Kim Brandt on the latest Washington health care news | Healthcare Compliance Association (HCCA)
She will be leading a general session at the Health Care Compliance Association’s Law Enforcement Conference, November 8-10. In this podcast, she gives an overview of her speech with an overview of all that is See more +
She will lead a general session at the Health Care Compliance Association’s Law Enforcement Conference, November 8-10. In this podcast, she provides an overview of her speech with a look at everything that is to come and likely to happen from both the Biden administration and Congress.
Starting with CMS, which is back in its regulatory cycle, expect big changes in physician fee payments. There is a 3.75% reduction in all areas on the horizon, in an effort to give primary care physicians a boost. This means, she explains, a reduction in payments to specialist care providers of up to 8-10%. This will be in addition to a 2% delayed escrow.
Telehealth, which has become a standard feature of care during the pandemic, will also see changes with proposals to establish permanent rules allowing it for mental and behavioral health, including audio-only processing. Video will not be necessary.
On Capitol Hill, she reports that Congress is considering expanding Medicare Part B to include hearing, dental and vision. These had never been covered by Medicare before and cost $ 300 billion over 10 years.
Increased support for home and community services, as well as increased funding for them, are also being explored.
Another area of interest is likely to be the Medicaid gap. Thirteen states have not implemented a Medicaid extension. Measures are under consideration that would allow local governments in these states to contract with CMS to expand Medicaid.
Finally, she discusses staff changes at CMS and the BIG at HHS. The new administration has made changes in people, but they are not exactly new, having previously served in the government.
Listen to find out more about what’s going on in healthcare in Washington, DC. So be sure to attend the 2021 Healthcare Law Enforcement Compliance Conference. See less –