Insights^

Find our analysis on legislation, regulations, MedPAC meetings, and more. 

CMS Releases Proposed Rule Updating Outpatient Hospital Rates and Policies

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released their outpatient hospital and ambulatory surgery center (ASC) payment proposed rule for Calendar Year (CY) 2024.  The rule contains updates to payment rates, quality programs, and a discussion around a new intensive outpatient Medicare program. 

CMS Proposes CY 2024 Physician Fee Rule

On July 13, 2023,  the Centers for Medicare and Medicaid Services (CMS) released the Physician Fee Schedule and Medicare Shared Savings Program Proposed Rule for Calendar Year (CY) 2024.   In its annual payment rule, CMS tackles payment updates, split billing, supervision rules, and changes to the Medicare Shared Savings Program, among other key policies. 

House Ways And Means Committee Passes Bills on Telehealth, Chronic Disease, and More

On June 7, 2023, the House Ways and Means Committee marked up a series of bills pertaining to healthcare and social security.  The bills focused on telehealth, payment for chronic disease, and reduction of paperwork for health care workersAdditional bills on electronic notification of plan benefits for insurance plans and changes to custom group health plans were also adopted.

Senate Finance Committee Tackles Corporate Ownership in Health Care

On June 8, 2023, the Senate Finance Committee held a hearing to discuss consolidation and corporate ownership in health care.  Across the board, committee members were concerned about the large amount of vertical and horizontal consolidation in the healthcare market over the past 10 years.

CMS Proposes 340B Drug Payment Adjustment Rule

On July 7, 2023, the Centers for Medicare and Medicaid (CMS) issued the 340B Drug Payment Adjustment Proposed Rule.  The CMS fact sheet can be found here of the proposed rule. 

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