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Daily News

July 12, 2019

Public health researchers applauded CMS’ recent allocation of $48 million to community-based organizations to promote enrollment of children in Medicaid and the Children’s Health Insurance Program, but they say the agency can still do more to encourage enrollment.

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CMS agreed on Wednesday (July 10) to turn a tobacco-use quality measure into a pay-for-reporting measure rather than a pay-for-performance measure in 2018 in response to concerns by the National Association of Accountable Care Organizations (NAACOS).

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A Maryland court has ordered all e-cigarette makers to submit premarket applications for their products to FDA within 10 months, by May 2020, or be subject to FDA enforcement actions.

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HHS Secretary Alex Azar said Thursday (July 11) that it is possible to safely import prescription drugs because the supply channel has changed substantially since Congress first passed drug importation legislation during the Clinton administration.

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The 9th Circuit Court of Appeals ruled that the Trump administration can proceed for now with its controversial rule preventing facilities that perform abortions or refer patients for abortions from receiving Title X funds.

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July 11, 2019

CMS on Thursday (July 11) proposed phasing out pre-payments for home health services in an effort to reduce Medicare fraud, laid out its plan to implement a new home infusion benefit in 2021, and proposed allowing therapist assistants to perform maintenance therapy.

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CMS included an 8% rate cut within a new home health pay model as part of a proposed rule on the sector’s 2020 pay released Thursday (July 11), which the agency says accounts for changes in home health agency behavior expected under the new system.

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House Speaker Nancy Pelosi (D-CA) is negotiating with the White House on a government drug price negotiation plan that spans Medicare Part D, Part B and Medicaid, and the Federal Trade Commission or the Veterans Health Administration would arbitrate when HHS officials and drug company executives fail to agree on price, according to sources briefed on the latest proposal.

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House Energy & Commerce health subcommittee Chairwoman Anna Eshoo (D-CA) said she is interested in adding an arbitration backstop to surprise billing legislation the panel unanimously advanced Thursday (July 11), but committee Chairman Frank Pallone (D-NJ) seemed more hesitant.

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CMS on Thursday (July 11) proposed to rescind Medicaid fee-for-service access monitoring requirements and come up with a uniform way to analyze Medicaid access across managed care, fee-for-service and home and community-based waiver programs.

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The House Energy & Commerce health subcommittee on Thursday (July 11) approved bills that would delay Disproportionate Share Hospital (DSH) cuts for two years and decrease the cuts in fiscal 2022 as well as fund community health centers, the National Health Service Corps, teaching health center Graduate Medical Education and special diabetes programs through fiscal 2024.

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The Democratic-led House Oversight & Government Reform Committee planned to use its first hearing on the Affordable Care Act to shine a light on the law's benefits and investigate the Trump administration's involvement in the lawsuit to overturn it, but administration officials declined to testify and Republicans jumped on the opportunity to criticize Medicare for All.

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Drug companies and consumer advocates applauded the United Kingdom health department’s decision to test a first-of-its-kind subscription-style model that pays drug companies upfront for new antibiotics based on their usefulness to the U.K’s single-payer health system.

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SAN DIEGO -- FDA officials recently emphasized that drug pricing, while an important topic, is one that they generally can’t address as part of the regulatory process due to statutory restrictions.

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A bipartisan group of senators, including Sens. Chuck Grassley (R-IA) and Dianne Feinstein (D-CA), has introduced a bill that aims to encourage scientific and medical research on marijuana in part by streamlining development of FDA-approved drugs that use cannabidiol (CBD) and marijuana.

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President Donald Trump has decided to withdraw a proposed rule to eliminate rebates in Medicare Part D and Medicaid managed care because of concerns the rule would raise premiums for Part D beneficiaries, an administration official told Inside Drug Pricing.

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July 10, 2019

President Donald Trump on Wednesday (July 10) issued an executive order calling for demonstrations to revamp the kidney care sector, and HHS immediately released a mandatory pay model and multiple voluntary pay models to do so.

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CMS on Wednesday (July 10) proposed a long-awaited bundled pay model for radiation oncology that would replace Medicare’s fee-for-service payments in certain geographic areas.

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There will be no immediate replacement for departing Center for Medicare and Medicaid Innovation (CMMI) Director Adam Boehler, but CMS Administrator Seema Verma said in an email to staff Wednesday (July 10) that she and Boehler are quickly working on identifying candidates for the role.

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President Donald Trump calls for steps to encourage the development of wearable or implantable artificial kidneys as part of an executive order he unveiled Wednesday (July 10) to improve American kidney health.

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