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Medicare

April 07, 2020 | Daily News

CMS on Friday (April 3) provided further guidance to ambulatory surgical centers that wish to take advantage of new regulatory flexibility in Medicare allowing them to enroll and bill as hospitals during the coronavirus pandemic.

April 07, 2020 | Daily News

Hospitals are asking CMS to waive or lower the interest on advanced payments that providers request under the Medicare accelerated pay program, but the agency says it doesn’t have the authority to waive or change the interest rate on Medicare debts -- including those repayments.

April 06, 2020 | Daily News

The Trump administration slammed an HHS Office of Inspector General report released Monday (April 6) that found hospitals are facing significant challenges with medical supplies, protective gear and COVID-19 testing.

April 06, 2020 | Daily News

The country’s second COVID-19 stimulus law, the Families First Coronavirus Response Act, will increase the federal deficit by $192 billion through 2030, mostly over the next two years, and the largest health-related expenditure is due to the increased federal match rate for Medicaid that doesn’t account for increased enrollment during the downturn, according to an initial estimate from the Congressional Budget Office and the Joint Committee on Taxation.

April 06, 2020 | Daily News

CMS on Monday (April 6) announced that Medicare Advantage plans would see slightly higher expected pay in 2021 under the final rate notice -- about 1.7% -- than projected under the advanced notice -- slightly under 1%.

April 06, 2020 | Daily News

CMS on Thursday (April 2) issued additional guidance for nursing homes as they tackle COVID-19, but the nursing home lobby says it’s not possible to fully comply with CMS’ and Centers for Disease Control and Prevention’s recommendations without an adequate supply of personal protective equipment.

April 02, 2020 | Daily News

Congress’ Medicaid advisers voted in favor what staff called modest but important recommendations to improve care for beneficiaries eligible for both Medicare and Medicaid -- one would create a special enrollment period for duals eligible for Medicare-Medicaid plans and another would propose Congress provide states with funding to put integrated care models in place.

April 02, 2020 | Daily News

Anthem said Wednesday (April 1) it would waive cost-sharing for all treatments related to the COVID-19 diagnosis through May 31, the fourth major insurer to make such a decision in recent weeks.

April 01, 2020 | Daily News

Consumer, labor and beneficiary advocacy groups are urging insurance companies to drop all cost-sharing for all services related to diagnosis and treatment of the COVID-19 and its symptoms.

April 01, 2020 | Daily News

The White House Office of Management and Budget concluded its review of a proposed rule to impose penalties on those who violate the 21st Century Cures Act’s ban on information blocking.

April 01, 2020 | Daily News

The American Hospital Association called on HHS on Tuesday (March 31) to immediately dispense the $100 billion allocated to the Public Health and Social Services Emergency Fund by the third coronavirus stimulus package directly to hospital providers using Medicare Administrative Contractors.

April 01, 2020 | Daily News

Anthem Inc. fraudulently overcharged CMS by millions of dollars in Medicare Advantage payments by failing to correct inaccurate diagnosis data, federal prosecutors allege in a lawsuit against the company.

March 31, 2020 | Daily News

CMS is easing the extreme and uncontrollable circumstances policies for accountable care organizations and the hip-and-knee replacement demonstration, as well as adding flexibility to the Medicare Diabetes Prevention Program in an interim final rule unveiled Monday (March 30).

March 31, 2020 | Daily News

As Medicare Advantage plans wait for the final rates and pay policies for 2021, some stakeholders praised CMS’ recent interim rule for changes to the star ratings and other policies in light of the COVID-19 outbreak -- but one expert says premiums could still go up next year.

March 31, 2020 | Daily News

The National Association of Accountable Care Organizations estimates the COVID-19 pandemic could cost Medicare up to $115.4 billion over the next year, and derail Medicare ACOs.

March 30, 2020 | Daily News

CMS on Monday (March 30) lifted numerous safety rules and other regulations to give hospitals more flexibility to respond to the COVID-19 pandemic, including allowing them to move patients to makeshift off-site locations and reducing the amount of supervision required for certain non-physicians to provide services.

March 30, 2020 | Daily News

CMS is offering wide-ranging Medicare flexibility for dialysis and ambulance providers as well as oversight audits, and has made it easier for beneficiaries to access respiratory devices like ventilators amid the COVID-19 pandemic.

March 30, 2020 | Daily News

CMS on Monday (March 30) made sweeping regulatory changes to telehealth, further easing use of telehealth in Medicare by lifting requirements on provider relationships and face-to-face care, as well as expanding telehealth in hospice and home health, to tackle COVID-19.

March 30, 2020 | Daily News

CMS will provide emergency funding to Medicare providers by dramatically expanding its accelerated and advance payment program during the COVID-19 emergency, the agency announced Saturday (March 28).

March 30, 2020 | Daily News

The Federal Communications Commission Chair Ajit Pai on Monday (March 30) proposed using $200 million allocated by Congress for a grant program for hospitals and health system providers aiming to use telehealth in their COVID-19 response.

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