Louisiana Board Modifies Telehealth Rules

December 10, 2024

EGWP marketplace medicaid Medicare

The Louisiana Behavior Analyst Board made positive, industry-supported changes to their proposed rulemaking. The initial proposal was very modality-restrictive, not allowing for asynchronous or audio-only delivery of care, and instead only allowing synchronous video and audio applied behavior analysis services.

The reissued version of the rule conforms with the Louisiana Telehealth Act, which allows for asynchronous care, and explicitly states that interactive audio-only modalities may be utilized if the standard of care is met.

legislation

Congress Stares Down Dec. 20 Deadline to Extend Federal Funding

Congressional leaders are reportedly planning to extend current federal funding via a continuing resolution (CR) for a short period of time into 2025. This would set up another funding deadline for the incoming Trump Administration to negotiate early in the year. There is also a concurrent negotiation regarding which policies will be “attached” to the […]
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December 10, 2024

EGWP marketplace medicaid Medicare

survey results

HHS OIG Report Finds Half of Hospitals Fail to Comply with Transparency Law

A new report by HHS’s Office of Inspector General (OIG) finds widespread failure among hospitals to comply with federal price transparency law, with almost half of 100 surveyed hospitals not fully compliant. The report found that many hospitals are not publishing their prices in accordance with the law, with some hospitals saying they would rather […]
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December 10, 2024

medicaid Medicare

legislation

Energy and Commerce Chair Sends Letters to FTC, Four Other Agencies to End Partisan Work

On Nov. 6, House Energy and Commerce Committee Chair Cathy McMorris Rodgers (R-WA) sent letters to five federal agencies, including the Federal Trade Commission (FTC), urging the Biden-Harris administration appointees to abandon partisan efforts. She noted that the election results mean the agency leadership will soon change and, “As a traditional part of the peaceful […]
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December 10, 2024

EGWP marketplace medicaid Medicare

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legislation

Congress Stares Down Dec. 20 Deadline to Extend Federal Funding

Congressional leaders are reportedly planning to extend current federal funding via a continuing resolution (CR) for a short period of time into 2025. This would set up another funding deadline for the incoming Trump Administration to negotiate early in the year. There is also a concurrent negotiation regarding which policies will be “attached” to the […]
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December 10, 2024

EGWP marketplace medicaid Medicare

legislation

Energy and Commerce Chair Sends Letters to FTC, Four Other Agencies to End Partisan Work

On Nov. 6, House Energy and Commerce Committee Chair Cathy McMorris Rodgers (R-WA) sent letters to five federal agencies, including the Federal Trade Commission (FTC), urging the Biden-Harris administration appointees to abandon partisan efforts. She noted that the election results mean the agency leadership will soon change and, “As a traditional part of the peaceful […]
read more >

December 10, 2024

EGWP marketplace medicaid Medicare

legislation

Senators Release Site-Neutral Policy Framework

On Nov. 1, Sen. Bill Cassidy (R-LA) and Sen. Maggie Hassan (D-NH) released a legislative framework on site- neutral Medicare payment reform. The senators’ proposal includes two policy options that would cut payments to hospital outpatient departments by expanding the application of site-neutral payment policy to all hospital-owned sites of care away from the hospital’s […]
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December 10, 2024

EGWP Medicare

legislation

CMS Finalizes Physician Payment Rule

On Nov. 1, CMS finalized new policies in the calendar year (CY) 2025 Medicare Physician Fee Schedule (PFS) final rule to strengthen primary care and expand access to preventive services. The rule was largely finalized as proposed. CMS finalized a 2.93% cut to physician payment, larger than the 2.8% cut projected in July. The agency […]
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December 10, 2024

EGWP Medicare

legislation

New York to Finalize PBM Regulation

The New York Department of Financial Services (DFS) has released final regulations implementing a 2022 PBM licensure law. According to DFS, this regulation will be officially finalized and effective upon its publication in the state register on Nov. 27. The final regulation follows DFS’ 2023 release of proposed regulations, which were ultimately withdrawn following vocal […]
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December 10, 2024

EGWP marketplace medicaid Medicare