Billy Wynne

Medicaid Update:  12 Republican House Members Sign Letter Regarding Medicaid Cuts; House E&C Likely to Begin Mark-Up May 7 Republican Letter  Earlier this week, 12 Republican House members sent a letter to Speaker Johnson, Majority Leader Scalise, Majority Whip Emmer, and Energy and Commerce (E&C) Committee Chairman Gutherie regarding Medicaid cuts that are being considered in the…

NIST Issues Updated Draft Privacy Framework 1.1 with AI and Governance Revisions; Comments Due June 13 The National Institute of Standards and Technology (NIST) released the Initial Public Draft (IPD) update of the Privacy Framework Version 1.1, a voluntary guidance tool aimed at helping organizations identify and manage privacy risks (press release, framework). Building on…

AHEAD Model Global Budget Methodology Update Available on Hawaii’s Website The state of Hawaii, one of the participants in the upcoming Center for Medicare & Medicaid Innovation’s (CMMI/Innovation Center) States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, posted documents detailing Version 3.0 of the CMS-Designed Medicare Fee-For-Service (FFS) Hospital Global Budget (HGB) Financial…

Department Launches Whistleblower Portal to Report Gender-Affirming Care Providers; Issues Accompanying Legal Guidance to Navigate HIPAA Privacy Protections The Department of Health and Human Services (HHS) announced new actions to protect whistleblowers who report concerns regarding the use of chemical and surgical gender-transition procedures on minors. This includes the release of legal guidance and the…

President Trump Issues Memorandum Directing the Repeal of Unlawful Regulations Without Public Notice-and-Comment President Trump issued a Presidential Memorandum titled “Directing the Repeal of Unlawful Regulations”, expanding on the deregulatory initiative set forth in Executive Order 14219 (issued February 19, 2025). The memorandum commands all executive departments and agencies to: Immediately begin repealing any regulation…

Commission Examines Access to Hospice and High-Cost Services under the Hospice Benefit for Beneficiaries with End-Stage Renal Disease and Cancer The Medicare Payment Advisory Committee (MedPAC) convened a session to examine access to hospice and specific high-cost services, such as dialysis, blood transfusions, radiation, and chemotherapy, for beneficiaries with end-stage renal disease (ESRD) and cancer…

Agency Proposes 2.4 Percent Payment Increase for Hospices in FY 2026 and Includes RFIs on Barriers to Interoperability and Future Quality Measures Concepts; Comments due June 10 The Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2026 hospice payment rate update proposed rule (fact sheet). What it is. The proposed rule…

FY 2026 IPPS and LTCH PPS Rule Proposes 2.4 Percent Overall Increase for Hospitals and Changes to TEAM; Solicits Input on Deregulation The Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2026 inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) proposed rule (fact sheet), which applies to…

Panel Explores Benefits and Risks of AI in Medicaid Prior Authorization The Medicaid and CHIP Payment and Access Commission (MACPAC) held a panel session focused on the use of automation and artificial intelligence (AI) in the Medicaid prior authorization process. The discussion explored how these technologies are currently being implemented, their potential to improve efficiency,…

Commissioners Discuss the Value of MA Supplemental Benefits; Emphasize Data Limitations and Consider Modifications The Medicare Payment Advisory Committee (MedPAC) convened a session to assess the utilization and delivery of supplemental benefits in Medicare Advantage (MA). This meeting followed a session in October focused on the background and plan financing of supplemental benefits (Impact summary). The staff presentation…