POLICY BRIEFINGS


Guidance on Dual-Eligible Demonstration


CMS released guidance to organizations wishing to participate in so-called “shared savings” demonstration projects designed to improve the quality of care for Medicare/Medicaid dual eligible individuals.  The memo gives guidance on requirements such as payment principles, standards in programmatic areas, key dates and network adequacy which must be met in order for organizational participation beginning in 2013.


Meaningful Use Incentive Payment Guidelines


CMS released new appeals rules regarding payments to providers in relation to Medicare and Medicaid meaningful use incentive payments.  Hospitals and other providers can appeal payment disputes and appeal program ineligibility determinations or denial of status as a meaningful user.


Recently Introduced Health Legislation


H.R. 3802 (ABORTION), to require an abortion provider, before performing an abortion, to wait for a period of at least 24 hours; DUNCAN of South Carolina; to the Committee on Energy and Commerce, Jan. 23.

H.R. 3803 (REPRODUCTIVE HEALTH), to amend Title 18, United States Code, to protect pain-capable unborn children in the District of Columbia, and for other purposes; FRANKS of Arizona; jointly, to the committees on the Judiciary and Oversight and Government Reform, Jan. 23.

H.R. 3805 (ABORTION), to ensure that women seeking an abortion receive an ultrasound and the opportunity to review the ultrasound before giving informed consent to receive an abortion; JORDAN; to the Committee on Energy and Commerce, Jan. 23.

H.R. 3827 (COMPARATIVE RESEARCH), to repeal the Patient-Centered Outcomes Research program and comparative effectiveness research funding; GUTHRIE; jointly, to the committees on Ways and Means, Appropriations, the Budget, and Energy and Commerce, Jan. 25.

H.R. 3831 (MEDICARE), to amend Title XVIII of the Social Security Act to provide for the recognition of attending physician assistants as attending physicians to serve hospice patients; TERRY; jointly, to the committees on Ways and Means and Energy and Commerce, Jan. 25.



January 30, 2012: | Page 1 Page 2 Page 3

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