Insights^

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

MedPAC Reviews Site-Neutral Payments

On April 13, 2024, the Medicare Payment Advisory Commission (MedPAC) met to discuss and vote on recommendations for their June 2023 report.  Aligning payments across ambulatory care settings is controversial but has been a focus of the Commission for more than 10 years.  

 

Changes to Quality Programs under the FY 2024 Inpatient PPS Proposed Rule

On April 10, 2023, the Centers for Medicare and Medicaid Services (CMS) released their proposed inpatient hospital payment rule for FY 2024.    While most hospital payment changes in the rule were minimal (MS-DRGs, wage index, new-technology add-on payments, etc.).   CMS is proposing numerous changes to hospital quality programs under Medicare

House Energy and Commerce Health Subcommittee Looks at Transparency and Competition in Healthcare

On March 28, 2023, the House Energy and Commerce Health Subcommittee held a hearing on transparency and competition in healthcareMembers focused their discussion on hospital and insurer price transparency rules and pharmacy benefit managers (PBMs). 

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