The political and public discourse around single-payer and “Medicare for All” proposals has rapidly gained momentum in 2019. Whereas in 2016, Medicare for All was championed most prominently and singularly by unsuccessful Democratic primary challenger Bernie Sanders (I-VT), in 2020 we will see nearly every Democratic presidential contender endorse a variation on the theme and will most certainly see the... Read More
Impact Health - Accelerating Primary Care Redesign: CMS’ Innovation Center Announces Five New Transformative Models
On April 22, 2019, the Centers for Medicare and Medicaid Services (CMS) announced the Primary Cares Initiative (PCI), a suite of five voluntary payment models aimed at overhauling primary care. Marking the Trump Administration’s latest investment in Medicare value-based reform, PCI focuses on the role of primary care providers as the central coordinators of patient health, with the goal of enhancing... Read More
Impact Health - Health IT Policy and Interoperability Issue Brief
Attached here, please find a Wynne Health Group issue brief that provides an overview of federal health information technology (health IT) policy, beginning with the evolution of the Centers for Medicare and Medicaid Services’ (CMS) Promoting Interoperability Programs, formerly the Medicare and Medicaid Electronic Health Record Incentive Programs (EHR Incentive Programs). Next, the brief expounds upon the Medicare and Medicaid... Read More
Impact Health - Telehealth Issue Brief
Wynne Health Group's telehealth issue brief provides an overview of telehealth policy and reimbursement beginning with Medicare fee-for-service (FFS) telehealth coverage and payment policies to other technology-based, non-face-to-face services related to but distinct from Medicare “telehealth services” – such as chronic care management (CCM), remote patient monitoring (RPM) and virtual care services. The issue brief also addresses new telehealth flexibilities... Read More
Impact Health - WHG 2019 Legislative and Regulatory Outlook
This comprehensive document reflects the Wynne Health Group's compendium of the significant federal health care regulations expected this year, as well as key Congressional dates and Administration-driven deadlines. From ‘must-pass’ legislation – including a deal necessary to raise statutory budget caps and the debt limit – to numerous Medicare/Medicaid regulations in the queue impacting CY/FY 2020 payment and program policy,... Read More
Impact Health - Our Take on Federal Court Ruling on the ACA
In light of the confusion created by the U.S. District Court ruling on the ACA, we wanted to provide some detail regarding what it really means and potential future developments. In brief, the ACA remains the law of the land and we believe it is highly likely to continue to be so indefinitely. Our full analysis is attached... Read More
Impact Health - WHG Midterm Elections Recap Brief
In a closely watched midterm election, the results came in largely as polls predicted. Democrats successfully took control of the House, and Republicans added to their majority in the Senate by picking up between two to four seats. While it was a “wave” election, it was not a tsunami, and both parties received mixed messages from voters about the direction... Read More
Impact Health - Blog & Memo: Key Provisions of The Bipartisan Opioid Package - The SUPPORT for Patients and Communities Act
On October 14, President Trump signed the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT for Patients and Communities Act) (H.R. 6) into law. The legislation is composed of more than 70 bills from both Republicans and Democrats including provisions intended to ease the opioid epidemic by increasing access to effective treatment within Medicaid... Read More
Impact Health - Updated 2018 Midterm Election Preview
This document is intended to provide an overview of where key races currently stand, how the political environment compares to that of previous midterms, and what experts are predicting could happen this fall. We have updated the data and analysis presented in our prior edition circulated on Aug. 16, 2018, and included new information regarding potential committee chairmanships and leadership ... Read More
Impact Health - Pending Public Charge Changes Would Impact Medicaid, Medicare Part D, SNAP, and More
Proposed changes to public charge immigration rules would have significant impacts on access to Medicaid, Medicare Part D subsidies, and a range of human service safety net benefits. The Department of Homeland Security projects that benefit utilization will decrease by $2.27 billion annually if the propose changes are put into effect, thus causing a chain of impacts on health care... Read More
Impact Health - Updated WHG Opioid Legislative Tracking Chart
With the Senate's passage of opioid legislation, Wynne Health Group has updated our comprehensive chart comparing the House-passed bill, Senate-passed bill, and the White House’s three-pronged plan to address the opioid epidemic. The chart identifies key policies in several overarching areas: Prevention and Education, Research and Funding, Treatment and Recovery Services and Supports, and Information-Sharing and Data-Tracking... Read More
Impact Health - Fall 2018 Legislative and Regulatory Outlook
Wynne Health Group has prepared the latest installment of our Legislative and Regulatory Outlook document. This document, updated through the end of 2018, reflects a compendium of the significant healthcare regulations expected, as well as key congressional dates and Administration-driven deadlines... Read More
Impact Health - Issue Brief Providing an Overview of CMS' RFI on Pursuing a Competitive Acquisition Program-Type Model for Medicare Part B Drugs
Within its calendar year (CY) 2019 hospital outpatient prospective payment system proposed rule, the Centers for Medicare and Medicaid Services (CMS) includes a Request for Information (RFI) on how to structure a Competitive Acquisition Program (CAP)-type model for Part B drugs through the Center for Medicare and Medicaid Innovation (CMMI). Wynne Health Group has prepared an issue brief (attached) to... Read More
Impact Health - 2018 Midterm Elections Preview Issue Brief
The upcoming elections on Tuesday, Nov. 6 are the first midterms under President Donald Trump. With the entire U.S. House of Representatives and one-third of the seats in the U.S. Senate on the ballot, the stakes for both parties are high. This document provides an overview of where key races stand currently, historical context, what experts are predicting could happen... Read More
Impact Health - Blog: ‘Public Charge’ Rule Would Disrupt Safety-Net Access for Some Immigrants
On the California Health Care Foundation’s Blog, Dawn Joyce and Billy Wynne unpack the Trump Administration’s plan to significantly alter the rule on eligibility of applicants for permanent residency in the US by redefining “public charge” determinations related to the use of public benefits... Read More
Impact Health - Issue Brief: The Part B Drug Competitive Acquisition Program
WHG has prepared an issue brief to provide background information on the Centers for Medicare and Medicaid Services’ (CMS) Medicare Part B Drug and Biological Competitive Acquisition Program (CAP). Although the program is no longer in operation, it has come under renewed attention as a component of the recently-announced American Patients First: The Trump Administration Blueprint to Reduce Drug Prices... Read More
Impact Health - Chart: Opioid Legislation Advanced in the House as of May 18
To conclude a busy few weeks of opioids-related action in Congress, the Wynne Health Group created a newly updated chart, which describes each of the bills addressing the opioid crisis that have been advanced to the House floor as of May 18, 2018. The bills reflected in the chart were advanced in three separate markup sessions in the House Energy... Read More
Impact Health - Slides Previewing the 2018 Mid-Term Elections
Wynne Health Group has prepared a preview of the 2018 mid-term elections. In a slide presentation, we include an overview of the current political landscape and the outlook for the November elections, including the road to congressional majorities for Democrats and Republicans. Six months out, we incorporate high-level expectations from RealClearPolitics and key race details from Cook Political Report, as... Read More
Impact Health - Chart: E&C Health Subcommittee Opioids Markup
On Wednesday, April 25, 2018, the House Energy & Commerce Subcommittee on Health convened for a markup of 63 bills, most of which were previously considered in a series of three hearings looking at legislative solutions to the opioid epidemic. The attached chart provides a brief description of each with a record of how the subcommittee voted at the markup.The... Read More
Impact Health - Chart: House Opioid Legislation
Between February and April of 2018, the House Energy and Commerce Subcommittee on Health convened a series of three legislative hearings on measures to combat the opioid crisis. At the first hearing on February 28, lawmakers reviewed eight bills designed to improve patient safety and bolster enforcement tools. The second hearing, held March 21 and 22, focused on various prevention... Read More
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