The federal Medicare program is an essential pillar of the state’s health care system, supporting more than 6 million Californians over the age of 65 and younger Californians with disabilities. One in five hospitals is at risk of closing, in part because Medicare reimbursement rates are far lower than the cost of providing care. It’s essential that future federal Medicare policy protects patient care.
The Department of Health Care Services has updated the state fiscal year (SFY) 2021-22 Diagnosis Related Group (DRG) pricing calculators to correct an error on reference tab “5-Policy Adjustors.”
The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2022 physician fee schedule (PFS) proposed rule on July 13. Comments on the rule are due by 2 p.m. (PT) on Sept. 13.
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the calendar year 2022 home health prospective payment system (PPS) proposed rule. Comments on the rule are due to the Centers for Medicare & Medicaid Services (CMS) by 2 p.m. (PT) on Aug. 27.
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed rule updating the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2022. In addition to proposed ESRD PPS payment rates updates, the proposed rule includes changes to the ESRD Quality Incentive Program (QIP) and to the ESRD Treatment Choices Model to address health equity. Comments on the proposed rule are due Aug. 31.
On July 2, the Supreme Court agreed to hear American Hospital Association v. Becerra, a case that challenges Medicare’s 22.5% payment reduction to hospitals for certain separately payable outpatient drugs acquired under the 340B program.
On Monday, the Supreme Court declined to hear the American Hospital Association’s challenge to the Centers for Medicare & Medicaid Services’ (CMS) calendar year (CY) 2019 site-neutral payment reduction when clinic visits are provided in off-campus hospital-based outpatient departments (HOPDs).
The Medicare Payment Advisory Commission (MedPAC) has released its June 2021 Report to the Congress, a mandated report that details analysis and recommendations about the Medicare program and health care delivery system.
The Centers for Medicare & Medicaid Services (CMS) has issued additional information on the accurate completion of post-acute care patient assessment tools. Through inquiries to the Post-Acute Care Quality Reporting Program Help Desk, CMS identifies the opportunity to clarify or refine guidance. The quarterly Frequently Asked Questions consolidate information from June 2020 to June 2021 relating to the completion of the inpatient […]