在2月8日的最后期限过后,国会于今早通过了一项拨款法案。The new legislation will make several changes to the Medicare program,推迟削减比例失调的共享医院,provide two years of funding for community 必威官网bethealth centers,更新某些过期或过期的医疗保健计划。必威官网betThe legislation increases government funding caps by 必威体育网站about $300 billion over two years,将政府资助延长至3月23日rd,and provides for a one year suspension on the debt ceiling.

该法案包括几项由众议院和参议院制定的医疗保险扩展器(延长医疗保险计划到期或已到期的立法),以及下文讨论的其他医疗保健计划的延期。必威官网bet

治疗服务医疗保险上限betway体育app

The new legislation removes Medicare caps for therapy betway体育appservices.Currently,医疗保险受益人接受门诊物理和职业治疗的援助,and speech-language pathology betway体育appservices.  When a beneficiary receives those services from an outpatient provider,there is a cap on how much Medicare will cover unless an exception applies.此盖将被拆下。

Special Needs Plans

特殊需求计划(SNP)定于2018年底到期,该法案使SNP成为永久性的。SNP是医疗补助管理的护理计划,用于招募低收入受益人,chronic conditions,或者住在疗养院。The most well-known SNP is the D-SNP that is available to individuals that are eligible for both Medicare and Medicaid.Other SNPs are available to patients who are institutionalized,I-SNPs,or have chronic conditions,C-SNP。一些计划对SNP的暂时性表示担忧,并游说寻求永久性解决方案。必威体育网站

必威官网betHealth Care Program Extensions

The legislation grants a five-year extension for the home 必威官网bethealth rural add-on payment,1月1日到期的3%的付款增加。救护车供应商将获得农村和服务不足地区提供服务的更多付款,还将被要求提供救护车服务的成本报告,卫生和公众服务(HHbetway体育appS)可能会对不完整的报告处以罚款。必威官网bet

Along with the five-year extensions,the legislation tacks on a two-year extension for 必威官网bethealth programs such as the National Health Service Corps,the Medicare Dependent Hospital Program,and the low-volume hospital payment adjustment for hospitals that discharge fewer than 1,每年600名医疗保险患者。

Medicare Expansion

Several measures in the legislation address expanding Medicare coverage for individuals with chronic conditions.Tele必威官网betbetway体育apphealth services would expand for end-stage renal disease treatments,中风评估,负责任的护理组织,and Medicare Advantage plans.该法案还允许医疗保险优势计划为慢性病患者提供补充福利,并修改负担得起的医疗机构,以激励初级保健计划。

The legislation creates a Medicare payment program for in-home infusion drug betway体育appservices to fill in the gap before the 21st Century Cures Act payment program takes effect and will codify certain Centers for Medicare and Medicaid Service (CMS) changes to the Stark law.

Home 必威官网betHealth

这项立法也影响到家庭健康提供者。必威官网bet家庭健康服务资格确必威官网betbetway体育app定程序文件审查现在包括家庭健康提供者的医疗记录。The legislation also directs 必威官网betHealth andbetway体育app Human Services (HHS) to modify payments for home health services beginning in 2020.

立法经费

这项立法是通过各种财政补偿来资助的,包括医疗保险支付的修改和从其他基金中转移资金。这项立法减少了某些医疗保险的支付,如病人在短期住院后被转移到收容所时支付的医院费用。Funding in the Medicare and Medicaid Improvement Funds will be withdrawn and the Affordable Care Act's Prevention and Public 必威官网betHealth Fund payment structure will be modified.The proposal also modifies the Medicaid Disproportionate Share Hospital reductions,在21-23财年增加60亿美元,以抵消18和19财年计划的削减。Payment for biosimilars will be included in the Medicare Coverage Gap Discount Program,当现金支出达到一定阈值时,为医疗保险D部分受益人提供折扣的计划。并且该立法弥补了医疗保险处方药覆盖的缺口,known as the"油炸孔"把更多的成本转移到制药公司。

We will continue to monitor the changes introduced in the legislation.