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June 17, 2021 | Daily News

Rep. John Larson (D-CT) is gathering lawmakers to support his request, backed by durable medical equipment suppliers, that CMS keep manual rehab technology out of competitive bidding after the end of the month, when an exemption for those accessories is set to expire.

June 16, 2021 | Daily News

The American Medical Association House of Delegates on Tuesday (June 15) adopted new policies that call for reducing clinician burden posed by peer-to-peer prior authorization, coming just a few weeks after the CMS budget justification document affirmed that CMS plans to increase the number of items and services subject to prior authorization.

June 16, 2021 | Daily News

Stakeholders on Tuesday (June 15) praised legislation that aims to improve the benchmarking process for accountable care organizations by taking an organization’s beneficiaries out of the calculation of a regional benchmark.

June 15, 2021 | Daily News

A bipartisan bill to eliminate cost-sharing for vaccines covered under Medicare Part D and another to improve provider reimbursement for administering no-cost vaccines to children were hailed as necessary steps to vaccinating the American public during a House Energy & Commerce Committee health subcommittee hearing on Tuesday (June 15).

June 14, 2021 | Daily News

Center for Medicare and Medicaid Innovation Director Liz Fowler told stakeholders there needs to be uniformity across payers -- including CMS -- in how to gauge their health equity efforts and make them successful.

June 11, 2021 | Daily News

Some Democratic senators told HHS Secretary Xavier Becerra during committee hearings this week they were pleased to see large increases in funding to tackle opioid and substance use disorder in the fiscal 2022 budget request, but they asked for additional support on funding cliffs and opioid production solutions.

June 11, 2021 | Daily News

The Biden administration has asked HHS to study whether new reimbursement policies could be used to shore up domestic supplies of critical medicines, including the possibility of new federal payment policies that hike profit margins for certain generic sterile injectables and cancer drugs, procurement guarantees and flexible acquisition policies.

June 09, 2021 | Daily News

CMS on Wednesday (June 9) increased pay for at-home COVID-19 vaccination of Medicare beneficiaries from $40 to $75 per dose, meaning providers will receive about $70 more between the two vaccine doses.

June 09, 2021 | Daily News

A coalition of beneficiary advocacy organizations is demanding CMS rescind an informal guidance released in April that recommends states consider allowing hours worked during the public health emergency to count toward certified nurse aide training hours.

June 08, 2021 | Daily News

House Ways & Means ranking Republican Kevin Brady (TX) suggested President Joe Biden’s fiscal 2022 budget ignores a need to continue telehealth coverage after the COVID-19 public health emergency, but HHS Secretary Xavier Becerra told lawmakers Tuesday (June 8) he does not intend to go backwards on such coverage, although the department could use some help from Congress.

June 07, 2021 | Daily News

The drug price watchdog ICER said FDA failed to protect patients by approving Aduhelm (aducanumab) because there isn’t enough evidence that the Alzheimer’s drug works yet there is evidence of serious side effects, and ICER said the drug is grossly overpriced.

June 04, 2021 | Daily News

Center for Medicare and Medicaid Innovation Director Liz Fowler promised to keep Congress up to speed on what her center is up to one day after a bipartisan group of House lawmakers demanded she be transparent on how the agency determines demonstrations to be successful and work more closely with Congress and stakeholders on innovation efforts.

June 04, 2021 | Daily News

A group of 20 health care and insurance plan organizations are asking HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure to allow Medicare Advantage plans to submit diagnoses from audio-only telehealth appointments for risk adjustment.

June 04, 2021 | Daily News

As part of its program integrity strategy, CMS aims to increase Medicare medical claim reviews and is asking Congress for extra funding to allow more Qualified Independent Contractors to defend their decisions at the third level of appeals, according to the CMS fiscal 2022 budget justification.

June 04, 2021 | Daily News

Nursing homes estimate more than 1,600 skilled nursing facilities could close in 2021 and disrupt residents’ care if HHS doesn’t distribute the remaining provider relief and extend its deadline to spend the relief from June 30 to Dec. 30, 2022.

June 04, 2021 | Daily News

CMS’ innovation center likely will take a different approach to the drug pricing favored-nation demo attempted by the Trump administration and now delayed by the courts, Center for Medicare and Medicaid Innovation Director Elizabeth Fowler said Thursday (June 3).

June 03, 2021 | Daily News

Center for Medicare and Medicaid Innovation Director Liz Fowler said Thursday (June 3) her center is in the midst of a strategic review of its demonstrations and plans to make conscious choices on how it invests, move to more mandatory models and focus on beneficiaries’ meaningful care relationships.

June 02, 2021 | Daily News

Long-term care is the next big debate in health care reform, and it's increasingly clear that more long-term care will be home-based going forward, AARP leaders said during a roundtable on long-term care Wednesday (June 2).

June 02, 2021 | Daily News

Congress has expressed support for continuing telehealth flexibilities after the pandemic but has yet to pass legislation, spurring a handful of states to move ahead with their own laws regulating audio-only services, cross-state licensing, payment parity and more, according to policy watchers.

June 01, 2021 | Daily News

The National Association of Accountable Care Organizations on Tuesday (June 1) asked CMS Administrator Chiquita Brooks-LaSure to give ACOs more time to apply to participate in the Medicare Shared Savings Program in 2022, saying it is concerned with shrinking turnaround times for application information and deadlines that have been set sooner than usual.