X


Let's Talk

Let us help you make
an informed decision
Required:

How can we help you?

Looking for client support?
Click here instead.

On October 3, 2019, an Executive Order (“EO”) was signed that purported to “protect and improve” Medicare. Overall, the EO directs the Secretary and Department of Health and Human Services (“Secretary”) to propose changes that would move traditional Medicare towards a more market-based approach and promote Medicare Advantage (the alternative to traditional Medicare that is administered by private insurers). Most notably, the EO directs the Secretary to propose regulations that would make Medicare payments more closely reflect prices paid in the commercial insurance market.

 

The EO purports to accomplish various goals, some of which are highlighted below:

  • Enable the Medicare program to provide beneficiaries with more diverse and affordable plan choices;
  • Move Medicare to market-based payments, that would more closely reflect the prices paid for services under Medicare Advantage and the commercial insurance market;
  • Change the Medicare billing structure to “enable providers to spend time with patients”;
  • Streamline the process for innovative products, such as medical devices and telehealth services, to be covered by Medicare; and
  • Eliminate waste, fraud, and abuse.

 

Since the EO only instructs the Secretary to propose changes, the specifics on how the EO will affect Medicare cannot be determined until the proposed regulations are released. These proposed regulations are expected within 1 year of the EO.

 

The information and materials on this blog are provided for informational purposes only and are not intended to constitute legal or tax advice. Information provided in this blog may not reflect the most current legal developments and may vary by jurisdiction. The content on this blog is for general informational purposes only and does not apply to any particular facts or circumstances. The use of this blog does not in any way establish an attorney-client relationship, nor should any such relationship be implied, and the contents do not constitute legal or tax advice. If you require legal or tax advice, please consult with a licensed attorney or tax professional in your jurisdiction. The contributing authors expressly disclaim all liability to any persons or entities with respect to any action or inaction based on the contents of this blog.

Emerald Law – Emerald is a Client Compliance Consultant for Sequoia, where she works with our clients to optimize and streamline benefits compliance. In her free time, Emerald enjoys stand-up comedy, live music and writing non-fiction.