House Passes Eight Health Care Bills
House Members Divided on Fentanyl Analogue Scheduling
Rep. Kevin Brady to Retire
Senate
Bipartisan Bill Would Require Cost-Free Breast Cancer Diagnostic Tests
Senators Ask HHS Secretary Becerra to Enforce Hospital Price Transparency Rule
Administration
HHS Secretary Becerra Approves Illinois Waiver for One-Year Postpartum Coverage
HHS to Roll Back Title X “Gag Rule”
HHS Secretary Becerra Confirms That Department Will Have Feedback Process on Surprise Billing
CMS Extends 2022 Deadline for Primary Care First Demonstration
Consumers First Coalition Recommends CMS Undertake Medicare Reforms
IRS Suspends Requirement That Taxpayers Repay Advanced Premium Tax Credits
FDA Details Plan for Remote Facility Inspections
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On April 8, 2021, CMS issued proposed rules for the Fiscal Year (FY 2022) Skilled Nursing Facility (SNF) Prospective Payment System (PPS) and FY 2022 hospice payments. CMS estimates that the aggregate impact of the payment policies in the SNF PPS proposed rule would result in an increase of approximately $444 million in Medicare Part A payments to SNFs in FY 2022, and CMS estimates the hospice proposed rule would result in a $530 million increase in payments for hospices for FY 2022. CMS is accepting comments on both proposed rules until June 7, 2021.
Proposals in the FY 2022 SNF PPS Proposed Rule
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CMS Announces Proposed Rate Increases and Other Changes for Skilled Nursing Providers and Hospice Providers in Fiscal Year 2022 Tuesday, April 13, 2021
On April 8, 2021, the Center for Medicare & Medicaid Services (“CMS”) announced a proposed rate increase of 1.3 percent for skilled nursing providers in fiscal year 2022. It is estimated this will result in approximately $444 million increase in payments to skilled nursing facilities (SNF) under Medicare Part A for the fiscal year. This increased payment rate does not incorporate the SNF Value-Based Program (VBP) reductions that CMS estimates to be $184.25 million for FY 2022.
CMS is also looking at three additional fiscal areas. First, it is looking at whether it should recalibrate the Patient Driven Payment Model (PDPM) Parity Adjustment. A parity multiplier is applied for PDPM components to maintain the relative value of each case mix index (CMI) while achieving congruence on overall SNF paym
Below is Alston & Bird’s
Health Care Week in Review, which provides a synopsis of the latest news in healthcare regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news.
Week in Review Highlight of the Week:
This week, CMS issued its proposed FY 2022 payment updates for inpatient psychiatric and rehabilitation facilities, hospice, and skilled nursing facilities. Read more about the updates and other news below.
I. Regulations, Notices & Guidance
On April 5, 2021, the Food and Drug Administration (FDA) issued guidance entitled,
Development of Abbreviated New Drug Applications During the COVID-19 Pandemic Questions and Answers Guidance for Industry. FDA is issuing this guidance to provide general recommendations to prospective applicants and applicants of abbreviated new drug applications (ANDAs) related to generic drug product development and regulatory submissions in the form of