ElicitingInsights

We bring experienced Healthcare insight to Primary Market Research for Providers, Vendors, & Investors. Specialized in Revenue Cycle Mgmt and Tech. #RCM #HIT

[ElicitingInsights @EInsightsHealth]

CMS launched the Community Health Access and Rural Transformation (CHART) Model on August 11th. The new program is intended to improve America’s rural health care system by providing a way to leverage financial arrangements. #healthcare #CMS

[ElicitingInsights @EInsightsHealth]

CMS issued the CY 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System proposed rule on August 4th. The proposed rule includes policies intended to increase beneficiary choice and encourage site neutrality. #healthcare #CMS

[ElicitingInsights @EInsightsHealth]

Among the major proposals included in the CY 2021 Physician Fee Schedule & Quality Payment Program proposed rule, CMS proposed to permanently expand telehealth benefits. During the public health emergency, CMS added 135 services that could be reimbursed by Medicare. #Telemedicine

[ElicitingInsights @EInsightsHealth]

August 4: CMS issued a major proposed rule which would make changes to the Medicare Physician Fee Schedule (PFS) beginning January 1, 2021. In addition to technical changes, the rule includes proposals regarding the Medicare Shared Savings Program requirements. #healthcare #CMS

[ElicitingInsights @EInsightsHealth]

CMS is implementing codes to track the use of COVID19 treatments. August 1st, Medicare and other insurers can identify the use of remdesivir and convalescent plasma for treating patients with COVID-19. These codes are being implemented into the ICD-10-PCS. #healthcare #COVID19

[ElicitingInsights @EInsightsHealth]

July 31: CMS finalized Medicare payment rules for inpatient psychiatric facilities (IPF), skilled nursing facilities (SNF), & hospices. The 3 payment rules update the payment rates & finalize policy changes for the respective providers types. #Medicare #healthcare #CMS

[ElicitingInsights @EInsightsHealth]

This article from 360dx indicates hospitals are beginning to expand lab efforts to reduce unnecessary testing as the industry moves to Value-Based Care. #healthcare #hospitals https://t.co/eGO6xtomub

[ElicitingInsights @EInsightsHealth]

June 8: New University of Washington study of homeless people in King County Washington shows unpaid medical bills are their primary source of debt, and that debt extends their period of homelessness by an average of two years. The study can be found at https://t.co/f2aj8X25To

[ElicitingInsights @EInsightsHealth]

The U.S. Court of Appeals for the District of Columbia ruled that HHS has the authority to cut Medicare payments to hospital off-campus clinics to align them with payments to independent physician practices, reversing a lower court’s decision. #HHS #healthcare #Medicare

[ElicitingInsights @EInsightsHealth]

HHS is distributing $10B in a 2nd round of funding to hospitals in COVID hit areas. The formula was based on hospitals with over 161 COVID admissions between January 1 & June 10, 2020, or one admission per day, or that experienced a disproportionate intensity of COVID admissions.

[ElicitingInsights @EInsightsHealth]

July 13: HHS issued a final rule making changes to the regulations governing the confidentiality of patients’ substance use disorder records. The final rule was prompted by the need to continue aligning the regulations with advances in the U.S. healthcare system. #healthcare

[ElicitingInsights @EInsightsHealth]

Bicameral Democratic Health Committee leaders wrote to the Secretaries of Health & Human Services, Labor & Treasury to expressing concern with the Administration’s recently guidance allowing insurance plans & group health plans to deny coverage claims for COVID-19 tests. #COVID

[ElicitingInsights @EInsightsHealth]

July 10: Dept. of the Treasury, Dept. of Labor, and the Dept. of Health and Human Services jointly released a notice of proposed rulemaking that would amend the current rules regarding Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage. #healthcare

[ElicitingInsights @EInsightsHealth]

July 6: CMS issued a proposed rule that updates payment policies and rates under the End-Stage Renal Disease (ESRD) prospective payment system (PPS) beginning January 1, 2021. #COVID19 #cms #ESRD

[ElicitingInsights @EInsightsHealth]

June 29: The House passed H.R. 1425, The Patient Protection & Affordable Care Enhancement Act which is intended to expand the Affordable Care Act’s (ACA). https://t.co/cwXJ0MKgO7 #healthcare #medicare

[ElicitingInsights @EInsightsHealth]

HHS recently announced that it is extending its partnership with national pharmacy and grocery retail chains CVS, Rite-Aid, Walgreens, Quest and eTrueNorth to continue to provide access to COVID-19 testing through August 2020. #COVID #testing #HHS

[ElicitingInsights @EInsightsHealth]

July 2: Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies held a hearing to review Operation Warp Speed, which aims to accelerate the development and production of a vaccine for COVID-19 by early 2021. #COVIDー19

[ElicitingInsights @EInsightsHealth]

June 25: CMS issued a proposed rule with payment & policy changes for Home Health agencies in CY 2021. Proposed rule: https://t.co/Ef7nlRhZed #CMS #policy #healthcare

[ElicitingInsights @EInsightsHealth]

06/22: CMS calls for renewed national commitment to value-based care based on Medicare claims data that provides early snapshots of the impact COVID-19 had on the Medicare population. Data includes number of reported COVID19 cases and hospitalizations from Jan-May. #COVIDー19

[ElicitingInsights @EInsightsHealth]

June 23: CMS announced the creation of the Office of Burden Reduction and Health Informatics to unify the agency’s efforts to reduce the regulatory and administrative burden placed on clinicians and providers. It will focus on health informatics.