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Medicare

May 18, 2020 | Daily News

Nursing homes should test all residents and staff for COVID-19 prior to reopening for visitors, according to guidance put out by the Trump administration on Monday (May 18) meant to mitigate transmissions as some states start to relax social distancing restrictions.

May 18, 2020 | Daily News

Beneficiary advocates are pleased House Democrats’ HEROES Act includes a Medicare Special Enrollment period for Parts A and B, as CMS had already released a nationwide SEP for Medicare Advantage and Part D plans and some said the agency lacked authority to go further to open up Medicare enrollment.

May 15, 2020 | Daily News

The House passed the Democrat-backed Heroes Act on Friday (May 15), despite opposition from the Republicans and little chance of passage in the Senate.

May 15, 2020 | Daily News

House Republicans Friday (May 15) blasted Democrats for slipping into their sweeping COVID-19 response package new language that creates a federal backstop to prevent insurer losses, saying the move shows the Democrats are about “corporations first.”

May 14, 2020 | Daily News

A handful of Democrats unveiled a health data privacy bill Thursday (May 14), after Senate Republicans released their own data privacy bill and amid concerns about data collected for COVID-19 contact tracing purposes.

May 14, 2020 | Daily News

Accountable care organizations, health systems, doctors, teaching hospitals and others are pleased with CMS’ moves to mitigate the effects of the COVID-19 outbreak on ACOs, but they also say more steps could be taken to keep the providers interested in value-based pay.

May 14, 2020 | Daily News

CMS on Wednesday (May 13) unveiled a 74-page toolkit laying out COVID-19 infection control, reporting and cleaning best practices for nursing homes as the nursing home lobby continues its call for additional funding to tackle the pandemic.

May 12, 2020 | Daily News

A sweeping proposal by House Democrats unveiled Tuesday (May 12) would provide funding to states to expand testing and again replenish the provider relief fund, although Republicans have made it clear the bill won’t go far.

May 12, 2020 | Daily News

House Democrats on Tuesday (May 12) unveiled a sweeping proposal for their second iteration of the CARES Act, dubbed the HEROES Act, which includes Medicare provisions that put a spotlight on nursing homes, including provisions that would create nursing home strike teams and incentivize nursing homes to create COVID-19-only facilities.

May 12, 2020 | Daily News

House Democrats’ latest COVID-19 stimulus bill would give providers at least a year to start repaying Medicare Part A and Part B loans, lower the interest rate and allow providers to pay back a smaller amount at a time until the funds are repaid.

May 12, 2020 | Daily News

Hospitals scored a win Monday (May 11) when CMS proposed a new national unadjusted pay rate for hospitals that administer chimeric antigen receptor T-cell (CAR-T) treatments for cancer that would increase the reimbursement rate.

May 11, 2020 | Daily News

CMS pulled back from its plans to update the overall hospital star ratings program in the proposed fiscal 2021 hospital inpatient pay rule, released Monday (May 11), as the agency says it limited annual rulemaking to essential policies due to the COVID-19 pandemic.

May 11, 2020 | Daily News

CMS is considering using data on the rates hospitals negotiate with private insurers, including Medicare Advantage plans, to help set future Medicare fee-for-service payment rates for hospital procedures.

May 11, 2020 | Daily News

House Ways & Means Committee Chair Richard Neal (D-MA) called on CMS to slow down allowing hospitals and health systems to reopen for non-emergency services until facilities meet certain requirements.

May 11, 2020 | Daily News

House Ways & Means Committee Chair Richard Neal (D-MA) called on CMS to slow down allowing hospitals and health systems to reopen for non-emergency services until facilities meet certain requirements.

May 08, 2020 | Daily News

HHS on Thursday (May 7) distributed $583 million to over a thousand community health centers to bolster COVID-19 testing.

May 08, 2020 | Daily News

Nursing homes could face fines of $1,000 per day if they fail to report weekly COVID-19 data, according to guidance CMS provided on Thursday (May 8) that includes specifics on what nursing homes should be reporting to the Centers for Disease Control and Prevention and how frequently.

May 08, 2020 | Daily News

An analysis by the law firm Foley Hoag says CMS has the authority to use multiple years of data to calculate Medicare Advantage plans’ risk adjustment and to further increase those risk adjustment scores by changing the normalization factor -- policies requested by the Better Medicare Alliance to account for uncertain 2021 costs due to COVID-19 disruptions -- through various waivers and demonstrations.

May 07, 2020 | Daily News

After hearing arguments on the validity of CMS’ price transparency rule for hospitals, a federal judge said Thursday (May 7) he plans to rule quickly but gave no indication of which way he was leaning.

May 07, 2020 | Daily News

Democratic lawmakers are pushing a bill to improve oversight and infection control in nursing homes, expanding on some of the requirements CMS has put out in response to COVID-19 and blocking some of the proposals previously pushed by the agency.

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