Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

JUNE 15, 2022

According to the Centers for Medicare and Medicaid Services, U.S. trillion by 2028, which will only exacerbate the current spending trajectory, leading to an overburdened healthcare system and less satisfied patients. healthcare spending grew 9.7% in 2020, reaching $4.1 trillion, or $12,530 per person.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Health Populi

MAY 20, 2024

The annual report details trends in health services utilization, the use of prescription drugs, patient financing of those costs, the drivers underpinning the medicines spending, and an outlook to 2028. By contrast, Medicaid enrollment declines in 2023 saw Rx’s per enrollee up from 9 prescriptions to 10 in 2023.

FDA 71

FDA Medicaid Medicaid Medicare 71

Healthcare IT Today

DECEMBER 9, 2024

Earlier in 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Patient Access Final Rule (CMS-0057-F)requiring impacted payers to implement and maintain an ePA-specific API to automate the process for providers.

Compliance 81

Compliance Medicaid Medicaid Public Health 81

Matt Kinley

OCTOBER 22, 2024

Other health facilities will start at $21 per hour in 2024, reaching $25 per hour by 2027 for community clinics and by 2028 for other facilities. Facilities with a large percentage of Medicare and Medicaid patients, rural independent hospitals, and small county facilities will start at $18 per hour in 2024, with a 3.5%

Compliance 40

Compliance Hospitals Medicaid Medicaid 40

HIT Consultant

AUGUST 15, 2022

billion in 2028, with spending per enrollee reaching $20,751. – Innovation-driven initiatives from the Centers for Medicare & Medicaid Services (CMS). . – Innovation-driven initiatives from the Centers for Medicare & Medicaid Services (CMS). – Continued increase in overall Medicare costs.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Medicaid & CHIP Adjustments. Medicaid Improvement Fund. The Act provides for nearly $1.7

COVID-19 52

COVID-19 Medicaid Medicaid COVID-19 Vaccine 52

Healthcare Law Blog

AUGUST 25, 2022

Fifteen more Part D drugs are set to be published in 2027, followed by 15 Part D and Part B drugs, collectively, in 2028. Improvement of Access to Adult Vaccines under Medicaid and CHIP. Certain vaccines must be covered under Medicaid and certain cost-sharing is eliminated. Negotiation-Eligible Drugs.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

JULY 12, 2022

EOM is the next phase in the Biden Administration’s Cancer Moonshot initiative and will run from July 2023 through July 2028. The MEOS payment will be higher for beneficiaries dually eligible for Medicare and Medicaid. PGP’s across the U.S. are eligible to apply. Practical Takeaways.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

New Jersey Healthcare Blog

JANUARY 12, 2022

1846(a), the Department of Human Services, Division of Medical Assistance and Health Services published a notice of readoption of New Jersey Care … Special Medicaid Programs Manual. The Manual extends Medicaid eligibility to certain persons not eligible under the provisions at N.J.A.C. Effective September 28, 2028.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Healthcare It News

JULY 10, 2024

Meanwhile, proposed payer-focused health IT certification rules were developed in coordination with the Centers for Medicare and Medicaid Services to support technical requirements included in the CMS Interoperability and Prior Authorization final rule. Requiring the adoption of USCDI version 4 by January 1, 2028.

Public Health 297

Public Health Medicaid Medicaid Medicare 297

Kaiser Health News

NOVEMBER 27, 2023

A principios de este año, DeSantis criticó a California por ser demasiado generosa con los programas públicos como Medicaid, que el Estado Dorado ha ampliado a todos los residentes elegibles, independientemente de su estatus migratorio. Florida no cuenta con un mercado estatal, ni ofrece subsidios patrocinados por el estado.

COVID-19 69

COVID-19 ACA Medicaid Medicaid 69

Healthcare Law Blog

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Part D Medication Therapy Management Program. Health Equity in Medicare Advantage.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

SEPTEMBER 6, 2024

Newsom California empowers AG to review PE acquisitions in healthcare Buster and Kristen Posey’s fight against pediatric cancer is healing and inspiring kids California hospital unveils plan for financial security: Housing, retail, and office space California physician sentenced for $2.8M drug developers. drug developers.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 11, 2022

CT Bill Requires Nursing-Home Transparency in Medicaid Spending. Missouri takes 99 days on average to approve Medicaid requests. in capital projects by 2028. Trinity Health says it will reach gender parity in leadership roles by 2030. Lamont’s health care bills draw criticism from advocates. CHOP plans nearly $3.5B

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

Kaiser Health News

AUGUST 12, 2022

Another 10 drugs would be added over the next two years, with the savings fully in effect by 2028. Under the bill, all vaccines recommended by the federal Advisory Committee on Immunization Practices will be fully covered by Medicare, as well as by Medicaid and the Children’s Health Insurance Program.

Medicare 96

Medicare Medicare Prescription Drug Pricing Governance 96

Kaiser Health News

NOVEMBER 27, 2023

Earlier this year, DeSantis blasted California for being too generous with public benefit programs, such as Medicaid, which the Golden State has expanded to all eligible residents regardless of immigration status. Obamacare Florida DeSantis has refused to expand Medicaid eligibility to more people under the Affordable Care Act.

COVID-19 Vaccine 117

COVID-19 Vaccine COVID-19 Medicaid Medicaid 117