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policy

In its response to the Centers for Medicare & Medicaid Services, America's Essential Hospitals comments on policies for telehealth services, advanced diagnostic imaging, social determinants of health, and other Physician Fee Schedule proposals.

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policy

Proposed rules for Medicare’s OPPS and PFS for calendar year 2024 would maintain full Medicare Part B drug payment to hospitals in the 340B Drug Pricing Program, revise site-neutral payment policies, and amend price transparency policies, among other changes.

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policy

The Pandemic and All Hazards Preparedness Act is among programs that will expire at the end of the federal fiscal year, Sept. 30, without congressional action. Congress also must act to fund the federal government into fiscal year 2024.

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policy

A new letter warns health systems and telehealth providers that online web tracking technologies can send sensitive information to third parties.

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policy

The proposed rule includes provisions for Medicare reimbursement of telehealth services, quality programs, and social determinants of health data collection.

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policy

Bipartisan legislation, endorsed by America's Essential Hospitals, would extend pandemic-era access to virtual care for Medicare patients. A bipartisan group of six Senate offices issued a request for information on the 340B Drug Pricing Program; the association will respond.

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policy

The House Committee on Energy and Commerce Health Subcommittee will consider a bill to reauthorize the Children's Hospitals Graduate Medical Education program, which America's Essential Hospitals endorses to ease the workforce crisis.

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policy

Health care providers will be able to prescribe controlled medication without requiring an initial in-person visit through Nov. 11.

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policy

After receiving record comments on proposals to limit the prescription of controlled substances via telemedicine, the DEA will extend this COVID-era flexibility.

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policy

Two proposed rules would extend many flexible provisions enacted during the COVID-19 public health emergency for prescribing controlled substances.

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policy

The Senate announced rosters for the Finance and Health, Education, Labor, and Pensions (HELP) committees, as well as for the Finance Committee's Subcommittee on Health Care. HELP Committee Chair Sen. Bernie Sanders (I-Vt.) signaled his intention to act on prescription drug prices.

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policy

House leaders fill seats on committees and subcommittees with jurisdiction over health care issues of particular importance to essential hospitals and their patients.

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policy

The bill includes funding to bolster the health care workforce and extends flexible telehealth policies, including the hospital at home waiver.

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We thank congressional negotiators for supporting essential hospitals and their communities by agreeing to shore up the health care workforce, expand access to mental health and substance use disorder services, and extend flexibility for alternative care settings.

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policy

A proposed rule will make permanent a temporary policy to allow providers to initiate buprenorphine prescriptions for new patients through telehealth.

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policy

As Congress continues to consider legislation during and after the pandemic, it should make permanent policies that allow providers to expand access to care, including telehealth and hospital-at-home, to improve the health of their communities.

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policy

The final rule for calendar year 2023 continues certain flexible telehealth policies, overhauls the Medicare Shared Savings Program, and revises the Quality Payment Program.

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Essential Insights

Leaders at UHealth have shaped local and statewide care services through their community paramedicine training program and say it's the future of American health care.

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policy

The rule finalizes the conversion factor and includes reimbursement provisions for telehealth and behavioral health services, the Quality Payment Program, and the Medicare Shared Savings Program.

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state-action

A recent Kaiser Family Foundation survey highlights common trends in health equity, telehealth access and quality, and coverage expansion initiatives.

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policy

The association urged CMS to adequately reimburse off-campus, provider-based departments; refine physician quality reporting; and codify a definition of essential hospitals.

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webinar

Discover Henry Ford Health’s journey through virtual care discovery, maturity, adoption, national pandemic explosion, and sustainment.

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policy

A proposed rule for the Medicare Physician Fee Schedule for calendar year 2023 would extend telehealth regulatory flexibility, make changes to the Medicare Shared Savings Program, and revise the Quality Payment Program.

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policy

The Medicare Outpatient Prospective Payment System proposed rule for calendar year 2023 reverses cuts to 340B Drug Pricing Program hospitals and seeks comment on remedying existing cuts to 340B hospitals.

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policy

CMS proposes to decrease the conversion factor determining physician payment rates for specific services by $1.53. The proposed rule also includes provisions related to Medicare reimbursement of telehealth services, vaccine administration, and the Medicare Shared Savings Program.

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policy

The Bipartisan Safer Communities Act seeks to close gaps in current gun safety laws and bolster mental health care, including through new support for hospitals and other providers.

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policy

Moderna releases promising preliminary data on its variant-specific COVID-19 booster shot; CDC launches a Center for Forecasting and Outbreak Analytics.

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state-action

Telehealth is an important tool to connect providers and patients, and this technology only became more vital as the pandemic prevented patients from accessing in-office care. This State Policy Snapshot explores how some states have pursued action to make telehealth flexibility permanent.

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policy

Ensuring a reliable safety net, one ready to meet the moment in any crisis, means robustly protecting and bolstering the mechanisms and ideals that make the safety net function.

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policy

The House-passed bill does not allocate additional COVID-19 relief for providers on the front lines of the pandemic. An initial version of the legislation included $15.6 billion in COVID-19 related spending — a scaled-back version of the $22.5 billion requested by the Biden administration.

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state-action

The Washington insurance commissioner, state telehealth collaborative, and state health care authority will study proposed methods to measure the impact of audio-only telemedicine on access to health care services for historically underserved communities and geographic areas.

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state-action

A Medicaid budget survey by the Kaiser Family Foundation highlights notable trends in expanding access to behavioral health care using telehealth services. As of July, 45 states covered mental health and substance use disorder care via telehealth.

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policy

A new Department of Health and Human Services report finds the share of Medicare visits conducted via telehealth increased from about 840,000 in 2019 to 52.7 million in 2020. In particular, telehealth was helpful in offsetting potential foregone behavioral health care during the COVID-19 pandemic.

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Essential Insights

Health care providers need long-term strategies to adopt, normalize, and reimburse telehealth care for patients receiving home- and community-based services.

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policy

After passing a short-term measure to fund the government through Dec. 3, Congress shifts focus to the federal debt ceiling. A Republican filibuster in the Senate prevented passage of legislation to extend the debt limit; lawmakers must resolve the issue by Oct. 18 to avoid default.

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policy

Proposed rules for Medicare’s Outpatient Prospective Payment System and Physician Fee Schedule would continue Medicare Part B cuts, continue site-neutral policies, and halt the phase-out of the inpatient-only list. Both rules also contain an information request on closing the health equity gap.

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webinar

Hear how Erie County Medical Center created a dynamic telehealth program for Hepatitis C specialty care.

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policy

The Senate confirmed Chiquita Brooks-LaSure as head of the Centers for Medicare & Medicaid Services. Several Senate committees last week examined issues of importance to essential hospitals, including telehealth, hospital consolidation, and the medical supply chain.

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policy

In a set of letters, America’s Essential Hospitals urges the administration and congressional leaders to address pressing facility needs of essential hospitals and the health care safety net.

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policy

The FCC announced the filing window for the second round of applications for the COVID-19 Telehealth Program will open at noon ET on April 29. The agency plans to award funding in two phases so applicants have the opportunity to provide supplemental information if they initially are denied funding.

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policy

In a newly issued report and order, the Federal Communications Commission provided more information on the application and evaluation process for the second round of the COVID-19 Telehealth Program. The application window will open within 30 days of the order.

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policy

In its March report to Congress, the Medicare Payment Advisory Commission recommends payment updates in fee-for-service payment systems, including for hospital inpatient and outpatient services. The panel also outlines Medicare coverage of telehealth services during the pandemic and beyond.

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policy

Essential hospitals rely heavily on a patchwork of federal financial support and resources to meet their mission. Congress must bolster the individual components that form the fabric of the health care safety net.

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policy

America's Essential Hospitals sent a letter to President Joe Biden and his administration detailing key priorities for essential hospitals, including issues related to structural racism, COVID-19, Medicaid, the 340B Drug Pricing Program, site-neutral payment policies, immigration, and other topics.

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policy

The $2.3 trillion package to fund the government, provide new COVID-19 relief, and stimulate the economy would eliminate a $4 billion cut to Medicaid disproportionate share hospital payments and add $3 billion to the Provider Relief Fund, among numerous other changes.

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policy

CMS establishes a conversion factor of $32.41 — a decrease of $3.68 from CY 2020. The final rule also includes provisions related to Medicare reimbursement for telehealth services, the Quality Payment Program, and the Medicare Shared Savings Program.

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The final rule takes critical resources away from hospitals and is especially harmful now as they strain under the heavy financial burden of COVID-19.

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Essential Insights

Association member UW Medicine, in Seattle, is tackling COVID-19’s long-term effects through a Post-COVID Telehealth Clinic.

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state-action

A Kaiser Family Foundation annual survey finds states expect to see Medicaid enrollment spike more than 8 percent in fiscal year 2021 due to the COVID-19 public health crisis.

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policy

The Centers for Medicare & Medicaid Services added 11 new telehealth services to the list of Medicare services reimbursable during the COVID-19 public health emergency. The agency also published resources on Medicaid and Children’s Health Insurance Program coverage of telehealth services.

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policy

The proposed rules would deepen Medicare Part B cuts to hospitals in the 340B Drug Pricing Program, continue site-neutral payment policies, and revise the overall hospital star rating methodology. The association urged CMS to protect funding for essential hospitals and access to care.

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policy

CMS proposes to decrease the conversion factor determining physician payment rates for specific services by $3.83. The proposed rule also includes provisions related to Medicare reimbursement of telehealth services, the Quality Payment Program, and the Medicare Shared Savings Program.

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The Medicare Outpatient Prospective Payment System proposed rule takes a bad policy on Part B drug payments and makes it worse by digging an even deeper financial hole for essential hospitals and their vulnerable patients.

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policy

The COVID-19 pandemic has demonstrated the efficacy of telehealth. America's Essential Hospitals asked the administration to permanently expand the list of Medicare reimbursable telehealth services and allow reimbursement of certain services using audio-only technology.

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policy

The HHS Coronavirus Data Hub goes live; CDC guidance recommends a symptom-based strategy for COVID-19 patients. CMS data show an increase in telehealth use among Medicare beneficiaries. The IRS extends the deadline for tax-exempt hospitals to conduct a community health needs assessment.

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policy

Republicans and Democrats remain divided on relief measures to include in a fourth COVID-19 package; the association encourages members to share essential hospital priorities. An association letter to key congressional committees highlights the importance of telehealth during and after the pandemic.

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Essential Insights

COVID-19 suddenly made it possible and necessary to quickly ramp up Valleywise Health's telemedicine program—and the overwhelmingly positive reaction from physicians and patients alike means there is no going back.

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policy

New CDC guidance offers best practices to safely venture outside and begin to resume daily activities amid the COVID-19 pandemic, as well as information on using telehealth to expand access. CMS releases recommendations for non-emergent care in areas that are in Phase II of recovery.

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policy

The Centers for Medicare & Medicaid Services on April 30 issued a second round of waivers and rule changes to provide flexibility to hospitals and improve access to testing for beneficiaries. These changes update waivers issued March 30 to address patient surge.

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quality

Recognizing the rapid spread of COVID-19, Cambridge Health Alliance leaders developed a community management framework to reduce strain on the health system.

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policy

Negotiations continue on a final agreement, which is expected to include funding for small businesses, hospitals, and coronavirus testing. America's Essential Hospitals urges members to contact their members of Congress and ask them to support the association's COVID-19 priorities.

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webinar

Learn how to leverage new federal telehealth flexibilities to improve patient access to safe, timely care and ensure provider reimbursement during the COVID-19 pandemic.

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policy

Eligible health care providers now can apply for funding for information services, telecommunications services, and devices to provide telehealth during the COVID-19 pandemic.

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policy

The short-term COVID-19 Telehealth Program will offer $200 million in immediate relief to providers to purchase technology and device, and the three-year Connect Care Pilot Program will provide $100 million to support connected health services and technology for eligible providers.

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policy

The Centers for Medicare & Medicaid Services issued various waivers to increase hospital capacity, expand the health care workforce, eliminate certain paperwork requirements, and further promote telehealth.

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policy

The new waivers and flexible options are designed to increase hospital capacity, rapidly expand the health care workforce, temporarily eliminate certain paperwork requirements, and promote telehealth in Medicare.

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policy

HHS announced new flexibility to increase coverage of Medicare telehealth services during the COVID-19 crisis. In separate guidance, HHS’ Office of Inspector General will allow providers to use a variety of audio and video communication platforms without incurring penalties under HIPAA.

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policy

CMS issues elective surgery guidance, telehealth toolkits, and information on quality reporting flexibility amid the COVID-19 pandemic; The Joint Commission suspends regular surveys.

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policy

The final rules for Medicare’s Outpatient Prospective Payment System and Physician Fee Schedule for calendar year 2020 also expand access to opioid use disorder treatment and establish a prior authorization process for certain services.

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policy

The final rule includes provisions related to the Quality Payment Program, evaluation and management services, telehealth services, and the Medicare Shared Savings Program.

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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

America's Essential Hospitals urged the agency to leverage a new pilot program to expand telehealth services in communities essential hospitals serve.

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quality

The Office of the Assistant Secretary for Preparedness and Response initiative seeks to harness cutting-edge technologies to support emergency response and recovery. It will kick off with an innovation day event, Aug. 7–8, to engage with stakeholders.

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policy

The $100 million pilot program aims to bring telehealth services to low-income patients, veterans, and areas lacking adequate health care.

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policy

Also last week, the Senate Committee on Health, Education, Labor, and Pensions advanced the bipartisan Lower Health Care Costs Act and the House Committee on Ways and Means marked up five Medicare-focused bills.

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Essential Insights

With telehealth programs at home and abroad, the Charlottesville health system works to improve access to quality care.

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policy

The Outpatient Prospective Payment System and Physician Fee Schedule final rules for calendar year 2019 expand damaging site-neutral payment policies and continue Medicare Part B drug payment cuts to hospitals in the 340B Drug Pricing Program.

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policy

As midterm elections loom, Congress sent to the president the federal government's first comprehensive policy response to the nation's opioid crisis; a bipartisan House letter questions outpatient payment cuts; and New Hampshire senators introduced surprise billing legislation.

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state-action

Begun as a state-funded pilot for high-risk uninsured adults in two counties, Washington state’s Mental Health Integration Program combines mental health screenings and treatment in a collaborative care model.

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policy

Modeled on a program developed at essential hospital St. Joseph's Regional Medical Center, in Paterson, N.J., the Alternatives to Opioids bill is one of 25 opioid-related bills the House passed last week.

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policy

The interagency effort targets obstacles to health care, including a fragmented delivery system and lack of specialty service access, faced by many rural communities.

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state-action

The University of Mississippi Medical Center’s Center for Telehealth remotely connects complex patients in rural areas with providers to help manage chronic conditions. The center comprises a statewide network of partnerships and initial support came from a hybrid of private and public funding.

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policy

This year's report includes the commission’s statutorily required annual analysis of Medicaid disproportionate share hospital payments, as well as chapters on Medicaid managed care and telehealth.

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state-action

The Alabama Department of Public Health established telehealth clinics in most of the state’s county health departments, using mobile medical carts with video conferencing in 65 county health departments. The state funds the program from a combination of sources, including its own funds and grants.

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policy

In response to the request for information, the association encouraged flexibility and a focus on hospitals treating high numbers of complex patients.

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policy

The rule includes additional cuts to new off-campus, provider-based departments (PBDs), as well as physician payment and quality program changes.

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policy

The committees were convened at the direction of the Department of Health and Human Services and include representatives from members of America’s Essential Hospitals.

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