Insights^

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

CMS Releases Final Rule on Health Plan Prior Authorization and Interoperability

On January 17, 2024, the Centers for Medicare and Medicaid Services (CMS) released a final rule on prior authorization (PA) and interoperability.  The rule sets new deadlines for plans to respond to prior authorization requests and allows beneficiaries to have more transparency into any PA decisions.    

House Committee on Education and the Workforce Examines the Quality and Affordability of Employer-Sponsored Health Care

On January 11, 2024, the Committee on Education and the Workforce held a hearing on lowering costs of and increasing access to employer-sponsored health plans. There were bipartisan calls for increasing transparency in health care data and pricing, and a robust discussion around the rising costs of employer-sponsored insurance due to consolidation and anti-competition in health care

House Energy and Commerce Committee Discusses Universal Standards for AI and How to Keep Health Care Data Secure

On December 13, 2023, the House Energy and Commerce Committee held a hearing the use and regulation of AI in the U.S.  The main discussion centered around how Congress could pass comprehensive data legislation to set a national standard.   

Senate HELP Committee Passes Bill to Contend with the Substance Abuse Problem in the U.S.

On December 12, 2023, the Senate Committee on Health, Education, Labor and Pensions held a markup of the SUPPORT for Patients and Communities Reauthorization Act.  This bill creates new resources, training, tracking, and education to deal with opioid epidemic.

MedPAC Discusses Payment Updates for Nursing Homes, Home Health Agencies, and Rehabilitation Facilities

On December 8, 2023, the Medicare Payment Advisory Commission (MedPAC) held the second day of their December meeting.  The Commission discussed payment adequacy and update recommendations for nursing homes, home health agencies, and rehabilitation facilities.

Subscribe to Us Now!

Be a DC insider by getting our updates straight to your inbox