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In December last year, in the weeks leading up to the end of President Donald Trump’s single term, the Department of Health and Human Services announced a series of policies, ranging from phasing out a list of procedures that can only be performed in inpatient facilities to proposing changes to patient privacy rules .
When President Joe Biden took office, his government Freeze or delay Many Trump-era policies come to re-evaluate them.
Here are some HHS plans and their current status:
December 1, 2020: CMS released Doctor’s fee schedule Authorized medical insurance reimbursement in 2021 Telemedicine Services, such as home assessment and management, and visits to people with cognitive impairments. It will take an additional year for responsible medical institutions to align their quality indicators with those in the quality payment plan of medical insurance. ACO appreciates the delay, but in the first place does not want CMS to promote quality changes.
The telemedicine code is still valid.But in 2022 fee scheduleCMS gave ACO an additional three years to revise their quality measurement report.
December 2, 2020: 2021 Outpatient Expected Payment System Phase out the list of procedures for inpatients only, and allow doctor-owned hospitals to scale up while treating a large number of medical insurance beneficiaries.
Content management system Reverse It decided to abolish the list of inpatients only in its 2022 expected outpatient payment rules, but the doctor-owned hospital expansion policy is still in effect.
December 3, 2020: CMS released its Regional Direct Contracting Model Through the Medicare and Medicaid Innovation Center. The plan will allow participating providers to assume all financial risks for all traditional medical insurance registrants in their area.
Content management system pause The regional direct contracting model in March. The agency’s website still states that it will share more information about the model in the future.
December 10, 2020: CMS launched a Proposed rules Trying to ask Medicaid, children’s health insurance plan, and health insurance exchange plan Build application program interfaces that support data exchange and pre-authorization. The proposal also aims to reduce the time for insurance companies to notify providers of prior authorization decisions.
The rule has not yet been finalized, but the 2022 regulatory agenda of the Department of Health and Human Services includes New proposed rules This will require different types of public payers to improve the electronic exchange of healthcare data and simplify the pre-authorization process. The rule is expected to take effect in February.
December 10, 2020: other Proposed rules The rules of the Health Insurance Circulation and Accountability Act will be changed to allow nursing staff and family members to participate more in the emergency care of patients. The proposal will also create flexibility for information disclosure in emergency situations and reduce the administrative burden on providers and health plans.
This year, the HHS Office of Civil Rights extended the comment period for the regulations to May.The final rule is Listed On the regulatory agenda, it is expected to come out in October.
December 10, 2020: HHS approved a Administrative dispute resolution procedures For the 340B drug discount plan originally proposed in 2016.
HHS’s 2022 agenda sets out substitute The administrative dispute resolution procedure is scheduled to be released in January.
December 21, 2020: Content management system Final rule Make it easier for private payers, state Medicaid programs, and drug manufacturers to create value-based drug pricing arrangements.
Last month, CMS Delay Part of the rule that requires drugmakers to use patient discounts to calculate the best prices for drugs under the Medicaid Drug Rebate Program before July 1, 2022. CMS also postponed the start date of allowing US territories to enter the drug tax rebate program.
December 22, 2020: The Health Resources and Services Administration approved a Final rule That need Federal qualified healthy center participate exist This 340B prescription drug Discount program supply insulin and Electronic pen arrive patience exist or the following cost.
High-speed rail freeze Introduced in January and postponed again in March.Ministry of Health and Human Services suggested Cancellation rule in June.
Ministry of Health and Human Services pause Several other initiatives of the Trump administration this year, including a policy, if they do not do so, the HHS regulations will be abolished Review within five years, The rules of the compulsory medical insurance Part D plan support the new electronic pre-authorization standards and Drug rebate rules For part D.
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