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W&M To Pay For 2-Year Telehealth Extension, Other Health Extenders With PBM, Clinical Lab Offsets

The House Ways & Means Committee on Wednesday will mark up legislation to stretch out several pandemic-era telehealth flexibilities through 2026 and extend certain other Medicare hospital bonuses into 2025, and pay for the initiatives by reforming pharmacy benefit manager policies, phasing in changes to clinical lab pay over a longer period and extending adjustments to hospice pay.

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Medicare Trustees Extend Insolvency Date To 2036, Cite Lower-Than-Expected Inpatient, Home Health Costs

The Medicare Trustees Report unveiled Monday (May 6) estimates the fund will deplete in 2036, five years later than previously expected, with trustees citing a better economy and lower-than-expected expenses resulting from lower-than-expected inpatient hospital and home health agency costs and the exclusion of medical education expenses from costs used when developing Medicare Advantage spending.

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Whitehouse May Tout Hybrid Primary Care Pay Concept At Wednesday Hearing

The Senate Budget Committee will hold a hearing Wednesday (May 8) that is expected to highlight draft legislation by Chair Sheldon Whitehouse (D-RI) calling for CMS to accelerate the transition from fee-for-service to value-based pay by creating “hybrid” payment models.

Nursing Homes Could Face State Probes Under Adult Protective Services Rule

Nursing facilities could be subject to state investigations into cases of adult neglect and maltreatment, according to a final rule the Administration for Community Living unveiled Tuesday (May 7), though the Biden administration declined to nationally mandate which entities states must investigate and left the details up to local Adult Protective Services (APS).

Senate HELP Eyes Maternal Health Aid As CDC Reports Better Outcomes

The Senate health committee recently parsed ways lawmakers can help stem the ongoing maternal and infant mortality crisis -- coming as a new report from the Centers for Disease Control and Prevention shows some significant progress in reductions to those deaths.