Medicare

Basic information and updates on the federal program to provide health insurance to the elderly.
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.
The federal budget package which passed last week after an hours-long government shutdown includes many important healthcare provisions.
A new healthcare policy/advocacy group – United States of Care – launched last week.
CMS posted a statement saying that it would begin the process to implement the statutorily required therapy cap.
Hospitals are concerned that negotiations over how to raise budget caps may result in further Medicare cuts.
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.
In Washington, the Senate returned last week and the House follows this week.
Tim Gens, who has provided the intellectual and compassionate foundation for MHA’s strategy and policy efforts for 23 years, announced he will leave the association, effective Dec. 31.
The House and Senate tax bills now moving to conference committee each contain provisions that are of concern to hospitals.
Last Thursday CMS cancelled two mandatory bundled payment models – relating to hip fracture and cardiac care – that were scheduled to begin on January 1.
Providers participating in the Medicaid or Medicare program are facing new “Conditions of Participation”

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: