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Medicare

July 19, 2018 |

The White House Office of Management and Budget is reviewing an HHS Inspector General proposal to both remove safe harbor protections and create new ones for drug rebates, according to the title of the proposed rule.

July 19, 2018 | Daily News

The White House Office of Management and Budget is reviewing an HHS Inspector General proposal to both remove safe harbor protections and create new ones for drug rebates, according to the title of the proposed rule.

July 18, 2018 |

FDA released a long-awaited Biosimilars Action Plan Wednesday (July 18) that promises new development tools for biosimilars makers, additional educational resources and a public hearing dedicated to biosimilar competition, among other initiatives.

July 18, 2018 | Daily News

FDA released a long-awaited Biosimilars Action Plan Wednesday (July 18) that promises new development tools for biosimilars makers, additional educational resources and a public hearing dedicated to biosimilar competition, among other initiatives.

July 18, 2018 | Daily News

HHS Secretary Alex Azar announced Wednesday (July 18) that Center for Medicare and Medicaid Innovation (CMMI) Director Adam Boehler will also begin serving as senior advisor for Value-Based Transformation and Innovation.

July 18, 2018 | Daily News

CMS Administrator Seema Verma sent a letter to doctors touting a proposed overhaul of evaluation and management documentation and coding, as well as changes to electronic health records, as reforms that will make doctors' lives easier, though oncologists argue the E/M coding proposal “defies all logic.”

July 17, 2018 | Daily News

FDA, through its Drug Shortages Task Force, will work with CMS to revamp reimbursement policies for critical access drugs, especially sterile injectables, to incentivize manufacturers to invest in and modernize their manufacturing processes and spur development of critical access drugs, FDA Commissioner Scott Gottlieb said during a policy summit on Tuesday (July 17).

July 13, 2018 | Daily News

The Center for American Progress calls for reforming how the health system determines pay for physician services, arguing that improving the accuracy of Medicare pay rates is critical to a successful value-based pay system built on fee-for-service or moving to a single-payer system.

July 13, 2018 |

HHS officials touted CMS’ proposal to cut doctor pay for administering new biologics as a drug-price-cutting measure, but like other administration drug-price proposals it would hurt providers, not drug companies.

July 12, 2018 | Daily News

CMS proposed tweaks to the low-volume exception process for the Merit-based Incentive Payment System, including allowing some otherwise excluded providers to opt-in to MIPS, in a rule released Thursday (July 12), but despite GOP lawmakers' urging, the agency did not lower existing threshold criteria to require more doctors to participate.

July 12, 2018 | Daily News

CMS is proposing to overhaul how Medicare pays for office visits and how doctors document those visits in what Administrator Seema Verma said would be “one of the most significant reductions in provider burden ever taken by any administration.”

July 12, 2018 | Daily News

HHS officials touted CMS’ proposal to cut doctor pay for administering new biologics as a drug-price-cutting measure, but like other administration drug-price proposals it would hurt providers, not drug companies.

July 12, 2018 | Daily News

CMS Administrator Seema Verma is certain the agency will make changes to the physician self referral, or Stark, law, and on Thursday (July 12) said she hopes to release those changes by the end of the year.

July 12, 2018 | Daily News

An HHS official told Inside Health Policy that President Donald Trump's executive order changing how administrative law judges are appointed means the HHS secretary will choose those judges, which could streamline the hiring process and potentially help with the appeals backlog at the Office of Medicare Hearings and Appeals.

July 12, 2018 | Daily News

FDA has formed a Drug Shortages Task Force that will look into ways to prevent shortages of critical drugs, including reforming CMS and payor reimbursement policies, creating new financial incentives and expanding FDA's authority to require drug makers conduct shortage risk assessments, FDA Commissioner Scott Gottlieb announced Thursday (July 12).

July 12, 2018 |

FDA has formed a Drug Shortages Task Force that will look into ways to prevent shortages of critical drugs, including reforming CMS and payor reimbursement policies, creating new financial incentives and expanding FDA's authority to require drug makers conduct shortage risk assessments, FDA Commissioner Scott Gottlieb announced Thursday (July 12).

July 11, 2018 | Daily News

Medical equipment suppliers won’t have to bid for Medicare business next year as CMS hasn’t yet started the next round of bidding and existing contracts run out at the end of the year, according to a proposed rule CMS released Wednesday (July 11), and one agency official said CMS needs time to implement changes to the bidding program laid out in the rule.

July 11, 2018 | Daily News

President Donald Trump on Tuesday (July 10) signed an executive order allowing federal agencies to choose administrative law judges outside the typical competitive hiring process used for federal employees, prompting concerns from Capitol Hill and one Medicare advocate that such a move could hurt the fairness of ALJ reviews.

July 11, 2018 | Daily News

The House Ways & Means health subcommittee will hold a hearing on reforming the physician self-referral, or Stark, law on Tuesday (July 17), the committee announced.

July 06, 2018 | Daily News

Shortly after stakeholders' comments were due, the White House Office of Management and Budget on Thursday (July 5) began reviewing the final fiscal 2019 pay rules for inpatient rehabilitation facilities and inpatient psychiatric facilities.

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