Current Report Articles
Federal Focus

Federal Focus (May 29, 2020) – CMS Lowers Out of Pocket Insulin Costs through the Part D Senior Savings Model
The Centers for Medicare & Medicaid Services announced this week that more than 1,750 standalone Medicare Part D prescription drug plans and Medicare Advantage plans with prescription drug coverage have applied to offer lower insulin costs through the Part D Senior Savings Model for the 2021 plan year. Across the nation, participating enhanced Part D prescription drug plans will provide Medicare beneficiaries access to a broad set of insulins at a maximum $35 copay for a month's supply, from the beginning of the year through the Part D coverage gap.

CMS Issues 2021 Medicare Advantage and Part D Final Rule
The Centers for Medicare & Medicaid Services released the contract year 2021 Medicare Advantage and Part D final rule. The rule implements certain Cures Act provisions, revisions to the medical loss ratio, strengthens network adequacy rules and codifies several special election period exceptional conditions.

HRSA Announces Telehealth Grant Application Window Closing
The Health Resources and Services Administration is providing funding to promote rural tele-emergency services with an emphasis on tele-stroke, tele-behavioral health and tele-emergency medical services. HRSA plans to provide up to $300,000 annually for four years for as many as 29 grantees, subject to funding availability. The application deadline is Monday, June 15.

MLN Connects Provider eNews Available
The Centers for Medicare & Medicaid Services issued updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following:

  • Hospitals: submit Medicare Graduate Medical Education affiliation agreements by Oct. 1 during the COVID-19 PHE
  • Nursing home quality initiative: updated MDS 3.0 item sets
  • CMS releases additional waivers for hospitals and ground ambulance organizations
  • Hospice Quality Reporting Program: quarterly update for January through March

HRSA Announces Children's Hospitals Graduate Medical Education Payment Program
The Health Resources and Services Administration is accepting applications for the fiscal year 2021 Children's Hospitals Graduate Medical Education Payment Program. The CHGME Payment Program funds freestanding children's hospitals to support the training of pediatric and other residents in graduate medical education programs.

Eligible applicants are freestanding children's hospitals who meet the following qualifications:

  • Inpatients that are predominantly under 18 years of age
  • An approved GME program
  • A Medicare payment agreement

HRSA expects approximately $320 million to be available in FY 2021 to fund 58-65 grantees. The application cycle closes on Friday, July 24.