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Medicare

April 17, 2019 | Daily News

CMS Administrator Seema Verma on Monday (April 15) touted the agency’s work on improving quality, oversight and transparency in nursing homes while the Government Accountability Office raised concerns that the agency isn’t completely sure if the state survey agency process is working in all states and CMS failed to deal with the fact that Oregon was not following federal requirements for abuse and complaint investigations for years.

April 16, 2019 | Daily News

A bipartisan group of House lawmakers Wednesday (April 10) reintroduced legislation to give CMS the authority to exempt alternative pay models and those under development from some Stark, or physician self-referral, law provisions, shortly after HHS Deputy Secretary Eric Hargan assured attendees at the American Hospital Association that the department would issue rules as fast as it can easing the Stark and anti-kickback statutes’ restrictions on value-based pay.

April 15, 2019 | Daily News

Stakeholders have been invited to a discussion on primary care and chronic illness with CMS’ innovation center at the American Medical Association next Monday (April 22).

April 15, 2019 | Daily News

A provision in the Trump administration’s point-of-sale rebate proposal questioning whether formulary placement-related rebates are protected by the anti-kickback statute generated strong reactions from the generic drug and pharmacy benefit manager lobbies, which are at odds on the issue.

April 15, 2019 | Daily News

Hospice providers are asking CMS to enhance hospice services with a longer life expectancy, more access to palliative care and the ability for beneficiaries to receive curative and hospice care at the same time under a new benefit that will be offered in 2021 as part of the expanded Value-Based Insurance Design demonstration.

April 12, 2019 | Daily News

Sen. Elizabeth Warren (D-MA), along with several other 2020 Democratic presidential primary candidates, reintroduced a wide-ranging bill to reform the Affordable Care Act exchanges.

April 12, 2019 | Daily News

CMS will start accepting on June 11 perspective notices from accountable care organizations that intend to join the revamped program in 2020, and the application window runs from July 1 through noon on July 29.

April 11, 2019 | Daily News

Congressional Medicaid advisers voted unanimously Thursday (April 11) to recommend removing the drug-rebate cap in Medicaid, a recommendation that also is backed by the Trump administration and a key House Republican, after several MACPAC members grew comfortable with removing the cap since initially expressing doubts at a March meeting.

April 11, 2019 | Daily News

The National Association of Accountable Care Organizations (NAACOS) recently sent a letter to CMS asking the agency to make a tobacco-use quality measure, which was changed by agency, into a pay-for-reporting measure rather than a pay-for-performance one since NAACOS said CMS didn’t adequately communicate changes and ACO performance scores have suffered.

April 11, 2019 | Daily News

More than 65 provider and hospital groups are pushing lawmakers to back legislation to add 15,000 additional Medicare-funded residency slots over five years, and American Hospital Association Executive Vice President Tom Nickels said a critical mass of lawmaker support is needed before providers can get to the serious conversation of how to get such legislation marked up and possibly paid for.

April 11, 2019 | Daily News

The Partnership for Quality Home Healthcare applauded a bipartisan home health bill introduced in the House Thursday (April 11) that would allow physician assistants, nurse practitioners, clinical nurse specialists and certified nurse midwives, as opposed to just physicians, to order home health services for Medicare beneficiaries.

April 10, 2019 | Daily News

White House and congressional Republicans immediately pounced on Democratic presidential candidate Bernie Sanders’ (VT) introduction of Medicare for All legislation along with four other Democratic candidates to argue that all Democrats support a government takeover of health care, and they attempted to portray GOP ideas as a realistic alternative.

April 10, 2019 | Daily News

House Energy & Commerce oversight Chair Diana DeGette (D-CO) said Wednesday (April 10) she hopes to have ready by July or September bipartisan legislation that makes insulin affordable.

April 10, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) said Wednesday (April 10) if senators cannot reach consensus on a package to lower prescription drug costs by June, such a package may not pass this year.

April 10, 2019 | Daily News

CMS announced a pilot program Wednesday (April 10) to test providers’ compliance with Health Insurance Portability and Accountability Act (HIPAA) rules when conducting electronic transactions.

April 10, 2019 | Daily News

Sen. Bernie Sanders (I-VT) reintroduced his Medicare for All legislation along with 14 other Democratic senators, pushing the party’s most-left health care proposal once again as other Democrats focus on more-moderate public options.

April 09, 2019 | Daily News

Senate Majority Leader Mitch McConnell (R-KY) bashed Medicare for All and other universal health care proposals Tuesday (April 9) at the American Hospital Association’s (AHA) annual meeting and urged hospital groups to lobby against the progressive Democrats’ proposals.

April 09, 2019 | Daily News

CMS laid out its vision for the hospice benefit in the expanded Value-Based Insurance Design demonstration on Tuesday (April 9), which is designed to allow Medicare Advantage beneficiaries to opt-in to receive palliative and supportive care services.

April 09, 2019 | Daily News

Providers, advocates and plans called for relaxed licensing and originating site policies as well as a national coordinating body on telehealth in response to questions from lawmakers on how to expand access to telehealth.

April 09, 2019 | Daily News

The House Ways & Means Committee on Tuesday (April 9) unanimously approved drug-pricing legislation that would demand price transparency from drug makers and pharmacy benefit managers.

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