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Medicare

Friday, 17 February 2017

The Healthcare Leaders for Accountable Innovation in Medicare is calling for HHS Secretary Tom Price to stop CMS’ innovation center from requiring providers to participate in demonstrations, and a spokesperson for the House Ways & Means Committee says Chair Kevin Brady (R-TX) wants to work with Price on guardrails for demonstrations that test reforms.

Friday, 17 February 2017

Physician groups recommend that CMS simplify Medicare's system for measuring doctor performance, lower the amount of risk doctors must meet to get a 5 percent bump in pay, seriously consider advice from the panel that advises CMS on alternative pay models and cut regulations on electronic health records.

Monday, 13 February 2017

A federal district court judge rejected an HHS call for dismissal of a lawsuit filed by Medicare beneficiaries calling for a right to appeal placement in observation status during hospital care.

Friday, 10 February 2017

Physician groups are hoping the panel that advises CMS on alternative pay models will have more influence with Tom Price as the head of HHS, and they're pushing anew for lessening the financial risk that alternative pay models must accept in return for the 5 percent bonus under the new physician pay system.

Wednesday, 08 February 2017

An internal HHS memo, dated Feb. 6, says some positions at the Office of Medicare Hearings and Appeals and Departmental Appeals Board are exempted from President Donald Trump's federal hiring freeze.

Wednesday, 08 February 2017

An internal HHS memo dated Feb. 6 lays out jobs and occupations HHS has identified as exempt from President Donald Trump’s federal hiring freeze, however the specific impact on FDA and user fee hiring remains unclear.

Wednesday, 08 February 2017

Sen. Tom Carper (D-DE) is raising concerns that President Donald Trump's federal hiring freeze could leave Medicare and Medicaid more vulnerable to fraud if HHS can't hire staff focused on program integrity, though HHS Secretary-nominee Tom Price says if confirmed he will take into account the role of fraud fighters as he works with the White House to implement the freeze.

Wednesday, 08 February 2017

CMS has temporarily delayed the next steps in setting up a consolidated round of durable medical equipment competitive bidding in 2019 in order to allow the new administration a “further opportunity to review the program,” the agency's website says.

Wednesday, 08 February 2017

The American Hospital Association is praising President Donald Trump's executive order that looks to cut regulations by up to 75 percent, which came after the hospital group asked the new administration to “modify or eliminate duplicative, excessive, antiquated and contradictory provider regulations” late last year.

Monday, 06 February 2017

A federal district court laid out a plan for CMS to fix its Medicare improvement standard outreach following a four-year old settlement agreement under which the agency said it would halt a widespread, unofficial policy of cutting off coverage for certain services when beneficiaries stop improving.

Friday, 03 February 2017

The National Committee to Preserve Social Security and Medicare is calling on four Republican senators -- Sens. John McCain (AZ), Susan Collins (ME), Charles Grassley (IA) and Lamar Alexander (TN) -- to act as a “firewall” against GOP proposals to move Medicare to a premium support system, raise the Medicare eligibility age or repeal some of the Affordable Care Act’s Medicare policies.

Thursday, 02 February 2017

In response to industry, a CMS official said the agency is considering delaying pay cuts next year to employer-group Medicare Advantage plans for retirees, and the agency is proposing to maintain at current levels the amount of encounter data it will rely on to risk adjust Medicare Advantage plans' pay in 2018.

Wednesday, 01 February 2017

In response to industry, a CMS official said the agency is proposing to delay pay cuts next year to employer-group Medicare Advantage plans for retirees, and the agency is proposing to maintain at current levels the amount of encounter data it will rely on to risk adjust Medicare Advantage plans' pay in 2018.

Wednesday, 01 February 2017

A key standards organization has recommended incorporation of unique device identifiers (UDIs) in claims forms for high-risk implantable devices, which FDA has pegged as a key step towards an active device surveillance system.

Tuesday, 31 January 2017

HHS withdrew the wide-ranging 340B so-called “mega-guidance” Monday (Jan. 30) after FDA and CMS regulations were withdrawn last week.

Tuesday, 31 January 2017

A day before the deadline, Sen. Ron Wyden (D-OR) introduced a bill to weaken the Independent Payment Advisory Board due to fear that President Donald Trump might use the board to cut Medicare payments.

Tuesday, 31 January 2017

President Donald Trump called for lowering drug prices in Medicare and Medicaid, increasing competition and bidding, reforming FDA to accelerate drug approvals, letting terminally ill patients get treatments and ending foreign freeloading of U.S.-made drugs in a meeting with pharmaceutical companies Tuesday (Jan. 31).

Friday, 27 January 2017

The National Home Infusion Association (NHIA) and more 170 physicians and physician groups, patient advocacy groups, hospitals and medical associations asked congressional leaders to quickly change provisions of the 21st Century Cures Act that they say created a reimbursement gap for Medicare Part B durable medical equipment drugs for vulnerable patients with home infusion therapy.

Friday, 27 January 2017

CMS is suggesting strategies states can use in contracts with Medicaid managed care plans that make it easier for those dually eligible for Medicare and Medicaid to obtain durable medical equipment (DME).

Thursday, 26 January 2017

Providers and state medical societies are calling for reform of insurers' prior authorization requirements for medical tests, procedures, devices and drug, and released a set of 21 principles they say should guide a reassessment of prior authorization programs.

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