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Jeffrey Davis Director of Regulatory and External Affairs at ACEP

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  • On November 23, HHS announced that it began distributing $7.5 billion in American Rescue Plan Act (ARP) “rural payments” to providers who serve rural Medicaid, Children's Health Insurance Program (CHIP), and Medicare beneficiaries.
  • On November 22, HHS’ Office of the Assistant Secretary for Planning and Evaluation (ASPE—HHS’ internal research shop) issued a troubling report about surprise medical billing. The report is being used by HHS Secretary Xavier Becerra as a justification for why HHS, Treasury, and Labor decided to weigh the qualifying payment amount (QPA) higher during the independent dispute resolution (IDR) process. Most notably, the report claims that the IDR processes in New York and New Jersey have actually led to higher costs. To come up with this conclusion, ASPE solely relies on flawed studies and reports from Brookings.
  • On November 17, HHS, Labor, and the Treasury, and the Office of Personnel Management (OPM) released an interim final rule with request for comments (IFC), entitled “Prescription Drug and Health Care Spending.” The IFC—which implements a provision of the Consolidated Appropriations Act, 2021—requires certain health plans to report information about prescription drugs and health care spending. 

 

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