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Medicare

June 01, 2021 | Daily News

The National Association of Accountable Care Organizations on Tuesday (June 1) asked CMS Administrator Chiquita Brooks-LaSure to give ACOs more time to apply to participate in the Medicare Shared Savings Program in 2022, saying it is concerned with shrinking turnaround times for application information and deadlines that have been set sooner than usual.

June 01, 2021 | Daily News

President Joe Biden’s fiscal 2022 HHS budget-in-brief doesn’t include specific Medicare legislative proposals, but the president laid out a health care agenda that calls for extending the life of the Medicare Trust Fund by changing Medicare pay to private insurers -- which some lobbyists said is a reference to changing Medicare Advantage payment -- and provider pay.

June 01, 2021 | Daily News

The Center for Medicare Advocacy said Thursday (May 27) nursing homes penalized by CMS for infection prevention and control deficiencies should not have been eligible for the $2 billion in provider relief incentive payments, but nursing homes said excluding certain facilities would only hurt residents.

May 28, 2021 | Daily News

CMS requests $16.3 million for opioid and substance use disorder support services in its fiscal 2022 budget -- a nearly $13 million increase from the 2021 enacted level -- indicating CMS wants to prioritize tackling the substance abuse crisis this year.

May 28, 2021 | Daily News

The eight states where CMS launched its Medicare prior authorization innovation model for repetitive non-emergency ambulance transport saved $746 million and reduced transport by 70%, an independent review of the pilot found, but the researchers warned that the prior authorization policy likely wouldn’t wring similar savings from states outside the demonstration, and it could hurt patient care.

May 27, 2021 | Daily News

More than 155 House Democrats are pressuring the president to add Medicare benefits, paid for with government drug price negotiation, to his American Families Plan as Democrats try to regain a grip on drug pricing on the eve of President Joe Biden proposing his budget.

May 25, 2021 | Daily News

The Senate confirmed Chiquita Brooks-LaSure as CMS administrator Tuesday (May 25) 55-44, after her confirmation vote was delayed due to objections over a revoked Texas Medicaid waiver extension.

May 24, 2021 | Daily News

Senate Finance Committee ranking Republican Mike Crapo (ID) and House Ways & Means ranking Republican Kevin Brady (TX) say that, after a note from the Treasury Department, they are concerned the Medicare Hospital Insurance Trustees Report may not be released for months -- but the Republicans say they need accurate information on the pandemic’s effect on the trust fund before any major health legislation is passed, and they need that information quickly.

May 24, 2021 | Daily News

The Senate advanced Chiquita Brooks-LaSure’s nomination to CMS administrator with a procedural vote Monday (May 24) that avoids a filibuster in the face of GOP opposition to her over the Biden administration’s cancellation of a Texas Medicaid waiver. The Senate voted 52 to 43 to invoke cloture on Brooks-LaSure's confirmation vote.

May 24, 2021 | Daily News

Lawmakers are urging HHS Secretary Xavier Becerra to consider exempting rural areas from upcoming pay cuts for physical and occupational therapy assistants -- coming as therapy groups are also seeking to meet with the administration and HHS on the issue as well as on changes to Medicare Part B direct supervision requirements.

May 21, 2021 | Daily News

CMS on Friday (May 21) said it will not extend the Next Generation Accountable Care Organization demonstrations beyond 2021, but it will allow participants in that demo to join the Global and Professional Direct Contracting (GPDC) Model in 2022, even though the agency had previously said it would not accept additional direct contracting applications for next year.

May 20, 2021 | Daily News

A bipartisan group of House lawmakers on Thursday (May 20) called on HHS Secretary Xavier Becerra to extend the Next Generation Accountable Care Organization demonstration, which is set to end this year, echoing some providers’ concerns that there will be no suitable alternative for demo participants after NextGen ACOs sunset.

May 20, 2021 | Daily News

The Senate is slated to vote Monday (May 24) at 5:30 P.M. on whether to invoke cloture on Chiquita Brooks-LaSure’s confirmation to be the next CMS administrator, the last procedural hurdle before a final vote on the nominee.

May 19, 2021 | Daily News

Senators from both parties expressed support for continuing telehealth flexibilities after the COVID-19 public health emergency during a Senate Finance Committee hearing Wednesday (May 19), though some lawmakers and witnesses want to see more data collected on the impact of flexibilities before any extensions are made permanent.

May 19, 2021 | Daily News

Research organization NORC at the University of Chicago on Tuesday (May 18) released an analysis that found dual eligible beneficiaries enrolled in Medicare Advantage plans were less likely to have health care disruption during COVID-19 than duals in fee-for-service Medicare.

May 18, 2021 | Daily News

America’s Phyician Groups’ Direct Contracting Coalition is defending the Trump innovation center’s direct contracting demonstrations in the face of concerns from four House lawmakers that the demo moves beneficiaries that opted for traditional Medicare to a Medicare Advantage-like model.

May 17, 2021 | Daily News

Key health policy experts from both sides of the political spectrum say a recent survey by the Purchasers Business Group on Health (PBGH) and the Kaiser Family Foundation (KFF) finding employers are increasingly open to government intervention to rein in health care costs could boost the prospects of Congress acting this year to lower prescription drug costs.

May 14, 2021 | Daily News

The Biden administration announced Friday (May 14) it’s delaying the Trump-era rule on Medicare instantly covering FDA-approved breakthrough devices until Dec. 15 despite a push by medical device makers and lawmakers to implement the pathway as soon as possible.

May 14, 2021 | Daily News

Providers applauded a bipartisan House bill reintroduced Thursday (May 13) that would create an electronic prior authorization system to streamline and increase transparency around prior authorization for Medicare Advantage plans.

May 14, 2021 | Daily News

Biden’s Department of Justice on Thursday (May 13) defended the Trump CMS’ Medicare Part B reimbursement cuts for 340B drugs and pay cuts for outpatient clinic visits at certain off-campus hospital facilities, saying there is no reason for the Supreme Court to take up either lawsuit.

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