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Medicare

October 11, 2017 | Daily News

More Medicare beneficiaries with drug coverage are expected to be in plans with high performance ratings next year compared to this year, according to a CMS release.

October 11, 2017 | Daily News

The American Hospital Association says the HHS Office of Inspector General's hospital compliance reviews regularly have “fundamental flaws and inaccuracies” that lead to overstated repayment demands and more hospital appeals, and the hospital lobby is asking CMS not to simply accept the OIG's audits or extrapolate the finding to a wider group of claims until after hospital appeals are complete.

October 10, 2017 | Daily News

A bipartisan group of 54 House lawmakers on Oct. 3 asked CMS to force plans and pharmacy benefit managers to give Part D beneficiaries a larger share of rebates, discounts and pharmacy price concessions.

October 06, 2017 | Daily News

Senate Finance Chair Orrin Hatch (R-UT) on Friday (Oct. 6) praised CMS' requests for feedback on how to reduce Medicare “red tape,” which had been included in proposed 2018 pay rules, and asked the agency to share stakeholders' proposals that could be handled through legislation.

October 05, 2017 | Daily News

To the surprise of Energy & Commerce Democrats, Chair Greg Walden (R-OR) opted not to bring up legislation that would repeal the Independent Payment Advisory Board at the end of a long markup Wednesday (Oct. 4), though House Ways & Means Chair Kevin Brady (R-TX) expressed confidence earlier in the day that the bill, which passed his committee, would go to a vote on the House floor, potentially as part of a larger piece of legislation.

October 05, 2017 | Daily News

Specialists are getting help from House Republican lawmakers in their quest to exclude the cost of drugs they administer from the calculation of their Medicare bonuses and penalties.

October 05, 2017 | Daily News

CMS made supportive statements about a key independent panel that advises the agency on the alternative pay models that are integral to the new Medicare physician pay scheme.

October 04, 2017 | Daily News

The House Ways & Means Committee on Wednesday (Oct. 4) passed legislation to repeal the ACA's Independent Payment Advisory Board.

October 04, 2017 | Daily News

Eric Hargan’s confirmation as deputy secretary of HHS took on extra significance Wednesday (Oct. 4), as it came less than a week after former HHS Secretary Tom Price resigned, and Senate Finance Committee Ranking Member Ron Wyden (OR) took to the Senate floor to oppose Hargan saying he has “no reason to believe Mr. Hargan will deviate from Tom Price’s ideological agenda that includes constant sabotage of the Affordable Care Act.”

October 03, 2017 | Daily News

In addition to marking up the Children’s Health Insurance Program funding reauthorization bill on Wednesday (Oct. 4), the House Energy & Commerce Committee will also mark up several other pieces of Medicare-related legislation, but according to lobbyists, advocates and committee staffers, these bills will likely stay separate from any CHIP funding package.

October 03, 2017 | Daily News

CMS withdrew the Obama administration's controversial stalled Part B drug pay demonstration Tuesday (Oct. 3), saying the complexity of the model design and desire to include more stakeholder input led to the agency's decision to withdraw the proposed rule.

October 03, 2017 | Daily News

The House Ways & Means and Energy & Commerce committees on Wednesday (Oct. 4) will mark up legislation to repeal the Independent Payment Advisory Board.

October 03, 2017 | Daily News

The centerpiece of Democrats’ attack on the Republican budget and tax reform plan appears to be that the plan would pay for tax cuts to the rich by slashing Medicare and Medicaid funding.

October 02, 2017 | Daily News

An HHS Office of the Inspector General report released on Friday (Sept. 29) found that five states -- Arizona, Maryland, New York, Tennessee and Georgia -- did not investigate serious nursing home complaints as quickly as is required between 2011 and 2015, and nursing home complaints increased by more than a third during that same period.

October 02, 2017 | Daily News

Specialty doctors are lobbying Congress to exclude the cost of drugs they administer from the calculation of their Medicare bonuses and penalties because the therapies are often expensive and would result in volatile swings in reimbursement.

October 02, 2017 | Daily News

Industry health care experts and former HHS officials speaking at the Brookings Institution on Tuesday (Sept. 26) agreed that simplifying the current physician fee schedule would benefit the Medicare program as a whole, but such reform is likely not on the horizon as Congress is not focused on changing that and HHS does not have the ability to do so.

October 02, 2017 | Daily News

The Senate Broadband Caucus met with telemedicine providers during a Wednesday (Sept 27) expo in the Senate to discuss expanding broadband to rural areas, but the conversation soon turned instead to telehealth Medicare reimbursement.

September 29, 2017 | Daily News

After HHS Secretary Tom Price resigned Friday (Sept. 29) following a scandal over his private jet travel, the White House tapped Don Wright, who has served as deputy assistant secretary for health and director of the office of disease prevention and health promotion, as acting HHS chief at a critical juncture when the administration faces pressure from Democrats and the health care industry to stabilize the individual insurance market.

September 29, 2017 | Daily News

The Senate Finance Committee will mark up legislation to renew funding for the Children's Health Insurance Program and several extenders on Wednesday (Oct. 4), the same day that the House Energy & Commerce Committee will mark up its CHIP bill.

September 27, 2017 | Daily News

CMS says it will not update the overall Hospital Quality Star Ratings in October, as previously scheduled, while it reevaluates aspects of the controversial methodology and combs through stakeholder feedback.

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