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Medicare

Thursday, 27 April 2017

CMS on Thursday (April 27) proposed fiscal 2018 pay increases for inpatient rehabilitation facilities, nursing homes and hospices, and the agency released a pre-rule on nursing homes to get input from industry on changes it is considering to that pay system.

Thursday, 27 April 2017

The CMS Chief Actuary is supposed to determine by the end of this week whether the Independent Payment Advisory Board will be triggered next year -- a determination that could give President Donald Trump a clear shot at making good on his campaign promise to curb drug prices -- but the decision is expected to be several months late.

Tuesday, 25 April 2017

CMS will notify providers this month and next month whether they meet the volume thresholds for participating in the Merit-based Incentive Payment System (MIPS), the agency said Tuesday (April 25), though provider lobbyists said the notifications do not tell providers whether they get the flexibility afforded to those who either are based at hospitals or don’t deal directly with patients.

Wednesday, 19 April 2017

Senate Judiciary Chair Charles Grassley (R-IA) is pushing CMS to step up its scrutiny of Medicare Advantage plans, asking the agency in a letter Monday (April 17) how often it audits MA plans and what steps it is taking to make sure insurance companies aren't fraudulently altering their risk scores to get more funding.

Tuesday, 18 April 2017

CMS is asking hospitals applying to participate in the extension of the Rural Community Hospital Demonstration to explain how rural hospital closures have affected them, and whether the applicants are filling gaps left by the closure of other hospitals.

Tuesday, 18 April 2017

The White House Office of Management and Budget is reviewing a CMS proposed rule that offers an opportunity for the new administration to put its mark on the physician pay system under development by CMS, called the Quality Payment Program.

Tuesday, 18 April 2017

Oxygen-equipment suppliers hope CMS uses an upcoming subregulatory measure to change a retroactive reimbursement policy to pay them more for equipment they supplied during the second half of last year.

Friday, 14 April 2017

CMS expects it would pay hospitals $3.1 billion more in fiscal 2018 under the proposed hospital inpatient pay rule the agency released Friday (April 14).

Wednesday, 12 April 2017

The debate over whether CMS should require providers to participate in demonstrations of Medicare pay bundles is resurfacing as the Trump administration stalls mandatory demonstrations started under former President Barack Obama's CMS.

Wednesday, 12 April 2017

CMS announced Tuesday (April 11) that $10 million in startup funds is now available for the Pennsylvania Department of Health to set up its new alternative payment model for Medicare in rural hospitals.

Tuesday, 11 April 2017

Reps. Cathy McMorris Rodgers (R-WA) and Niki Tsongas (D-MA) are drumming up support for reauthorizing at least three years of funding for a program that helps teaching health centers train providers, and more than 90 lawmakers have signed their dear-colleague letter to House Energy & Commerce Committee leaders.

Tuesday, 11 April 2017

Some of Congress' Medicare pay advisers on Thursday (April 6) raised concerns with how a Medicare premium support system could affect low-income beneficiaries.

Monday, 10 April 2017

Medicaid per-capita caps would shift costs to Medicare by cutting funds for the 11 million people whose care is covered under both programs, panelists said at a National Coalition on Health Care event Monday (April 10).

Friday, 07 April 2017

CHIP and the primary care cliff, which includes expiring funding for Teaching Health Care Graduate Medical Education, primary care grants and the National Health Service Corps, account for only a few of the dozens of programs that will either run out of money or lose most of their funding this year if Congress doesn't renew them, according to a Congressional Research Service report.

Thursday, 06 April 2017

After two years of consideration, congressional Medicare advisers voted Thursday (April 6) for a package of draft recommendations aimed at curbing the rise of drug prices covered by Part B.

Thursday, 06 April 2017

A bipartisan group of Senate Finance members reintroduced a Medicare chronic care bill Thursday (April 6) that Chair Orrin Hatch (R-UT) touted as the first major bipartisan health care bill to be introduced this Congress.

Monday, 03 April 2017

In response to industry concerns, CMS is delaying pay cuts next year to employer-group Medicare Advantage plans for retirees and is cutting the amount of encounter data it will rely on to risk adjust Medicare Advantage plans' pay in 2018.

Monday, 03 April 2017

CMS is seeking advice from stakeholders on ways to further tweak Medicare Advantage and Part D to increase benefit flexibility, innovation and affordable plan choices as part of a broad Request for Information included in the 2018 MA and Part D Call Letter released Monday (April 3).

Friday, 31 March 2017

To the delight of home health providers, CMS on Friday (March 31) announced it has paused the home health pre-claim review demonstration for at least 30 days in Illinois, and will not expand the program to Florida in April.

Friday, 31 March 2017

CMS on Friday (March 31) proposed to delay new home health conditions of participation for six months.

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