The Centers for Medicare & Medicaid Services (CMS) announced today an increase in providers and beneficiaries participating in three leading accountable care programs for 2023. Overall, CMS reported that 700,000 health care providers and organizations will participate in at least one of the three initiatives and will provide care to over 13.2 million beneficiaries. The three accountable care initiatives are:… (LaRosa, January 17, 2023) #Accountable Care Organizations, #Delivery Reform, #Demonstration Programs, #Value-Based Purchasing

The Medicare Payment Advisory Commission (MedPAC) convened a session to present an annual status report of the Medicare Part D program and discuss trends in program operations indicators. MedPAC staff highlighted Part D-related provisions in the Inflation Reduction Act of 2022 (IRA), including how the redesigned Part D benefit structure will lower Medicare reinsurance and lead to higher plan liability… (Colocho, January 13, 2023) #Cost-Sharing, #Delivery Reform, #Drug Pricing, #Health Equity, #Insurance Reform, #Public Option

The Medicare Payment Advisory Commission (MedPAC) convened a session to preview their findings for a mandated report on beneficiary and clinician’s use and experience of telehealth. Staff presented their findings, which will be featured in a chapter for the Commission’s forthcoming June 2023 report to Congress. Staff discussed findings related to Medicare telehealth spending by service and clinician type, utilization… (LaRosa, January 13, 2023) #Physicians, #Program Integrity, #Telehealth

The Medicare Payment Advisory Commission (MedPAC) will publish an informational chapter in the June 2023 report to Congress on the utilization and availability of behavioral health services for Medicare beneficiaries, in response to a request from then-Chairman Richard Neal (D-MA) of the House Ways and Means Committee in January 2022. In today’s presentation (attached), MedPAC staff presented data on the… (Llamas, January 12, 2023) #Mental and Behavioral Health

The US Preventive Services Task Force (USPSTF) released a draft research plan for its review of vitamin D, calcium, or combined supplementation to prevent falls and fractures in community-dwelling adults. The proposed key questions to be reviewed are: Does supplementation with vitamin D, calcium, or both prevent fractures and falls or reduce fracture- and fall-related morbidity and mortality? What are… (McClurg, January 12, 2023) #Nutrition

The Government Accountability Office (GAO) released a report on abuse and neglect among hospitals, nursing homes, and hospices. In the report, GAO describes the Centers for Medicare and Medicaid’s (CMS’s) definitions of abuse and neglect and any differences in CMS requirements for reporting and reporting to such abuse and neglect. Definitions The CMS general definitions for abuse and neglect are:… (McClurg, January 11, 2023) #Hospice, #Hospitals

The Centers for Medicare and Medicaid Services (CMS) announced the following key dates for the first of the Medicare Drug Price Negotiation Program, pursuant to the Inflation Reduction Act (IRA): By September 1, 2023, CMS will publish the first 10 Medicare Part D drugs selected for the Medicare Drug Price Negotiation Program. By September 1, 2024, the negotiated maximum fair… (Slifer, January 11, 2023) #Drug Pricing, #Medicare Part D, #Prescription Drugs

The Federal Trade Commission (FTC) released a proposed rule that would prohibit employers from imposing non-compete clauses on workers (press release; fact sheet). What it is. The proposed “Non-Compete Clause Rule” would prohibit employers from entering non-compete clauses with all workers (including contractors), whether paid or unpaid. The proposed rule follows recent FTC settlements for allegedly illegal non-compete agreements imposed… (Testa, January 9, 2023) #Workforce

The U.S. Government Accountability Office (GAO) issued a request for nominations for appointments to the Medicare Payment Advisory Commission (MedPAC). MedPAC is an independent congressional agency that advises Congress on issues affecting the Medicare program. MedPAC is composed of 17 Commissioners and career staff and meets publicly to discuss policy issues and formulate recommendations to Congress. MedPAC appointments will be… (Colocho, January 9, 2023) #Program Integrity, #Public Health, #Quality

On December 29, 2022, President Biden signed into law the $1.7 trillion fiscal year Consolidated Appropriations Act 2023, also known as the Omnibus. The culmination of months of bipartisan negotiations, the package includes all 12 of the fiscal year 2023 appropriations bills, totaling $772.5 billion for non-defense discretionary programs and $858 billion in defense funding. In addition to the appropriations bills,… (WHG, January 6, 2023) #Mental and Behavioral Health, #Physicians, #Public Health, #Telehealth, #Women’s Health