KFF HEALTH NEWS – New Medicare regulations aim to make hospital prices more transparent to patients by improving compliance and transparency with existing requirements and with plans to publicly assess facilities.
Other Medicare news relates to home health care, outpatient reimbursements, and more.
Stat: Medicare Moves Ahead With More Price Transparency Requirements For Hospitals
The federal government is moving forward with a spate of proposals that will force hospitals to be better about publishing the prices they charge health insurers and patients. Federal law has required hospitals to post their prices since 2021. Compliance has been dismal, although it has improved since the government increased fines a few years ago. But the pricing information is still tough to find and confusing to interpret. (Herman, 11/3)
Modern Healthcare: CMS Rule May Trigger Consolidation For Home Healthcare
The Centers for Medicare and Medicaid Services’ threat to claw back billions of dollars in overpayments to home health agencies could trigger more industry consolidation and affect patients’ access to care in their homes. CMS announced Wednesday that it would raise Medicare reimbursements to home health companies by 0.8% in 2024–a reversal from a 2.2% payment cut proposed in June. (Eastabrook, 11/3)
Modern Healthcare: CMS Rule To Increase Medicare Hospital Outpatient, ASC Payments
Hospital outpatient departments and ambulatory surgical centers will receive 3.1% increases in Medicare reimbursements under a final rule the Centers for Medicare and Medicaid Services published Thursday. These providers are set for larger pay raises next year than under the proposed rule CMS published in July, which would have hiked fees 2.8%. (Young, 11/3)
Stat: Medicare Must Police Algorithms In Medicare Advantage, Dems Say
House Democrats are raising concerns with the Biden administration that Medicare Advantage plans need better oversight, citing recent STAT investigations that found insurance companies are using artificial intelligence and algorithmic software to deny care even when people still need it. (Herman, 11/3)
Also —
The Hill: Johnson Embraces Deficit Fight, Setting Up Battle Over Medicare, Social Security
Democrats and progressive advocacy groups are homing in on Speaker Mike Johnson’s (R-La.) past support for steep cuts to entitlements, as the new speaker embraces a deficit commission that could spotlight the issue in the runup to the 2024 election.
President Biden called out congressional Republicans during his State of the Union address for wanting to cut the program. While budget experts say Medicare, Medicaid and Social Security are unsustainable in their current form, most Republicans acknowledge the political risks of wanting to shrink benefits — but are also opposed to tax increases to bolster the programs. (Weixel, 11/6)
CNN: Here’s Why Social Security And Medicare Advocates Fear Mike Johnson’s Speakership
In one of his first moves after being elected House speaker, Mike Johnson promised to form a bipartisan debt commission to tackle what he termed “the greatest threat to our national security.” The announcement sent shivers down the spines of advocates for Social Security and Medicare.
That’s because when Johnson chaired the Republican Study Committee a few years ago, the conservative group called for a variety of changes to the entitlement programs that it argued would save them from insolvency. (Luhby, 11/5)
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