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Medicare

March 30, 2021 | Daily News

Only about 40% of hospitals that applied to be exempt from certain site-neutral provisions for off-campus departments were granted that exemption, but the American Hospital Association says CMS was too slow in conducting audits to affirm the requests so it should either reverse the denials to the remaining 60% or allow hospitals that were denied exceptions to appeal.

March 25, 2021 | Daily News

Longtime Democratic operative Chris Jennings has joined the governance board of the Institute for Clinical and Economic Review, an independent organization that assesses drug values and that could become a key part of Democrats’ plan to control drug prices.

March 25, 2021 | Daily News

As providers and lobbyists anticipated, the Senate on Thursday (March 25) passed an extension of the Medicare sequester moratorium through the end of the year, but the legislation doesn’t include a House provision that would also head off additional sequester cuts created by the American Rescue Plan.

March 25, 2021 | Daily News

A bipartisan group of representatives introduced a bill Wednesday (March 24) that would allow Medicare Advantage plans to count diagnoses from audio-only telehealth services towards risk adjustment for at least plan years 2020 and 2021 and allow providers to be reimbursed at the same rate for audio-only telehealth and in-person care during the public health emergency.

March 24, 2021 | Daily News

Sen. Amy Klobuchar (D-MN) on Monday (March 22) reintroduced legislation to let Medicare negotiate drug prices, and the bill has 32 Democratic senator cosponsors, including Sen. Joe Manchin (D-WV), who has frustrated Democrats on other policies.

March 24, 2021 | Daily News

Advocates are pushing to advance health equity for people with intellectual and developmental disabilities through policies like COVID-19 vaccine prioritization, increased access to home- and community-based services and better coverage and delivery of care.

March 23, 2021 | Daily News

The American Hospital Association is hoping the Senate will pass an extension of the Medicare sequester moratorium in the next few days and CMS will take that as a signal to hold off on any provider pay cuts until after the House passes the Senate version of the legislation.

March 23, 2021 | Daily News

American Medical Association CEO and Executive Vice President James Madara said he thinks price transparency is coming to the entire health care system, including private-practice physicians, during a panel at the American College of Healthcare Executive’s conference on Monday (March 22).

March 22, 2021 | Daily News

Members of the American Medical Rehabilitation Providers Association urged lawmakers to extend the timeline of the IMPACT Act, change prior authorization requirements and withdraw CMS’ review choice demonstration for inpatient rehabilitation hospitals during an advocacy conference last Wednesday (March 17).

March 19, 2021 | Daily News

The House on Friday (March 19) passed 246-175 legislation to extend the Medicare sequester moratorium through the end of the year and keep the cost of the American Rescue Plan from leading to further cuts, but the bill faces an uphill battle in the Senate and some Medicare experts question the fiscal wisdom of continuing to put off the 2% sequester cut that has been on hold during the pandemic.

March 18, 2021 | Daily News

The preliminary injunction in favor of Eli Lilly’s lawsuit against a 340B rule could help pharmaceutical benefit managers in a separate legal challenge to HHS’ Medicare Part D rebate-ban rule.

March 18, 2021 | Daily News

Sen. Elizabeth Warren (D-MA), other Democratic senators and witnesses questioned the role of private equity ownership and mishandled federal funds in the pandemic’s toll on nursing homes at a Senate Finance Committee hearing Wednesday (March 17), and Warren plans a deeper probe into the issue.

March 18, 2021 | Daily News

The Senate confirmed Xavier Becerra as HHS secretary in a 50-49 mostly party-line vote Thursday (March 18), with Sen. Susan Collins (R-ME) being the only Republican senator to support Becerra’s nomination and Sen. Mazie Hirono (D-HI) not voting.

March 16, 2021 | Daily News

CMS is scrapping the Trump administration’s 11th-hour plan to test waivers that would let Part D plans ignore key Medicare patient safeguards: the six protected drug classes and the requirement that formularies cover at least two drugs in all other classes.

March 15, 2021 | Daily News

The Medicare Payment Advisory Commission’s annual March report, released Monday (March 15), says telehealth flexibilities should be extended after the COVID-19 public health emergency expires but should not yet be made permanent; however, the commission did not make official recommendations in the report.

March 15, 2021 | Daily News

White House adviser Andy Slavitt said Monday (March 15) that Medicare will nearly double reimbursement for administering coronavirus vaccines, from about $23 per shot to $40 per shot, to entice vaccinators to reach people in rural areas and speed up the national vaccination campaign.

March 12, 2021 | Daily News

CMS delayed a final rule Friday (March 12) that would provide instant Medicare coverage of FDA-designated breakthrough technology for four years in order to hold a 30-day public comment period on the rule that the Trump administration finalized shortly before leaving office.

March 12, 2021 | Daily News

House Democrats’ bill to extend the Medicare sequester moratorium and waive the cost of the American Rescue Plan likely would need to be changed to make it through the upper chamber, those closely following the issue say, as one lobbyist notes Republicans aren’t necessarily in favor of waiving the PAY-GO scorecard for the newly signed COVID-19 relief bill.

March 12, 2021 | Daily News

Many hospitals are dragging their feet on the new hospital price transparency requirements and compliance is low overall, though some major providers have begun to comply, Deloitte representatives said at the America’s Health Insurance Plans conference Thursday (March 11).

March 12, 2021 | Daily News

The American Psychological Association CEO advocated for increased funding for mental health and substance abuse treatment and prevention, better enforcement of mental health parity laws and racial equity in treatment at a House Appropriations subcommittee hearing on COVID-19 and the mental health and substance use crises Thursday (March 11).

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