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Medicare

October 28, 2020 | Daily News

Lawmakers face a host of health policy areas to deal with after the election -- starting with funding the government and health extenders during the lame duck session, followed by COVID-19 stimulus legislation, drug pricing, surprise billing and potentially a fix to the Affordable Care Act in the next Congress, lobbyists say. Other areas that might come into play include easing pay cuts some providers are set to see in 2021 under the physician fee schedule, expanding telehealth and, if Democrats win big on Nov. 3, moving toward a public option.

October 27, 2020 | Daily News

CMS on Tuesday (Oct. 27) proposed a 2021 durable medical equipment pay rule that would permanently hike pay for rural areas, expand coverage of continuous glucose monitors, codify procedures for determining pay for new DME and expand coverage of external infusion pumps for certain drugs.

October 27, 2020 | Daily News

CMS on Tuesday (Oct. 27) announced it is only awarding competitive bidding contracts to durable medical equipment suppliers for off-the-shelf back and knee braces, but the agency claims it is not formally delaying the 2021 competitive bidding program for other DME categories and simply left them out for now because their inclusion wouldn’t save enough money.

October 27, 2020 | Daily News

About 40% of hospitals have not fully reported their COVID-19 data, CMS revealed Monday when it began allowing people to see which hospitals are reporting all required data every day.

October 23, 2020 | Daily News

Administration officials are expected to say within days how they plan to make coronavirus vaccines free for everyone, HHS Deputy Chief of Staff for Policy Paul Mango said Friday (Oct. 23).

October 23, 2020 | Daily News

House lawmakers from both parties continue their push to make some telehealth waivers permanent after the COVID-19 public health emergency, although a co-chair of the Congressional Telehealth Caucus warns a bill likely won’t hit the floor until after the election.

October 21, 2020 | Daily News

CMS Administrator Seema Verma announced on Wednesday (Oct. 21) that, after listening to stakeholder feedback, the agency will delay the mandatory radiation oncology demonstration until July, giving providers an extra six months before the model goes into effect.

October 19, 2020 | Daily News

The American Hospital Association says providers are considering asking the Supreme Court to take up their cases against the Part B reimbursement cuts for 340B drugs and Medicare pay cuts for outpatient clinic visits at certain off-campus hospital facilities after the full U.S. Court of Appeals for the District of Columbia Circuit declined to rehear those cases.

October 19, 2020 | Daily News

A lobbying group called Infusion Providers Alliance has formed to oppose international reference pricing for drugs, specialty pharmacy mandates and a measure in the Senate Finance Committee’s drug pricing bill that would lower reimbursement at physician practices that generate a significant part of their revenue from administering drugs.

October 16, 2020 | Daily News

Center for Medicare and Medicaid Innovation Director Brad Smith said the ongoing bundled pay demo was on track to lose more than $2 billion prior to mid-model changes that some have worried could cause providers to drop out of the demonstration.

October 16, 2020 | Daily News

If the demonstration that caps monthly insulin costs works, CMS might run similar demos for other drugs, Center for Medicare and Medicaid Innovation Center Director Brad Smith said Friday (Oct. 16).

October 16, 2020 | Daily News

Three of the biggest provider groups are pushing back against a recent executive order signed by President Donald Trump that aims to restrict anti-racism and sensitivity training, saying this training is crucial in care settings especially during the COVID-19 pandemic.

October 16, 2020 | Daily News

The vast majority of Medicare beneficiaries surveyed by CMS say they did not forego medical care for non-COVID-19 concerns during the pandemic, according to a survey released Friday (Oct. 16), but 21% said they did skip needed medical care and dental care was the most likely to be skipped.

October 16, 2020 | Daily News

Medicare next year will cut pay for labs that take more than two days to turn around COVID-19 test results, CMS announced Thursday (Oct. 15).

October 15, 2020 | Daily News

Federal judges seemed unconvinced on Thursday (Oct. 15) that the Trump administration’s hospital price transparency rule violates the First Amendment and exceeds HHS’ statutory authority, as the American Hospital Association argued in an appeal to stop the rule.

October 15, 2020 | Daily News

As the fate of the innovation center -- and the rest of the Affordable Care Act -- faces uncertainty in the courts, CMS Administrator Seema Verma said the innovation demonstrations are losing money and the center needs a course correction, including less-generous model benchmarks.

October 14, 2020 | Daily News

CMS on Wednesday (Oct. 14) expanded the list of telehealth services Medicare will reimburse, two months after unveiling a proposed rule to make some of the telehealth flexibilities allowed during the pandemic permanent for rural Medicare beneficiaries.

October 14, 2020 | Daily News

Private-equity owned companies account for the majority of Medicare spending on air ambulance services and charge an average of more than seven times the Medicare reimbursement rate, which leads to expensive surprise medical bills, according to an analysis by the USC-Brookings Schaffer Initiative.

October 13, 2020 | Daily News

The Democratic leaders of congressional health care committees asked the Government Accountability Office to quickly review the legality of the president’s plan to send $200 Medicare drug discount cards to seniors before the election.

October 08, 2020 | Daily News

CMS on Thursday (Oct. 8) laid out Medicare loan repayment terms as revised by the latest continuing resolution, including the option for providers to request an extended repayment schedule if they are facing financial hardships.

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