2021 GI Outlook (GO) Conference | November 2021-Legislative and Regulatory Hot Topics

Pdf Summary

This document discusses several legislative and regulatory hot topics in healthcare. It begins by providing data on national health expenditures and Medicare expenditures from 2018 to 2028. It highlights the impact of congressional intervention, conversion factor changes, Medicare sequestration, and additional sequestration on Medicare expenditures.<br /><br />The document then explains what Medicare sequestration is and how it is a budgetary enforcement mechanism. It discusses the Pay-As-You-Go Act of 2010 and the Budget Control Act of 2011, which triggered automatic spending reductions. It also mentions that Medicare benefit payments cannot be reduced by more than 2% under a sequestration order.<br /><br />Next, the document focuses on the No Surprises Act, enacted in December 2020, which protects patients from receiving surprise medical bills. It provides an overview of the legislation and the rules associated with it.<br /><br />The document also discusses other policy hot topics, including ASC cost reporting, ownership and price transparency, and site-neutral payment policies. It mentions the need for transparency and ownership information in private equity deals and highlights the importance of utilization controls, prior authorization, and appropriate use criteria in the healthcare industry.<br /><br />Lastly, the document mentions declining reimbursement, administrative burden, consolidation, practice acquisition, and health service volume and expenditure growth as challenges in the healthcare industry.<br /><br />The document concludes with a call to action for readers to get involved and provides contact information for further questions or discussions.

Asset Subtitle

Camille S Bonta, MHS

Keywords

healthcare

Medicare expenditures

Medicare sequestration

No Surprises Act

ASC cost reporting

ownership transparency

site-neutral payment policies

utilization controls

administrative burden

consolidation