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Medicare

September 27, 2019 | Daily News

CMS is signaling a continued effort to lower reimbursement for 340B drugs, even as a court suit over the agency’s earlier cuts continues, by collecting hospital data to back up future reimbursement rates.

September 27, 2019 | Daily News

President Donald Trump on Thursday (Oct. 3) is expected to sign an executive order on protecting and improving Medicare during a trip to The Villages, FL, according to the White House.

September 27, 2019 | Daily News

Accountable Care Organizations on Friday (Sept. 27) again pushed against a new beneficiary notification requirement that is part of CMS’ ACO overhaul, but CMS says it won’t budge on the requirement just yet.

September 26, 2019 | Daily News

Consumer advocates are urging CMS to extend for at least another year a policy that provides penalty relief for Medicare beneficiaries who did not enroll in part B due to misinformation about Affordable Care Act plans.

September 25, 2019 | Daily News

Senate Finance Chair Chuck Grassley said he hopes to rally support from the president and more lawmakers for the drug pricing package he sponsored with Finance ranking Democrat Ron Wyden (OR) after the full bill text’s expected release Wednesday (Sept. 25) evening.

September 25, 2019 | Daily News

CMS significantly revised its proposals for discharge planning requirements for hospitals, critical access hospitals and home health agencies in a final rule released Wednesday (Sept. 25) after providers had raised concerns about what they viewed as the overly prescriptive nature of some aspects of the planning and the burdens of others.

September 25, 2019 | Daily News

CMS finalized a rule Wednesday (Sept. 25) that revamps the Conditions of Participation and Conditions of Coverage for hospitals, home health providers, transplant centers, ambulatory surgical centers and other providers and facilities by removing regulations that CMS deemed burdensome or unnecessary.

September 24, 2019 | Daily News

The House Democrats’ impeachment inquiry all but kills the chances of House Speaker Nancy Pelosi (D-CA) striking a deal on drug pricing with President Donald Trump, lobbyists and analysts say, though they had always said there was little prospect in government drug price negotiation becoming law.

September 24, 2019 | Daily News

CMS Administrator Seema Verma called on insurance plans to work with CMS to drive value-based arrangements, warning that, while premiums are going down for Medicare Advantage plans, private insurers could become obsolete if Medicare for All were to move forward.

September 24, 2019 | Daily News

CMS Administrator Seema Verma said a recent court ruling that found CMS didn’t have the authority to implement site-neutral pay cuts for certain clinic visits was a setback to agency efforts to correct market distortions, and she pushed back on what she called “[e]ndless litigation from entrenched special interests.”

September 24, 2019 | Daily News

The Center for Medicare and Medicaid Innovation (CMMI) says its current focus is to implement the dozen or so new models unveiled prior to former CMMI Director Adam Boehler’s departure from CMS.

September 23, 2019 | Daily News

Former Vice President and Democratic presidential candidate Joe Biden is ramping up his health care message and will spend the week highlighting the Trump administration’s attacks on the Affordable Care Act and alleging a second Trump term would result in millions of people without coverage.

September 23, 2019 | Daily News

A group of Democratic senators is pressing CMS to step up its oversight of Medicare Advantage plans, pointing to problems with MA plan overpayments, provider directory and encounter data accuracy issues and potentially misleading star ratings.

September 20, 2019 | Daily News

Home health providers, Medicare advocates and hospitals again expressed concerns that CMS’ proposed 8% cut within the home health system based on behavioral assumptions is too harsh in its proposed 2020 home health pay rule.

September 19, 2019 | Daily News

A summary of House Speaker Nancy Pelosi’s (D-CA) long-awaited government drug price negotiation bill says that savings from the plan, unveiled Thursday (Sept. 19), could be used to add hearing, vision and dental benefits to Medicare.

September 19, 2019 | Daily News

The House on Thursday (Sept. 19) passed a short-term continuing resolution to fund the government through Nov. 21 and avert a government shutdown Oct. 1, and the Senate reportedly will take up the CR next week.

September 19, 2019 | Daily News

Democratic presidential primary candidate Pete Buttigieg’s newly unveiled “Medicare for All who want it” proposal would create a public option with auto-enrollment, increase exchange subsidies and cap out-of-network costs at twice the Medicare rate.

September 19, 2019 | Daily News

Providers are asking CMS why the first bonus payments for those in alternative payments models through the Quality Payment Program have yet to be paid, even though providers in the Merit-based Incentive Payment System started seeing their pay adjustments at the start of the year.

September 19, 2019 | Daily News

House Speaker Nancy Pelosi (D-CA) on Thursday (Sept. 19) unveiled her long-awaited government price negotiation plan, which would give HHS the power to negotiate drug prices that would apply to all payers.

September 18, 2019 | Daily News

A package of so-called health extenders was tucked into the continuing resolution introduced in the House late Wednesday (Sept. 18) to avert a government shutdown Oct. 1.

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