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Medicare

April 09, 2021 | Daily News

State Medicaid officials told the Medicaid and CHIP Payment and Access Commission Friday (April 9) that while telehealth has been crucial throughout the COVID-19 public health emergency, refinements are needed before telehealth can be made permanent.

April 08, 2021 | Daily News

CMS proposes to increase skilled nursing facility’s pay a net 1.3%, or $444 million, in fiscal 2022, and to add two new quality reporting measures in fiscal year 2023: vaccination rates among health care personnel staff and health care acquired infections.

April 08, 2021 | Daily News

While CMS limited its annual hospice payment policies last year to essential policies due to the pandemic, the agency recommends a slew of changes in its proposed fiscal year 2022 hospice pay policies: make a COVID-19 waiver permanent, make several changes to the Hospice Quality Reporting Program and revise the labor shares.

April 08, 2021 | Daily News

Hospitals are calculating whether it would be better for them to immediately repay their Medicare loans or have the payments taken out of their claims after CMS announced it’s beginning to recoup payments under the Medicare Accelerated and Advance Payment Program.

April 08, 2021 | Daily News

The Medicare Payment Advisory Commission unanimously voted in favor of draft recommendations to cover all preventive vaccines under Part B for free to beneficiaries.

April 07, 2021 | Daily News

CMS plans to modify the inpatient psychiatric facilities’ quality reporting program by adding a measure that assesses COVID-19 vaccination rates among health care personnel and another that expands who can provide follow-up care for patients hospitalized with a mental illness, according to a proposed rule unveiled Wednesday (April 7) that would also increase next year’s pay for the facilities.

April 07, 2021 | Daily News

CMS proposes to increase inpatient rehabilitation facilities' fiscal year 2022 pay by 1.8%, or $160 million, relative to last year's payments, and to advance the Biden administration’s focus on health equity.

April 07, 2021 | Daily News

The American Medical Association joined dozens of specialty physician groups and patient advocates on Wednesday (April 7) in asking CMS to delay its decision to require prior authorization for two service areas under the calendar year 2021 Medicare hospital outpatient prospective payment rule and to put off any future prior authorization policies until more data are collected.

April 06, 2021 | Daily News

HHS Secretary Xavier Becerra faces a barrage of competing issues arising out of the pandemic, but children’s health care advocates’ priorities center around one central idea: thinking about kids first.

April 06, 2021 | Daily News

The White House is expected to roll out the health care priorities for its two-part infrastructure package sometime this Spring, and the health piece potentially could move separately now that the Senate parliamentarian has agreed Democrats have another shot passing their priorities through a simple majority.

April 05, 2021 | Daily News

Medicare Payment Advisory Commission members signaled they will start looking into transparency and accountability of health care ownership during an informational session on private equity in health care Friday (April 2), saying these issues are not solely driven by private equity ownership in the health sector and can affect Medicare costs.

April 02, 2021 | Daily News

Medicare payment advisors unanimously agreed to direct HHS to put together a smaller and more harmonized group of alternative payment models as a first step to improving those demonstrations and Chair Michael Chernew said the commission will continue looking at how to improve value-based care when it reconvenes in the fall.

April 02, 2021 | Daily News

Medicare Payment Advisory Commission staff estimate CMS’ policy of basing Medicare laboratory pay rates on commercial-payer rates will save 24% on average once it is fully implemented, but they say the savings will vary based on the test type and warn independent labs’ overrepresentation in the data collection might skew rates to the lower end and affect patient access.

April 02, 2021 | Daily News

The Medicare Payment Advisory Commission voted to recommend Congress create a new value incentive program to reward skilled nursing facilities for good performance at its meeting Thursday (April 1).

April 02, 2021 | Daily News

Medicare payment advisors voted Thursday (April 1) to recommend Congress replace Medicare Advantage’s benchmark policy with a new system that would share plans’ MA cost efficiencies with the federal government.

April 01, 2021 | Daily News

LeadingAge on Thursday (April 1) released a wishlist for Congress’ upcoming infrastructure package that includes a permanent 10% increase in the federal Medicaid matching funds for both home- and community-based and nursing home services.

April 01, 2021 | Daily News

The American Hospital Association says the backlog of Medicare appeals is down 69% from when a federal court first directed HHS to fix the problem.

March 31, 2021 | Daily News

CMS pushed back its request for Accountable Care Organizations to submit applications to the Community Health Access and Rural Transformation (CHART) Model by a year, until spring 2022, to the disappointment of the ACOs.

March 31, 2021 | Daily News

Medicare Advantage beneficiaries spent an average of $1,640 less on out-of-pocket and premium costs than traditional Medicare beneficiaries in 2018, according to a new study released by pro-MA coalition Better Medicare Alliance Tuesday (March 30).

March 30, 2021 | Daily News

CMS will hold Medicare claims “for a short period” after April 1 so that providers don’t see the 2% Medicare sequestration cuts go into effect before lawmakers take final action to extend the moratorium on those cuts.

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