American Jobs and Closing Tax Loopholes Act – HR 4213

Funny title that is rather misleading given the gravity of the health care/post-acute care provisions that are included in this bill.  As is the case in Washington, especially these days, important health care provisions not addressed in the PPACA are coming forward in other bills; particularly bills involving unemployment benefits and COBRA benefits, etc.  Such is … Read more

Part B Therapy Rate Reductions Return

With Congress on recess, the temporary extension of the Part B therapy rate cuts ended on March 31.  As of today, with Congress still on “holiday”, the Part B therapy rate cuts remain in effect.  Best knowledge has it that Congress is working on another temporary extension that would retro to April 1 and last through April 30.  … Read more

Health Care Reform and Assisted Living

In a bit of an indirect manner, Assisted Living got a boost from health care reform, albeit in a typical governmental fashion.  With the Feds willing to use Medicaid as the vehicle for expanded coverage programs for underinsured (those within 150% of the poverty limit with high-deductible plans) and the uninsured, coupled with additional funding for Home … Read more

Health Care Reform Updates and Analysis

I am writing various updates and analysis on the health care reform legislation as it moves toward a potential weekend vote in Congress on the Apex Healthcare E-News site.  Readers can follow this link to read my analysis http://wp.me/PD9Ac-3A.   Check back often throughout the next few days as comments/updates will be added as important news … Read more

Medpac Report to Congress: 2011

Earlier this week, Medpac (Medicare Payment and Advisory Commission) released its report to Congress.  Primary among Medpac’s duties is its provision of recommendations regarding payment updates under Medicare.  Below, I have broken out and summarized the recommendations. Hospice (the points below the first bullet are continued recommendations from 2009) 2011 rate is the market-basket less a … Read more

CMS Releases Annual Report on Health Spending

Earlier today, CMS released its annual report on national health spending for the year 2008.  In summary, health spending grew at a rate of 4.4% (over 2007), equating to a per capita cost of $7,681 and a total cost of $2.3 trillion.  This rate of growth, per CMS, is the slowest increase since 1960 although … Read more

Health Care Reform: The Senate, the President and the Truth

In an effort to salvage some hope for the flagging Senate health reform bill and to provide sustenance for the neutered Harry Reid, President Obama convened all Democratic senators at the White House earlier this week for a strategy session.  Per Mr. Obama, this activity was not a roll call to establish a majority but … Read more

Health Care Reform: Back to the Senate and All that Jazz

Watching this reform process, at least for me, is now like watching a Ping Pong match or a Nascar race (sorry Nascar fans); back and forth and round and round.  Even for someone who watches and interprets health policy for a living, this stuff is getting boring, monotonous and frankly, now somewhat nauseating, content wise.  Maybe the … Read more

House Approves Doc Payment Fix

Last night via a 243 to 183 vote, the House approved a bill that would stave off the projected 21% cut in physician (fees) reimbursement under Medicare, set for January 1, 2010.  The “Doc Fix” has been a hot-button issue within the health care reform debates as both the House and the Senate have not been … Read more

Medicaid and Health Care Reform

With so much discussion and news review on Medicare spending and health insurance reforms at the center of the health care reform debate, Medicaid has taken a back-seat in terms of analysis on its programmatic impacts.  Today, Medicaid costs 76% of the cost of Medicare and covers approximately 20% of the population.  In the recently … Read more