Today the Centers for Medicare & Medicaid Services (CMS), in order to promote Medicaid and Medicare program efficiency, transparency, and burden reduction, proposed new rules that revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs). The link of this rule will be republished in the Federal Register on Sept. 20. According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as … [Read more...] about Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Multiple Bipartisan Healthcare Bills Head to Congress
The series of bipartisan healthcare bills are being considered expedited rules that require two-third votes for approval. One bill H.R. 3635, amends title XVIII (Medicare) of the Social Security Act to revise the process by which Medicare administrative contractors (MACs) issue and reconsider local coverage determinations (LCDs) that: (1) are new, (2) restrict or substantively revise existing LCDs, or (3) are otherwise specified in regulation. According to reports, it would provide … [Read more...] about Multiple Bipartisan Healthcare Bills Head to Congress
High-Tech Healthcare and Telemedicine are the Fastest Growing Initiatives in Healthcare
Patient care and value is at the forefront of many healthcare discussions in the industry. Physicians and nurses providing comfort, companionship, connection and support is considered to be just as important as providing actual medicinal treatments. Better care in relation to providing tele-medicine and high tech care in the healthcare system are the top of growing initiatives that put the patient first especially in nursing homes and hospice and palliative care facilities. According to … [Read more...] about High-Tech Healthcare and Telemedicine are the Fastest Growing Initiatives in Healthcare
CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
The Medicaid Review Process and Approval times are at the forefront of CMS effort to "implement changes resulting in faster processing of state requests to make program or benefit changes to their Medicaid program through the state plan amendment (SPA) and section 1915 waiver review process. According to reports, SPAs allow states to change their Medicaid program policies or operational approaches, while 1915 waivers let states develop home and community-based services for individuals who … [Read more...] about CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
Trump Signs Electronic Visit Verification (EVV) Into Law
With no opposition from the House or Senate, the U.S. Senate unanimously approved legislation of the H.R.6042 bill delay the nationwide deadline for electronic visit verification (EVV) or ( in-home health service bill) in Medicaid-reimbursed personal care services until 2020. President Donald Trump signed Rep. Brett Guthrie’s health care bill into law on July 30th. According to news reports, the 21st Century Cures Act, initially signed into law in 2016 under the Obama Administration, … [Read more...] about Trump Signs Electronic Visit Verification (EVV) Into Law
HCSSAs that Contract with Management Companies
Provider Letter 18-13 - Home and Community Support Services Agencies (HCSSAs) are issued the clarifications and requirements and regarding the role of management companies. Providers are notified that if an HCSSA contracts with a management company or other organization, the HCSSA must comply with all rules and regulations that relate to such a contract, which is addressed in the provider letter. HHSC has statutory authority to adopt rules that specify the ownership interests and other … [Read more...] about HCSSAs that Contract with Management Companies
HHS facesbbacklash & concerns over proposed changes by the Trump administration to Title X Program
The U.S. Department of Health and Human Services (HHS) and the Trump administration published a series of proposed changes to the regulations governing the Title X family planning program. Title X, enacted in 1970, is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services gives access to fundamental health care possible for 4 million low-income, uninsured, and underserved Americans each … [Read more...] about HHS facesbbacklash & concerns over proposed changes by the Trump administration to Title X Program
Who has the greatest impact on high healthcare costs?
In a new NEJM Catalyst Buzz Survey, the question of who is the biggest driver of high healthcare costs brings physicians, healthplans, pharmacuetical & bio-tech companies under scrutiny. Doctors who have been blamed for the inflated cost of US healthcare due to expensive recommendations or overtreating patients have maintained that even though the discussion needs to be had with patients about healthcare costs, they have no power to determine the price of a drug or new healthcare … [Read more...] about Who has the greatest impact on high healthcare costs?
Long-term Care Regulatory Provider Letter – Incident Reporting Requirements
Provider Letter - PL 18-07 Providers have been reporting incidents without providing all of the information necessary for HHSC Complaint and Incident Intake (CII) to properly prioritize its review of those incidents. This letter serves as a guidance to the provider types including: Assisted Living Facilities (ALFs) Day Activity and Health Services (DAHS) Facilities, Home and Community Support Services Agencies (HCSSAs), Intermediate Care Facilities for Individuals with an … [Read more...] about Long-term Care Regulatory Provider Letter – Incident Reporting Requirements
Proposed rule addresses healthcare providers’ right regarding patients care for religious or moral reasons
A Proposed Rule by the Health and Human Services Department is purported to give healthcare providers sweeping discretion to refuse patients care for religious or moral reasons. The rule, Protecting Statutory Conscience Rights in Health Care; Delegations of Authority, explains that since the U.S. has a long history of providing conscience-based protections for individuals and entities with objections to certain activities based on religious belief and moral convictions, they propose to revise … [Read more...] about Proposed rule addresses healthcare providers’ right regarding patients care for religious or moral reasons
