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ERISA Hearing Highlights Partisan Differences

The House Committee on Education & Workforce Subcommittee on Health, Employment, Labor, and Pensions (HELP) convened a hearing to discuss potential ways to improve upon the Employee Retirement Income Security Act (ERISA) and strengthen employer-sponsored health coverage. The hearing featured policy experts and advocates representing large employers, small business owners, and consumers: Ms. Ilyse Schuman, Senior Vice President, Health and Paid… (Llamas, September 10, 2024) #Insurance Reform

TEP Nominations to Refine the Quality Measure Index Due September 25

The Centers for Medicare & Medicaid Services (CMS) is seeking nominations for a Technical Expert Panel (TEP) to refine the Quality Measure Index (QMI). The QMI supports the assessment and selection of quality measures by displaying strengths and limitations to facilitate CMS’ selection of the best measures to implement in quality programs.  Details about the TEP follow. Title: Assessment of Quality… (Testa, September 10, 2024) #Health Equity, #Quality

ERISA’s 50th Anniversary: The Path to Higher Quality, Lower Cost Health Care

The House Education & Workforce Subcommittee on Health, Employment, Labor, and Pensions convened a hearing to discuss ways to build upon and strengthen the Employee Retirement Income Security Act of 1974 (ERISA) and address stakeholder feedback received through a recent request for information (RFI) on employer-sponsored coverage. Members expressed bipartisan support for reforming ERISA, with a focus on increasing transparency,… (Eisen, April 16, 2024) #Insurance Reform

Departments Finalize Rules to Strengthen Parity Requirements for Mental Health and Substance Use Disorder Benefits

Today, the Departments of the Treasury, Labor (DOL), and Health and Human Services (HHS) (collectively, the Departments) released final rules intended to strengthen parity requirements for mental health and substance use disorder (SUD) benefits provided by group health plans and health insurance issuers offering group or individual health coverage (press release, fact sheet). The final rules amend regulations implementing the… (Marceno, September 10, 2024) #Coverage Decisions, #Health Equity, #Mental and Behavioral Health

Commission Discusses Enhancements to Quality Measurement for Rural Medicare Providers

The Medicare Payment Advisory Committee (MedPAC) convened a session to discuss the measurement of the quality of care provided to Medicare beneficiaries by rural providers. MedPAC staff introduced core principles for quality measurement, which focus on a patient-centered approach designed to improve outcomes through enhanced provider coordination and system-wide changes. The discussion covered Medicare’s quality reporting programs, specifically Pay-for-Reporting and… (Eisen, September 5, 2024) #Medicare Advantage, #Quality, #Rural Health

Commission Reviews Context for Medicare Policy Discussions and Recommendations Over the 2024-2025 Meeting Cycle

The Medicare Payment Advisory Commission (MedPAC) convened a session to discuss a draft of the Commission’s context chapter on Medicare payment policy and financing. Principal Policy Analyst Rachel Burton detailed that the chapter serves as the backdrop for MedPAC discussions and recommendations over the coming year and features information on Medicare spending trends, factors influencing future spending, the financial status… (Testa, September 6, 2024) #Budget, #Cost-Sharing, #Graduate Medical Education (GME), #Health Equity, #Medicare Advantage, #Medicare Part D, #Medigap, #Quality, #Workforce

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