Senate Appoints Brooks-LaSure as CMS Administrator; HHS Funds Pediatric Mental Health


By Emily Sokol, MPH

– HHS is busy dispersing funds for pediatric psychological well being and COVID-19 testing for uninsured sufferers whereas beneath hearth DGME funds. CMS will get a brand new administrator, delays ultimate ruling after public feedback present hesitancy, and reworks MIPS funds. In the meantime, ONC efforts help well being fairness in IT.

Chiquita Brooks-LaSure Appointed CMS Administrator

Yesterday, the Senate confirmed Chiquita Brooks-LaSure as the brand new CMS Administrator, making her the primary Black girl to guide the company. Beforehand, Brooks-LaSure lead the implementation of the Inexpensive Care Act at HHS and most just lately was the managing director of Manatt Well being. In her new function, Brooks-LaSure shall be accountable for overseeing the Medicare, Medicaid, and CHIP packages in an—nearly—post-pandemic world. READ MORE

CMS Delays Last Ruling to “Outline Cheap and Obligatory”

The Medicare Program; Medicare Protection of Modern Expertise and Definition of ‘Cheap and Obligatory’ rule initially printed in January 2021 has a brand new efficient date of December 15. The rule meant to replace the definition of ‘cheap and essential’ and current pointers across the Medicare Protection of Modern Expertise pathway, efforts that present Medicare beneficiaries entry to breakthrough medical applied sciences linked to the FDA’s Breakthrough Units Program. However public feedback raised considerations about protection and fee for the modern medical gadgets outlined within the rule. READ MORE

ONC Efforts Promote Well being Fairness

ONC just lately introduced its well being IT demographic EHR certification necessities will work to standardize race and ethnicity information. The certification requires well being IT to file race and ethnicity on the identical degree of element as CDC’s Race and Ethnicity code know-how, which incorporates over 900 ideas for race and ethnicity for exact self-identifying demographics. Applied sciences should be capable to code a number of races and ethnicities within the EHR. ONC is asking for healthcare professionals to work with IT builders to implement a technique to file race in a manner that most closely fits the wants of its particular affected person inhabitants. READ MORE

CMS Reweights MIPS Price Efficiency Class

The shortage of service utilization information in 2020 led CMS to reweigh the associated fee efficiency class of the Advantage-Primarily based Incentive Fee System (MIPS) from 15 p.c to zero for efficiency 12 months 2020. The Facilities level to the COVID-19 pandemic’s influence on major care visits because the trigger for this modification, worrying the skewed information may result in inaccurate outcomes. Factors shall be redistributed to different classes impacting reimbursement paid out to eligible clinicians in 2022. READ MORE

HHS Funding Helps Pediatric Psychological Well being, Uninsured  

HHS introduced $14.2 million in American Rescue Plan funding to develop Pediatric Psychological Well being Care Entry (PMHCA) initiatives. There are at the moment 21 PMCHA initiatives throughout the nation, and the HHS announcement now makes these packages eligible for funding to help teleconsultations, coaching, technical help, and care coordination that improve kids and adolescent entry to psychological well being care. READ MORE

On Might 25, HHS additionally introduced $4.8 billion in supportive funding to the Well being Assets and Providers Administration’s COVID-19 Uninsured Program. The cash will go towards reimbursing healthcare suppliers testing uninsured people for COVID-19. Since Might 19, roughly $4 billion has been distributed to suppliers for this goal. This system additionally helps entry to COVID-19 remedy and vaccination for uninsured people. READ MORE

Congressional Invoice Goals to Cut back Monetary Burden of Telehealth Care

Final week, senators launched the Telehealth Growth Act of 2021. The invoice would prolong the short-term provision within the CARES Act that allowed first-dollar protection for digital care visits. If handed, telehealth visits could be exempt from sure high-deductible well being plans, eliminating a big monetary barrier to accessing care. Telehealth companies coated beneath the invoice would come with rehab and remedy, behavioral well being, and power illness administration. The American Telemedicine Affiliation and the Alliance for Linked Care are amongst a number of organizations in help of the invoice. READ MORE

HHS Ordered to Recalculate Medicare DGME Funds

The US District Court docket of DC introduced HHS unlawfully modified the weighting elements used for Medicare Direct Graduate Medical Training (DGME) funds. A bunch of 5 hospital plaintiffs argued their funds have been unlawfully lowered and misalign with a Medicare statue—declaring a weighting issue of 1.00 for residents of their preliminary residency interval and 0.5 for fellows. These weights are mixed to find out the hospital’s variety of full-time equivalents which in flip is used to tell funds. The courtroom is now requiring HHS to recalculate the funds. READ MORE


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