill of Health
FEBRUARY 23, 2023
Over the course of the COVID-19 pandemic, now entering its fourth year in 2023, legislators, executives, and judges at every level of government have sought measures to derail efficacious public health interventions. And most relate solely to COVID-19 interventions, which sunset permanently as states withdraw their emergencies.
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Medicare Fee Schedule Changes in 2023
Medisys Compliance
DECEMBER 23, 2022
The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Effects of the PFS in 2023 on providers.
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Lose the COVID-19 public health emergency, but keep the progress
Healthcare IT News - Telehealth
SEPTEMBER 28, 2022
David Gray When President Joe Biden recently declared on national television that “the pandemic is over,” he offered a glimpse into the strategy his administration will be using on COVID-19 going forward: We’re ready to move on. The PHE has been renewed every 90 days and is currently set to end on Oct.
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COVID-19 Public Health Emergency and HIPAA Telehealth Flexibilities Due to be Extended
HIPAA Journal
OCTOBER 13, 2022
The Secretary of the Department of Health and Human Services, Xavier Becerra, is expected to extend the COVID-19 Public Health Emergency (PHE) today (October 13, 2022) for the 11th time. The COVID-19 PHE was first declared in January 2020 by then HHS Secretary, Alex Azar II, with the last extension issued by Becerra on July 15, 2022.
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As COVID-19 Public Emergency Ends, So Do Vaccination Mandates
Health Law Advisor
JULY 27, 2023
The federal government’s announcement that the COVID-19 public health emergency (“PHE”) declaration would end on May 11, 2023 marked the end of various federal mandates and benefits. Perhaps most importantly, numerous COVID-19 vaccination requirements are being rescinded.
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Ending of Federally Mandated COVID-19 Vaccination Requirements, COVID-19 Public Health Emergency
Jackson Lewis
MAY 3, 2023
The Biden-Harris Administration has announced that, at the end of the day on May 11, 2023, it will end COVID-19 vaccination requirements for federal employees, federal contractors, and international air travelers. The COVID-19 public health emergency also will end on the same day. Read more.
President Biden Announces the End of the COVID-19 Emergencies: The Health Care Industry Has Less Than Four Months to Prepare
Health Care Law Brief
FEBRUARY 2, 2023
After multiple extensions over the past three years, on Monday, January 30, 2023, President Biden announced that the COVID-19 national emergency and public health emergency (“ PHE ”) will officially end on May 11, 2023. higher payment) through December 31, 2023.
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Lose the COVID-19 public health emergency, but keep the progress, says HIMSS GR director
Healthcare IT News - Telehealth
SEPTEMBER 27, 2022
David Gray When President Joe Biden recently declared on national television that “the pandemic is over,” he offered a glimpse into the strategy his administration will be using on COVID-19 going forward: We’re ready to move on. The PHE has been renewed every 90 days and is currently set to end on Oct.
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CMS COVID-19 Vaccination, Testing Requirements to Formally End This Summer
Jackson Lewis
JUNE 5, 2023
The Biden-Harris Administration announced on May 1, 2023, that the Centers for Medicare and Medicaid Services (CMS) would soon be eliminating COVID-19 vaccination requirements for healthcare providers. On May 31, 2023, CMS issued the awaited Final Rule. Read more.
Physicians Beware! Groups Providing DME, Prosthetic Devices, and Other Medical Supplies to Their Medicare Patients Risk Violating the Strict Liability Stark Law Since the Expiration of COVID-19 Public Health Emergency
Health Law Advisor
AUGUST 14, 2023
During the COVID-19 PHE, CMS issued temporary waivers, including a waiver of the “location requirement” of the In-Office Ancillary Services (“IOAS”) exception. The IOAS exception does NOT apply.
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CMS’ Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
Healthcare Law Blog
JANUARY 10, 2022
On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). and 422.107).
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Three 2023 telemedicine trends that advance the 'new normal' in healthcare
Healthcare IT News - Telehealth
JANUARY 23, 2023
As healthcare providers look ahead to 2023, being at the forefront of what's next in telehealth and strategically integrating the technology necessary to stay there may be critical to future success. You have identified three trends in telemedicine for 2023. Please elaborate. For example, the U.S. What do you see?
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Medicare Exact Match Update: Provider Compliance Required Effective 8/1/2023
Hall Render
JULY 28, 2023
Starting on August 1, 2023, Medicare validation edits will be activated to require service location addresses on the UB-04 hospital claim form to match exactly with the service location enrolled in Medicare’s Provider Enrollment, Chain, and Ownership System (“PECOS”). UB claim).
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$900 Million Increase in Medicare Part A Payments One of Many Medicare Changes for SNFs in FY 2023
C&M Health Law
AUGUST 10, 2022
On July 29, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies and rates for skilled nursing facilities (SNFs) and enacts changes to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program beginning in FY 2023.
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Top Healthcare Policy Developments in 2023; Register for Crowell Health Solutions Webinar
C&M Health Law
DECEMBER 13, 2022
In 2023, we expect to see health care policy developments in the following key domains: reproductive rights and gender discrimination, health data privacy, telehealth, and price transparency. . In July 2022, the House of Representatives passed, 416-12, the Advancing Telehealth Beyond COVID-19 Act of 2021 ( H.R.4040
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HIPAA Updates and HIPAA Changes in 2023
HIPAA Journal
JANUARY 9, 2023
Updates to HIPAA are long overdue but steps were finally made to update HIPAA in December 2020, when the HHS issued a notice of Proposed Rulemaking that detailed several proposed changes to the HIPAA Privacy Rule, and a Final Rule is now due which will likely see those HIPAA changes implemented in 2023. HIPAA Changes in 2023.
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Highlights from the HHS-OIG 2023 Spring Semiannual Report
Provider Trust
AUGUST 9, 2023
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Led by acting Inspector General Christi A. A Message from Acting Inspector General Christi A.
President Biden Signs End-of-Year Legislation Including Telehealth, Medicare & Medicaid, Mental Health, Pandemic Preparedness, and Other Health Care Provisions
C&M Health Law
JANUARY 25, 2023
On December 29, President Joe Biden signed into law the Consolidated Appropriations Act, 2023 ( P.L. Telehealth Section 4113 of the Act extends certain Medicare telehealth flexibilities that were allowed during the COVID-19 PHE for two years, through 2024. 117-164 ) (the “Act”)—an approximately $1.7
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New HIPAA Regulations in 2022-2023
HIPAA Journal
DECEMBER 14, 2022
The CARES Act was passed by Congress on March 27, 2020, to ensure that every American has access to the care they need during the COVID-19 pandemic and to address the economic fallout from the 2019 Novel Coronavirus and COVID-19. HIPAA Changes in 2020/2021 Due to the COVID-19 Pandemic Remain in Effect.
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ATA urges Biden admin to safeguard telehealth coverage, extend public health emergency
Healthcare IT News - Telehealth
OCTOBER 20, 2021
Department of Health and Human Services Secretary Xavier Becerra this week urging the agency to extend the COVID-19 public health emergency through at least the end of 2022. "We recognize there are many unknowns related to the trajectory of the COVID-19 pandemic over the next 12 to 24 months. WHY IT MATTERS.
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2023 Medicare Physician Fee Schedule Advances Access to Whole Person Treatment for Substance Use Disorders and Behavioral Health
Healthcare Law Today
NOVEMBER 9, 2022
Starting January 1, 2023, Medicare will expand and increase coverage of certain services and providers to advance access to prevention and treatment services for substance use disorders (SUD) and mental health services. Behavioral Health Treating Provider Flexibilities.
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Medicare Telehealth Billing Guidelines for 2022
Medisys Compliance
APRIL 8, 2022
Telehealth is witnessed high and low acceptance during COVID-19 pandemic last year, and it might play a key role in care delivery in 2022. In this article, we briefly discussed these Medicare telehealth billing guidelines. Reference: CY2022 Telehealth Update Medicare Physician Fee Schedule.
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Democrats Didn’t Achieve All Their Goals, but Inflation Reduction Act Makes Historic Medicare Changes
Kaiser Health News
AUGUST 12, 2022
First, it would give the federal government the ability to negotiate prices of some drugs purchased by Medicare beneficiaries, a tool that has long been opposed by the drug industry. Department of Health and Human Services to identify Medicare’s 100 most expensive drugs and then pick 10 for price negotiations starting in 2023.
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CMS Updates List of Telehealth Services for CY 2023
Healthcare Law Blog
FEBRUARY 28, 2023
On February 13, 2023, the Centers for Medicare and Medicaid Services (CMS) published the revised List of Telehealth Services for Calendar Year (CY) 2023 (List). The List includes the services that are payable under the Medicare Physician Fee Schedule when furnished via telehealth.
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Preparing for the End of the Public Health Emergency
YouCompli
MARCH 29, 2023
In this article, she discusses several issues that hospitals and health systems need to consider as a result of the scheduled end of the COVID-19 public health emergency. population previously received at least one COVID-19 vaccination. Department of Health & Human Services (HHS) reports that 80% of the U.S.
House extends virtual care flexibilities beyond public health emergency
Healthcare IT News - Telehealth
MARCH 10, 2022
House of Representatives approved an omnibus spending bill late Wednesday night that extends temporary telehealth flexibilities under Medicare beyond the COVID-19 pandemic. Senate, several COVID-19-era telehealth policies will remain in place for about five months after the public health emergency ends.
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Key Healthcare Provisions of the Consolidated Appropriations Act, 2023
Healthcare Law Blog
JANUARY 6, 2023
On December 29, 2022 , President Biden signed the Consolidated Appropriations Act, 2023 (the “Act”). In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces.
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Finding Our Way Out of the Pandemic Haze: What Telehealth Tools Are Medicare Providers Allowed to Keep, and Which Must They Leave Behind?
Healthcare Law Blog
NOVEMBER 30, 2022
During the COVID-19 pandemic, Medicare coverage expanded to include a vast arsenal of tools that help patients access medical services while keeping patients and practitioners safe. The latest HHS extension for the PHE is effective through January 11, 2023. Medicare Coverage in Advance of Expiration of the PHE.
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2023 may bring progress in SDOH tech, telehealth and interoperability
Healthcare IT News - Telehealth
DECEMBER 5, 2022
Dan Brillman, CEO of Unite Us, and Melissa Sherry, vice president of social care integration at Unite Us, offer Healthcare IT News readers insights into how these and other challenges are likely to be handled in 2023. Q: You suggest interoperability will play a big role in healthcare innovation in 2023. What will this look like?
State of HIPAA – May 2023 Report
HIPAA Journal
MAY 29, 2023
State attorneys general also enforce the HIPAA Rules and 2023 has already seen several enforcement actions over violations of HIPAA and state privacy laws. Reducing risk exposure from vendor relationships is one of the biggest security challenges in healthcare in 2023 and a pressing issue, as hackers are actively targeting the supply chain.
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Healthcare AI – 2023 Health IT Predictions
Healthcare IT Today
JANUARY 3, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. So, within my Medicare Advantage population for example, I split out patients with diabetes, find out who is due for an annual eye exam and then send them a message to match their communication preferences.
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The Transformation in Behavioral Digital Health Services
Healthcare Law Blog
JANUARY 31, 2023
Overview Digital health services have exploded since the onset of the COVID-19 pandemic, and behavioral health services have seen large increases in utilization. In November 2020, Oregon became the first state to legalize psilocybin-assisted therapy and began accepting applications for licensure on January 2, 2023. [v]
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CMS Releases Guidance on Implementation of Rebate Programs for Certain Medicare Part B and Part D Drugs
Healthcare Law Blog
FEBRUARY 22, 2023
The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]
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Weekly Roundup – October 7, 2023
Healthcare IT Today
OCTOBER 7, 2023
This problem is only made worse by the silver tsunami of 10K baby boomers aging into Medicare coverage every day. The OntarioMD Digital Health Conference returned to in-person for the first time since COVID-19. We are facing an estimated 900K deficit of registered nurses by the end of this decade.
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Telehealth and RPM – 2023 Health IT Predictions
Healthcare IT Today
JANUARY 6, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. We have seen unprecedented growth in the digital healthcare space and this momentum will only continue in 2023 – bringing more innovation, smarter technology, and impactful legislation and business initiatives.
Medicare Advantage 2024 Rate Announcement – Further Impacts to Risk Adjustment
Health Care Law Brief
APRIL 3, 2023
On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). 1395w-23): Medicare Advantage Organizations (MAOs) are paid a base rate by CMS. Risk Adjustment.
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CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors
Healthcare Law Blog
MAY 16, 2022
On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”).
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McKinsey: Healthcare Profit Pools to Reach $819B by 2027
HIT Consultant
JANUARY 15, 2024
What You Should Know: – The US healthcare industry, after weathering a storm of inflation, labor shortages, and lingering COVID-19 impacts in 2023, is now showing signs of a promising rebound, according to a new repor t by McKinsey & Company.
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Healthcare Consumerism – 2023 Health IT Predictions
Healthcare IT Today
JANUARY 12, 2023
As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. All of this year’s 2023 health IT predictions: Healthcare Security and Risk. John and Colin’s 2023 Healthcare IT Predictions. 2023 – The year of the “non” patient. Healthcare AI. Healthcare Workforce.
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Expanded Medicare Telehealth Coverage for Opioid Use Disorder Treatment Services Furnished by Opioid Treatment Programs
Healthcare Law Today
NOVEMBER 9, 2022
Starting January 1, 2023, Medicare will cover telehealth-based treatment services delivered by federally-accredited opioid treatment programs (OTPs), commonly referred to as “methadone clinics.” Background and History of Medicare Telehealth Coverage of SUD Treatment. New Changes to Medicare OTP Telehealth Services.
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The CONNECT for Health Act is reintroduced, again
Healthcare IT News - Telehealth
JUNE 20, 2023
A bipartisan group of legislators has reintroduced the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act – first introduced in 2016 – to expand opportunities and coverage for telehealth through Medicare. This is the second time the bill has been reintroduced. Mike Thompson (D-Calif.)
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Q1 2023 Digital Health Funding Reaches $3.4B Across 132 Deals
HIT Consultant
APRIL 4, 2023
What You Should Know: 2023 started off with the hallmarks of a rebound year. Q1 Funding Soars, But 2023 May Struggle to Catch Up to 2019 Q1 2023 U.S. If funding for the next three quarters matches the average funding across the prior three quarters, 2023 is on pace for the lowest level of annual funding since 2019.
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