On February 25, 2020, seven candidates convened in Charleston, South Carolina for the 10th Democratic presidential debate ahead of the state’s Democratic primary (February 29) and Super Tuesday (March 3). A total of 14 states (Alabama, Arkansas, California, Colorado, Maine, Massachusetts, Minnesota, North Carolina, Oklahoma, Tennessee, Texas, Utah, Vermont, and Virginia), as well as American Samoa and Democrats abroad, will... Read More
WHG - Key Legislation on Surprise Medical Billing; Includes W&M, Ed & Labor, HELP/E&C Proposals
We provide an updated side-by-side analysis of the major congressional legislation intended to protect patients from surprise medical billing that have been introduced thus far in the 116th Congress. For each of the three proposals outlined below, the chart examines key provisions regarding prohibited balance billing scenarios, payment mechanisms, implications for plans and providers, cost-sharing implications for patients, interaction with... Read More
WHG - Democratic Candidates Deliberate on Electability and Health Care Reform in Latest Primary Debate
On February 19, 2020, six Democratic candidates debated for their spot as the 2020 nominee in Las Vegas, Nevada. To qualify for the debate, candidates had to have either 10 percent or more in four national, Nevada, or South Carolina polls; have 12 percent or more in just two Nevada or South Carolina polls; or, have secured at least one... Read More
WHG - Side-By-Side Summarizes 5 Key Federal Telehealth Bills
It can be hard to keep track of federal telehealth legislation in a sea of legislative and regulatory health care priorities, so the team at Wynne Health Group has made it easy for you. We created a side-by-side (SBS) summarizing five key telehealth bills introduced in the 116th Congress: ECHO Act of 2019; Mental Health Telemedicine Expansion Act; CONNECT for Health Act... Read More
WHG - 2020 Legislative and Regulatory Outlook
Please find here WHG’s Legislative and Regulatory Outlook for 2020, based largely on changes reflected in the administration’s Fall 2019 regulatory agenda. As in previous releases of our annual outlook, we aim to provide a comprehensive line-up of key federal health care policy developments we expect to see throughout the course of the coming year and their approximate timing. Of... Read More
WHG - At December Debate, Democratic Candidates Continue Discussion on Comprehensive Health Reform; Discuss Impeachment As Well
On December 19, 2019, candidates convened again for the sixth 2020 Democratic Presidential primary debate. Seven candidates took the stage at Loyola Marymount University in Los Angeles, each having met the threshold of securing at least 200,000 individual campaign donors, and receiving at least four percent in four DNC-approved polls. Co-hosted by PBS NewsHour and Politico, the event was moderated... Read More
WHG - Surprise Medical Billing Might Get a Hybrid Solution
Reaching a consensus on how to protect patients from surprise medical bills has eluded Congress for most of the year even though members in both parties and chambers are highly motivated to find a fix. With an agreement reached over the December 7–8, 2019, weekend, a solution seems closer than it has in a long time. Unlike typical health policy... Read More
WHG - Candidates Continue to Discuss Medicare For All and Women’s Reproductive Rights at Fifth Democratic Presidential Primary Debate
On Thursday, November 20, candidates convened again for the fifth 2020 Democratic Presidential primary debate. Ten candidates qualified for the debate criteria, needing to have 165,000 unique donors and to have met one of two polling requirements: (1) two polls at 5 percent or more in the four early nominating states (Iowa, New Hampshire, Nevada and South Carolina); or (2)... Read More
WHG - Chart: Democratic Presidential Candidates' Proposals on Mental and Behavioral Health
We provide a side-by-side analysis of Democratic presidential candidates’ proposals on mental and behavioral health reform that have been released thus far. For each of the three candidates below, the chart examines their key provisions regarding insurance reform, delivery reform, public health and workforce initiatives, research, and the opioid crisis. Sen. Elizabeth Warren (MA); Sen. Amy Klobuchar (MN); and Mayor... Read More
WHG - Chart: Democratic Presidential Candidates' Proposals on Rural Health
We provide a side-by-side analysis of Democratic presidential candidates’ proposals on rural health reform that have been released thus far. For each of the two candidates below, the chart examines their key provisions regarding insurance reform, delivery reform, anticompetitive behavior, workforce and capacity, telehealth, opioid crisis, and social determinants of health. Sen. Elizabeth Warren (MA); and Mayor Pete Buttigieg (South... Read More
WHG - Chart: Democratic Presidential Candidates' Proposals on Maternal Health
We provide a side-by-side analysis of Democratic presidential candidates’ proposals on maternal health reform that have been released thus far. For each of the two candidates below, the chart examines their key provisions regarding Medicaid and CHIP and delivery reform. Sen. Kamala Harris (CA); and Sen. Cory Booker (NJ)... Read More
WHG - Chart: Democratic Presidential Candidates' Proposals on Comprehensive Health Reform
We provide a side-by-side analysis of Democratic presidential candidates’ proposals on comprehensive health reform that have been released thus far. For each of the six candidates below, the chart examines their key provisions regarding plan implementation, enrollee eligibility, benefit design, cost sharing, balance billing, prescription drugs, implications for providers and private plans, and finance mechanisms. Vice President Joe Biden; Sen... Read More
WHG - Chart: One Year Implementation Update on SUPPORT for Patients and Communities Act
Thursday, October 24, 2019, marked the one year anniversary of the passage into law of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act – the major federal legislative package addressing the opioid epidemic. In observance of the anniversary, the Wynne Health Group produced the attached chart capturing a section-by-section update on the... Read More
WHG - At Fourth Democratic Presidential Primary Debate, Candidates Discuss Medicare For All, Gun Violence, Opioids, and Women's Health
On October 15, 2019, candidates convened yet again for the fourth 2020 Democratic Presidential primary debate. Twelve candidates met in Westerville, Ohio and discussed a range of issues, including the current impeachment inquiry, the potential addition of a wealth tax, foreign policy, and how to handle the emergence of monopolies in big tech. On health care specifically, candidates again discussed... Read More
WHG - Implementation Tracker for the President's Executive Order on Price, Quality, and Transparency
WHG has developed a chart that delineates the status of key regulatory implementation deadlines established in the President’s Executive Order (EO) on Improving Price and Quality Transparency in American Healthcare. The EO, issued on June 24, 2019 (WHG summary here), directs the Department of Health and Human Services, among other agencies, to pursue rulemaking and additional administrative actions aimed at... Read More
WHG - Chart: Key Proposals on Drug Pricing; Negotiation, Inflation Rebates, Medicare Part D Redesign Discussed
We provide a side-by-side analysis of the Lower Drug Costs Now Act (H.R. 3), introduced by House Speaker Nancy Pelosi (D-CA) and House Democrats, and key provisions of relevant proposals: the Prescription Drug Pricing Reduction Act of 2019, advanced by the Senate Finance Committee (19-9) in July; and the Advanced Notice of Proposed Rulemaking: Medicare Program; International Pricing Index Model... Read More
WHG - Memo: Hospital Price Transparency Proposals in the CY 2020 Hospital OPPS Proposed Rule
The attached memorandum provides a detailed overview of the proposed price transparency requirements included in the Calendar Year (CY) 2020 hospital outpatient prospective payment system (OPPS) proposed rule. Pursuant to a recent Executive Order, the Centers for Medicare & Medicaid Services (CMS) used the rule as a vehicle to advance regulatory changes designed to drive down hospital costs by making... Read More
WHG - The Drug Pricing Debate Part II: The Many Acts of Congress
In a blog post featured on the Commonwealth Fund's To the Point, the Wynne Health Group sketches the current landscape of congressional drug pricing proposals and begins outlining what a final legislative package my look like. Specifically, the authors examine which measures have moved forward in the Senate, and cross-reference those with related measures advanced on the House side... Read More
WHG - Issue Brief: Addressing the Social Determinants of Health in Federal Health Coverage Programs
In recent years, the Department of Health and Human Services (HHS) has advanced toward a greater recognition of the social determinants of health in federal health coverage programs, via expanded non-clinical benefit offerings, meaningful quality measures and the like. As HHS continues along a trajectory of advancing value-based payment, opportunities persist to expand the focus on addressing non-health care needs... Read More
WHG - Updated Chart: Key Legislation on Surprise Medical Billing
We provide an updated side-by-side analysis of the major Congressional (Senate and House) legislation intended to protect patients from surprise medical billing that have been introduced thus far in the 116th Congress. We added the No Surprises Act recently advanced by the House Energy and Commerce Subcommittee on Health. For each of the four proposals outlined below, the chart examines... Read More
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