Category: CMS

Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill

A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.

Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill

A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.

KHN’s ‘What the Health?’: The Long Road to Unwinding Trump Health Policies

President Joe Biden signed a pair of health-related executive orders this week that would, among other things, reopen enrollment under the Affordable Care Act and start to reverse former President Donald Trump’s anti-abortion policies. Meanwhile, Congress remains bogged down with taking up the next round of covid-19 relief. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists recommend their favorite health policy stories of the week they think you should read, too.

Trump Administration Approves First Medicaid Block Grant, in Tennessee

The plan, long endorsed by conservatives, would give the state broad authority in running the health insurance program for the poor in exchange for capping its annual federal funding.

‘An Arm and a Leg’: Obamacare Alum Andy Slavitt Takes Stock of the COVID Pandemic — So Far

On the latest episode of ‘An Arm and a Leg’: Come for insights from an Obama administration health policy leader, stay to hear how frank health policy conversations can get uncomfortable.

Feds Approve Fractious Georgia Plan to Change ACA Marketplace

Under the plan pushed by Gov. Brian Kemp, the healthcare.gov website will no longer provide options for Georgia starting next fall, and consumers will need to rely on private brokers, insurance companies, agents and commercial websites.

The Trump Medicaid Record: Big Goals, Yet Few Successes

The Trump administration sought to shrink the federal-state health program for low-income Americans and give states more flexibility. But Democrats and the courts thwarted most of those efforts.

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due

A lack of direction from federal administrators is causing confusion for many hospital administrators. Rural hospitals are among the ones hit hardest.

KHN’s ‘What the Health?’: It’s Scandal Week

President Donald Trump this week issued a prescription drug pricing order unlikely to lower drug prices, and he contradicted comments by his director of the Centers for Disease Control and Prevention on the need for mask-wearing and predictions for vaccine availability. Meanwhile, scandals erupted at the CDC, the Centers for Medicare & Medicaid Services and the Food and Drug Administration. And the number of people without health insurance grew in 2019, reported the Census Bureau, even while the economy soared. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss this and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

HHS Plan to Improve Rural Health Focuses on Better Broadband, Telehealth Services

The proposal details a wide-ranging agenda to remedy the gaps in health care and myriad challenges in rural America. In addition to more telehealth options, it includes shifts in hospital payments and expanded funding for school-based mental health programs.