Christina Bessette

April 14, 2021

AMA Releases Report on Physician Service Expenditures in 2020

AMA Releases Report on Physician Service Expenditures in 2020 In March 2021, The American Medical Association (AMA) released a new report “Changes in Medicare Physician Spending During the COVID-19 Pandemic,” which analyzed Medicare claims data exclusive to physician services. The study found that in April 2020, spending dropped to 57% below expected pre-pandemic levels. Medicare spending on physician services partially recovered from the April low but was still 12% less than expected by the end of June 2020. During the first half of 2020, the cumulative estimated reduction in Medicare physician spending associated with the pandemic was $9.4 billion (19% below expected). The report also provides estimates by state and specialty. To download the full report, please see the following […]
April 5, 2021

ISASS and Other Stakeholders Urge Congress to Extend Physician Payment Relief in 2021 Medicare Physician Fee Schedule Proposed Rule

ISASS and Other Stakeholders Urge Congress to Extend Physician Payment Relief in 2021 Medicare Physician Fee Schedule Proposed Rule ISASS joined a sign-on letter to congressional leadership advocating that Congress pass legislation to extend the current moratorium on the 2% Medicare payment sequester beyond the current March 31, 2021, expiration date. The letter strongly urges Congress to pass a new bill, H.R. 315, referred to as the Medicare Sequester COVID Moratorium Act. This bipartisan legislation would continue the current Medicare sequester moratorium for the duration of the public health emergency. Please see the attached copy of the sign-on letter: Here
April 5, 2021

Kaiser Health News Article Raises Questions About New Medicare Site of Service Policy

Kaiser Health News Article Raises Questions About New Medicare Site of Service Policy In an article published March 23, 2021, Kaiser Health News (KHN) questioned the impact of the new CMS policy allowing numerous surgical procedures to be performed in outpatient locations or ambulatory surgical centers. For 2021, CMS allowed more than 200 procedures, including dozens of spine surgical procedures, to be moved from the Inpatient Only (IPO) list. The KHN article describes the transition and impacts on hospitals that face potential reduced reimbursements and patients who face potentially higher Medicare co-pays. The article looks at several health systems, including the Hospital for Special Surgery and Langone NYU Hospital System in New York and Stanford Hospital in Palo Alto, California. […]
April 5, 2021

American Rescue Plan Legislation Expands Access to Health Care Coverage under the Affordable Care Act

American Rescue Plan Legislation Expands Access to Health Care Coverage under the Affordable Care Act Under the recently passed American Rescue Plan, many people who buy their own health insurance directly through the Health Insurance Marketplace will become eligible to receive increased tax credits to reduce their premiums. Starting April 1, 2021, consumers enrolling in Marketplace coverage through HealthCare.gov will be able to take advantage of these increased savings and lower costs. Additionally, beginning in early July on HealthCare.gov, consumers who have received or have been determined eligible to receive unemployment compensation for any week during 2021 may be able to get another increase in savings when enrolling in new Marketplace coverage or updating their existing Marketplace application and enrollment. […]