November 30, 2019

ISASS, Other Stakeholders Respond to the White House’s Executive Order on Medicare

ISASS was a signatory to a letter to the White House in response to the White House Executive Order issued on Oct. 3. President Trump issued an Executive Order on “Protecting and Improving Medicare for our Nation’s Seniors.”  Although the Executive Order does not provide legislative or regulatory specifications, it raises policy areas that the President believes must be addressed to improve the Medicare program. The Executive Order aims to expand enrollment in Medicare Advantage (MA) plans to make them more attractive to seniors than the traditional fee-for-service program. Within one year, the Secretary of Health and Human Services is asked to propose regulations and implement other administrative actions to provide more diverse and affordable MA options for seniors, by: Encouraging innovative MA […]
October 29, 2019

CMS Issues New Medicare Reimbursement Penalties to Hospitals for CY 2020

On October 1, The Centers for Medicare & Medicaid Services (CMS) initiated a series of penalties on U.S. hospitals under the Hospital Readmission Reduction Program for CY 2020. Overall, Medicare cut payments to 2,583 hospitals under the initiative, which seeks to reduce the number of patients who return for a second stay within a month. The severity and broad application of the penalties, which Medicare estimates will cost hospitals $563 million over a year, follows the trend of the past few years. Of the 3,129 general hospitals evaluated in the Hospital Readmission Reduction Program, 83% received a penalty, which will be deducted from each payment for a Medicare patient stay over the fiscal year from October 1, 2019-October 1,2020. The penalties […]
October 29, 2019

CMS Issues Omnibus Burden Reduction Final Rule

On September 26, the Centers for Medicare & Medicaid Services (CMS) issues a final rule on The Omnibus Burden Reduction (Conditions of Participation) Final Rule. The intent of the rule is to strengthen patient safety by removing unnecessary, obsolete, or excessively burdensome health regulations on hospitals and other healthcare providers. The rule seeks to advance CMS’s Patients over Paperwork initiative by saving providers an estimated 4.4 million hours previously spent on paperwork annually, with overall total provider savings projected to be approximately $8 billion over the next 10 years, giving doctors more time to spend with their patients. CMS conducted a comprehensive review of regulations to determine where changes to obsolete, duplicative, or unnecessary requirements could be made to improve healthcare delivery. […]
October 29, 2019

White House Issues Executive Order on Medicare

On Thursday, October 3, President Trump issued an Executive Order on “Protecting and Improving Medicare for our Nation’s Seniors.”  While the Executive Order does not provide legislative or regulatory specifications, it raises policy areas that the President believes need to be addressed to improve the Medicare program. The Executive Order aims to expand enrollment in Medicare Advantage (MA) plans to make them more attractive to seniors than the traditional fee-for-service program.  Within one year, the Secretary of Health and Human Services is asked to propose regulations and implement other administrative actions to provide more diverse and affordable MA options for seniors, by: Encouraging innovative MA benefit structures and plan designs, including better use of Medical Savings Accounts (MSAs) by seniors; Including a […]