Pro­posed IPPS rule, Amer­i­can Health Care Act head­line pol­icy ac­tiv­ity in na­tion’s cap­i­tal

While the health­care land­scape con­tin­ues to be dom­i­nated by de­bate over re­plac­ing the Af­ford­able Care Act, the reg­u­la­tory ma­chine must still move for­ward. Our up­dated Health­care Pol­icy Tracker takes a look at the most re­cent news com­ing from Wash­ing­ton, D

Modern Healthcare - - NEWS -

Pa­tient Pro­tec­tion and Af­ford­able Care Act — fi­nal rule on mar­ket sta­bi­liza­tion

Short­ens the en­roll­ment pe­riod for 2018 by six weeks. In­stead of last­ing three months, it will start on Nov. 1 and end Dec. 15. The rule tight­ens en­roll­ment el­i­gi­bil­ity stan­dards and al­lows in­sur­ers to refuse to cover per­sons who haven’t paid their pre­mi­ums.

Pro­posed Hospi­tal In­pa­tient Prospec­tive Pay­ment Sys­tems for Acute-Care Hos­pi­tals and the Long-Term Care Hospi­tal Prospec­tive Pay­ment Sys­tem pay rule for fis­cal 2018

Pro­poses a $3 bil­lion raise to in­pa­tient hos­pi­tals in fis­cal 2018. The agency also plans to change the way it re­im­burses un­com­pen­sated care — a move that’s been panned by the hospi­tal in­dus­try. The pro­posal seeks com­ments po­ten­tially lift­ing the ACA’s re­stric­tions on physi­cian-owned hos­pi­tals. It also seeks com­ments on re­duc­ing the reg­u­la­tory bur­den over­all.

Amer­i­can Health Care Act

Elim­i­nates the ACA’s in­di­vid­ual man­date. Ends Med­i­caid ex­pan­sion af­ter Dec. 31, 2019. Re­struc­tures Med­i­caid’s fed­eral fund­ing to a per capita cap. Elim­i­nates cost-shar­ing sub­si­dies and re­places them with tax cred­its. The leg­is­la­tion main­tains ACA pro­vi­sions of cov­er­age for young adults up to 26 and al­lows peo­ple with pre-ex­ist­ing cov­er­age to ob­tain cov­er­age.

State guid­ance re­vis­ing tim­ing of sub­mis­sion and post­ing of rate-fil­ing jus­ti­fi­ca­tions

Re­vises rate-fil­ing dead­lines for all health plans cur­rently sell­ing prod­ucts on the in­sur­ance ex­changes. It pushes back the dead­line for fil­ing ap­pli­ca­tions and rates from May 3 to June 21.

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