Updates & Analysis

On September 5th, the Centers for Medicare and Medicaid Services (CMS) announced a new demonstration opportunity for states to implement new, all-payer total cost of care (TCOC) delivery models that will establish global budgets for hospitals in the region. The AHEAD model is based on existing TCOC pilots in Maryland, Pennsylvania, and Vermont, but will…

In this update:  Federal Agencies CMS Issues Draft Guidance Allowing Monthly Payments for Medicare Prescription Drug Costs CMS Introduces Changes to ACO REACH Program CMS Releases Medicare Shared Savings Program Data CDC Launches Core Elements for Hospital Sepsis Programs HHS Announces 2023 LEAP Awardees HHS Awards $1.4 Billion in Project NextGen Funding Other Updates Ninth…

In this update: Legislative Updates Senators Probe IRS on Hospitals Tax Exempt Status Senate Majority Leader Outlines Fall Agenda Federal Agencies CMS Pauses No Surprises Dispute Resolution Following District Court Ruling CMS Issues FY 2024 Hospital Inpatient Payment Final Rule DEA to Hold Listening Sessions on Telemedicine Prescription of Controlled Substances CMS Leaders Describe Accountable…

On August 3rd, the New York State Office of Mental Health (OMH) released a Request for Applications (RFA) to support recently implemented or newly created school-based Mental Health clinic satellites that promote direct and timely access for students and their families to needed mental health treatment and coordinated care. Each awarded satellite will receive $25,000…

In this update: Legislative Update Congress Passes Organ Donation Overhaul Bill Federal Agencies CMMI Announces GUIDE Dementia Care Model DoL, HHS, and Treasury Propose Rules to Strengthen Mental Health Parity CMS Issues FY 2024 Medicare Hospice Payment Rule CMS Issues FY 2024 Medicare IPF PPS and Quality Reporting Rule CMS Issues FY 2024 Medicare IRF…

As part of the State Fiscal Year 2023-2024 budget, Governor Hochul initiated a multi-year plan to transform the continuum of mental health care in New York State. The State Office of Mental Health (OMH) has issued a tentative procurement schedule for the remainder of this fiscal year to help providers plan for upcoming funding opportunities that will…

In this update:  Federal Agencies CMS Proposes CY 2024 Physician Fee Schedule Rule CMS Proposes CY 2024 OPPS and ASC Payment System Rule CMMI Seeks Input on Design of a Future Mandatory Episode-Based Payment Model for Specialty Care HHS Issues Proposed Rule Clarifying Non-Discrimination Requirements Administration Announces New Rules and Guidance for Health Care Consumer…

New York State’s (NYS) new requirement for certain Certificate of Need (CON) applications to include a Health Equity Impact Assessment (HEIA) went into effect on June 22nd. Going forward, hospitals and other Article 28 facilities that seek to close, substantially reduce, or move services will need to submit an HEIA as part of their CON applications. The HEIA…

On July 6th, New York State (NYS) released an RFP to establish 13 new Certified Community Behavioral Health Clinics (CCBHC) sites statewide. CCBHCs are the behavioral health analogue to the Federally Qualified Health Center (FQHC) model, offering integrated behavioral health care to all individuals regardless of ability to pay. These CCBHCs will become participants in the federal CCBHC…

In this update: Administration Updates Biden Administration Launches Initiative Addressing Poverty and Cancer Legislative Updates Senate HELP Committee Releases Draft Pandemic Preparedness Act Reauthorization Bill; Comments Due July 10th Federal Agencies OIG Finalizes Rule Establishing Penalties for Information Blocking FTC and DOJ Propose Changes to Premerger Notification Rules GAO Seeks Nominations for HITAC CMS Issues…

In this update:  Administration Updates President Biden Issues Executive Order on Contraception Biden Formally Nominates Mandy Cohen for CDC Director Federal Agencies CMS to Hold Webinar on Making Care Primary Model on June 27th CMS Proposes New Transitional Coverage for Emerging Technologies Policy CMS Launches School-Based Services Technical Assistance Center Other Updates USPSTF Recommends Screening…

In this update: Federal Agencies HHS ACL Publishes Proposed Rule Updating Older Americans Act Regulations OMB Releases Biden Administration’s Spring 2023 Regulatory Agenda CMS Releases National Health Expenditure Projections CMS Announces July Publication of Interim Performance Reports for HHVBP Other Updates U.S. Chamber of Commerce Files Lawsuit Challenging Medicare Drug Price Negotiation Program ACA Preventive Care…