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policy

CDC recommends an additional COVID-19 booster for older and immunocompromised adults; COVID.gov aggregates COVID-19 prevention and treatment tools; CDC data show threats to youth mental health during the pandemic.

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policy

Two CDC studies highlight the effectiveness of the COVID-19 vaccines in preventing reinfection and hospitalization; CDC extends the eviction moratorium.

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policy

A report highlights hospitalization risk factors for COVID-19, and GAO evaluates the National Disaster Medical System. FDA revokes emergency use authorizations for chloroquine phosphate and hydroxychloroquine sulfate.

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policy

American Indian and Alaska Native populations have been hit particularly hard by the COVID-19 public health crisis. America’s Essential Hospitals outlines the unprecedented challenges the pandemic has posed to these communities and the efforts Congress and providers have made to mitigate its effect.

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policy

New CDC guidance requires face coverings for all who enter a health care facility. HHS Secretary Azar issues FAQs on testing and reporting requirements. Federal agencies warn about scams related to COVID-19.

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policy

The recommendations come after a GAO review of more than 250 nongovernmental hospitals found several issues with how the Health Resources and Services Administrative oversees 340B program compliance.

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policy

Bipartisan Senate committee leaders released drug pricing legislation that includes a provision to eliminate $12 billion of Medicaid disproportionate share hospital cuts over two years. House and Senate committees announced bipartisan legislation to end surprise billing.

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policy

One report focuses on available treatment services for pregnant women and children, while the other analyzes states' medication-assisted treatment policies. The reports were mandated by the SUPPORT Act.

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policy

The report includes recommendations to the Centers for Medicare & Medicaid Services for improved oversight of these waivers.

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policy

A Government Accountability Office witness and several 340B Drug Pricing Program stakeholders testified last week at a House committee hearing; another House committee marked up several consumer-driven health care bills.

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quality

The commission supports a national curriculum for opioid prescribers and state waivers to eliminate the Medicaid institutions for mental disease exclusion, among other recommendations.

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policy

Expanded Medicaid access under the Affordable Care Act might have helped patients seek treatment for behavioral health issues, which disproportionately affect low-income populations.

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policy

Penny Thompson, principal at Penny Thompson Consulting and former deputy director of CMS' Center for Medicaid and CHIP Services, was named MACPAC chair.

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policy

A per-capita cap would allow the federal government to limit Medicaid spending by allocating a specific amount of funding based on states' enrollees.

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quality

These findings come from GAO, which also found that essential hospitals narrowed this gap over the study, overall performance during VBP's initial years didn't change, and bonuses and penalties were less than 0.5 percent of Medicare payments per year.

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policy

GAO report identifies these challenges and reviews nonfederal initiatives to overcome them. Some of the initiatives suggest that criteria for EHR certification in the Medicare and Medicaid EHR Incentive Programs isn't sufficient for interoperability.

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policy

Recent narrowing of provider networks in Medicare Advantage (MA) organizations, which privately offer one or more health benefit plans to Medicare beneficiaries, has caused concerns over whether MA enrollees can adequately access care.

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policy

Sen. Grassley requested a hearing on recent 340B GAO report. House calls and clinical trials for Medicare patients each pass one chamber. Committees review Medicare hospital payments, HIT, and marketplaces.

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policy

Report suggests financial incentive for hospitals to prescribe 340B drugs, a claim America's Essential Hospitals calls unfounded and troubling.

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Association challenges unfounded conclusions in report, including suggestion that hospitals overuse 340B for financial gain.

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policy

As more and more states turn to Medicaid managed care, these types of data can help us fully understand how beneficiaries are being managed in this delivery system.

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gao
policy

Calls for HHS to establish specific criteria for approval, document how programs will address the health of low-income populations, and ensure federal funding is not duplicated.

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policy

GAO found that CMS lacks adequate data to conduct provider-level oversight of Medicaid payments to ensure payments are used for Medicaid patients in an economical and efficient manner.

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policy

GAO found that HHS did not ensure budget neutrality when approving Arkansas' Medicaid expansion waiver. Issues include lack of data to corroborate state assumptions and state flexibility to expand spending limits.

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policy

GAO released a report recommending that CMS increase oversight of the Medicare claims review process and release additional guidance for contractors to increase efficiency and reduce duplicative claim reviews.

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cms, gao, rac
policy

Report says funding approaches lack adequate oversight; CMS counters with review of existing safeguards and effect of economic downturn.

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policy

The GAO study found that private payers reimburse at higher rates than Medicaid for office visits, hospital care, and emergency care. The study was conducted with data from before the temporary increases in Medicaid reimbursement, which are set to expire at the end of 2014.

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policy

GAO report notes, until data are more comparable, quantifying the impact of factors that drive cost is not possible.

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gao
policy

GAO released a report on the integrity of Medicaid managed care programs, detailing recommendations for CMS. The report identified potential gaps and duplication of program integrity efforts and listed recommendations, including additional oversight.

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policy

The report found that all states varied Medicaid provider payment rates for some services

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cms, gao
policy

Finds nearly 80 percent of money spent on information technology systems and consulting

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aca, gao
policy

Change underscores member hospitals' importance to vulnerable patients, entire communities

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aca, gao
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