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Medicare

March 11, 2021 | Daily News

House Democrats plan to take up legislation next week to extend the Medicare sequester moratorium through the end of the year and to waive the PAY-GO scorecard for the newly signed American Rescue Plan so that it doesn’t create an additional sequester cut, lobbyists say.

March 11, 2021 | Daily News

Lee Fleisher, CMS chief medical officer and director of its Center for Clinical Standards & Quality, told insurers Tuesday (March 9) that peer-to-peer outreach is crucial for convincing reluctant people to take the COVID-19 vaccine.

March 11, 2021 | Daily News

A new coalition of health care companies is advocating for increased Medicare coverage and reimbursement of at-home outpatient services, entering the health lobbying scene as the pandemic spurs interest in home-based care.

March 11, 2021 | Daily News

CMS Chief Medical Officer Lee Fleisher weighed the benefits -- and drawbacks -- of telehealth Tuesday (March 9) at the America’s Health Insurance Plans conference as he and Danielle Lloyd, AHIP’s senior vice president of private market innovations and quality initiatives for clinical affairs, discussed the quality action plan that is in the works at CMS.

March 10, 2021 | Daily News

It its first update since September, CMS said nursing homes should allow indoor visits for residents, with limited exceptions -- though the document says outdoor visits are preferred even when residents and visitors are fully vaccinated against COVID-19.

March 10, 2021 | Daily News

A senior Democratic aide says the House plans to take up an extension of the Medicare sequester moratorium in the next few weeks, after providers unsuccessfully pushed for the extension to be part of the American Rescue Plan.

March 10, 2021 | Daily News

Former Biden adviser Chris Jennings and Matt Eyles, head of the nation’s largest insurance lobby, agreed on Tuesday (March 9) that Congress will face pressure to maintain the more generous ACA premium tax credits that is slated to pass as part of the American Rescue Plan but will expire in just two years.

March 09, 2021 | Daily News

Medicare Payment Advisory Commission members supported draft recommendations for a new value incentive program to reward skilled nursing facilities for good performance, and they said their lingering concerns about rewarding low-performing homes that serve high proportions of dually eligible beneficiaries could be tackled in the future through upfront payments and public reporting of nursing home performance scores.

March 08, 2021 | Daily News

For the first time in history, a majority of New York state legislators are backing the New York Health Act, which would transition the state to a single payer system funded by a Medicare-like tax, bill supporters said Monday (March 8).

March 08, 2021 | Daily News

House lawmakers are trying to balance their interest in continuing telehealth expansion beyond the pandemic with concerns such services could be overused or used improperly, coming as Department of Justice officials say stopping telehealth false claims is a priority.

March 05, 2021 | Daily News

The Medicare Payment Advisory Commission generally supported a draft recommendation to reform Medicare Advantage benchmarks, as staff stood by their conviction that the current system pushed up MA costs compared to fee-for-service Medicare.

March 05, 2021 | Daily News

Early data indicate that Quality Improvement Organization assistance to nursing homes led to a decline in COVID-19 cases in those homes as compared to homes that didn’t work with QIOs, a CMS staff member said at the CMS Quality Conference Wednesday (March 3).

March 05, 2021 | Daily News

Every member of the Medicare Payment Advisory Commission said Friday (March 5) they support recommendations that Medicare Part B cover all vaccines, without cost sharing for preventive vaccines, and that Medicare pay doctors 103% of wholesale acquisition cost to administer preventive vaccines, although they have yet to vote on the proposals.

March 05, 2021 | Daily News

Medicare Payment Advisory Commission staff found that rural beneficiaries have a harder time accessing specialty care than do urban beneficiaries, though the two groups reported similar satisfaction with overall care, and that a decline in inpatient admissions preceded rural hospital closures.

March 04, 2021 | Daily News

Congress’ Medicare pay advisors generally favored telling HHS to pare down the Center for Medicare and Medicaid Innovation’s collection of demonstrations and focus on a smaller number of more coordinated models -- though Chair Michael Chernew said the commission has a lot of work to do on alternative payment models.

March 04, 2021 | Daily News

Private online broker eHealth has formed a new bipartisan advisory committee of public policy experts that will inform the company, the public and policymakers on best practices for improving health care.

March 03, 2021 | Daily News

Insurers are working to get 2 million vulnerable seniors COVID-19 vaccines as part of a new Vaccine Community Connectors pilot that was praised by White House COVID-19 Response Senior Advisor Andy Slavitt Wednesday (March 3).

March 03, 2021 | Daily News

Insurance plans assert the Medicare Payment Advisory Commission unfairly compared Medicare Advantage and traditional fee-for-service Medicare in a September presentation that said MA plans spend more than traditional Medicare, but MedPAC says it stands by its calculations.

March 02, 2021 | Daily News

Former Obama administration health staffer and Affordable Care Act architect Elizabeth Fowler officially took the helm of CMS’ powerful Center for Medicare and Medicaid Innovation Tuesday (March 2), shortly after the innovation center put the Trump-era's Geographic Direct Contracting model on hold and stakeholders proposed ways for the center to revamp the Radiation Oncology demo.

March 01, 2021 | Daily News

Biden’s CMS decided to revisit the Trump administration’s controversial Geographic Direct Contracting model on March 1, the same day applications could be submitted, which a lobbyist said doesn’t bode well for the demo’s future.

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