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Medicare

December 24, 2020 | Daily News

The year-end spending package Congress passed Monday night (Dec. 21) includes reforms aimed at increasing Medicare beneficiaries’ access to post-acute care.

December 24, 2020 | Daily News

The 2020 year-end package that passed the House and Senate Monday (Dec. 21) includes a number of policies aimed at improving hospice care, and the National Hospice and Palliative Care Organization says the bill will help provide uninterrupted access to hospice providers during the pandemic -- though the group will closely watch how the program integrity provisions are implemented.

December 23, 2020 | Daily News

By granting a 14-day restraining order to delay the start of the most-favored-nation demonstration on Wednesday (Dec. 23), a federal judge signaled the drug industry will likely succeed in killing the demo.

December 22, 2020 | Daily News

Drug makers are largely unscathed by the year-end government spending bill because Congress instead used hospital surprise billing legislation to pay for coronavirus relief, but the legislative package does include proposals that were part of drug price transparency bills, including one to give congressional Medicare and Medicaid advisers data on closely guarded rebates.

December 21, 2020 | Daily News

As part of the year-end package, lawmakers plan to mitigate effects of changes to the 2021 physician fee schedule that would raise pay for some while drastically cutting pay for others, according to a House Ways & Means Republican summary, and the bill also is expected to extend the Medicare sequester moratorium for three months -- a shorter extension than sought by providers.

December 21, 2020 | Daily News

Federal Judge Catherine Blake said Friday she will rule by Dec. 24 on whether to put on hold the Trump administration’s plan to tie Medicare Part B reimbursement to foreign drug prices.

December 20, 2020 | Daily News

A ban on so-called “gag clauses” between insurers and providers, a push to ensure compliance with mental health parity rules and new disclosures on drug spending’s effect on insurance premiums are in the final COVID-19 relief package, according to an unconfirmed text of the bill floating late Sunday (Dec. 20).

December 18, 2020 | Daily News

The House on Friday evening (Dec. 18) passed a two-day stopgap continuing resolution that gives lawmakers the weekend to hammer out the details of a year-end package that wraps together spending and pandemic relief measures, and possibly also surprise billing legislation, health extenders and other key health policies.

December 18, 2020 | Daily News

CMS on Friday (Dec. 18) told hospitals that, starting in January, it will audit a sample of providers to make sure they are complying with the hospital price transparency rule -- which one attorney said signals CMS will be more proactive than expected in making sure hospitals follow the requirements.

December 17, 2020 | Daily News

As lawmakers continue to negotiate a year-end package, hospitals, doctors, nursing homes and home health providers are urging them to extend the moratorium on the 2% Medicare sequester cuts through the end of the COVID-19 public health emergency -- but some lobbyists say getting such an extension could be an uphill battle.

December 17, 2020 | Daily News

Stakeholders are hearing that provisions banning anticompetitive actions, included in the bipartisan Lower Health Care Costs Act (S. 1895) passed by the Senate health committee last year, might be wrapped into the final COVID-19 relief bill, but the final status is unclear.

December 17, 2020 | Daily News

CMS has pushed back the deadline for doctors to apply for extreme and uncontrollable circumstances exceptions from the Merit-based Incentive Payment System to Feb. 1, and is reminding providers that that process can include a request to leave out one or more performance categories from their score due to the COVID-19 pandemic.

December 16, 2020 | Daily News

National health care spending on hospitals and physicians increased in 2019, but that was offset in part by a decline in the net cost of health insurance that was driven by the health insurance tax moratorium.

December 16, 2020 | Daily News

The Trump administration on Tuesday (Dec. 15) asked a federal judge to reject the drug industry’s request for a temporary restraining order and preliminary injunction against the most-favored nation drug pricing demonstration.

December 16, 2020 | Daily News

The Trump administration on Tuesday (Dec. 15) asked a federal judge to reject the drug industry’s request for a temporary restraining order and preliminary injunction against the most-favored nation drug pricing demonstration.

December 15, 2020 | Daily News

CMS is laying out plans for a demonstration next year that will require inpatient rehabilitation facilities to submit their Medicare fee-for-service claims for pre-pay or post-pay review until they can show they have a good track record of correctly submitting claims, according to a notice published in the Federal Register Tuesday (Dec. 15).

December 09, 2020 | Daily News

The House on Wednesday (Dec. 9) passed a one-week government funding extension as lawmakers continue to negotiate a potential COVID-19 relief package and stakeholders push to get their priorities, like a fix for pay cuts to certain physicians and a continued moratorium on the Medicare sequester, into an end-of-the-year bill.

December 09, 2020 | Daily News

Former HHS Secretaries Donna Shalala and Kathleen Sebelius expressed confidence that President-elect Joe Biden’s HHS pick, Xavier Becerra, will gain enough bipartisan support to be confirmed, stressing that even though the California attorney general is a strong proponent of Medicare for All, he is a team player who will be dedicated to the less-aggressive policy of shoring up and building off the Affordable Care Act per Biden’s approach.

December 09, 2020 | Daily News

HHS’ latest application of the PREP Act allows doctors to provide certain COVID-19 pandemic-related services via telehealth across state lines -- effectively allowing the providers to avoid long-standing cross-state licensure requirements for a limited number of services.

December 07, 2020 | Daily News

The American Society for Radiation Oncology wants to work with HHS Secretary nominee Xavier Becerra on changes to the mandatory radiation oncology demonstration once the Biden administration takes office in January, and says it hopes the demo will be fixed before its new July start date.

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