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Medicare

May 07, 2020 | Daily News

HHS earlier this month began disbursing the latest round of provider funding to rural providers and hospitals hardest hit by COVID-19, which the rural hospital lobby applauded as immediate relief but now hopes Congress will focus on long-term aid.

May 06, 2020 | Daily News

House Majority Leader Steny Hoyer (D-MD) said Wednesday (May 6) that Democratic priorities for the next coronavirus stimulus package include funding for states and territories, as well as expanded testing and contact tracing.

May 05, 2020 | Daily News

Lawmakers, providers and hospitals want additional funding for Medicaid and behavioral health included in the upcoming coronavirus stimulus package, as well as funding for providers, although they don’t say how much.

May 04, 2020 | Daily News

House lawmakers released a concept paper for a second iteration of the 21st Century Cures Act, dubbed Cures 2.0, with provisions to increase the health literacy of Medicare and Medicaid beneficiaries and questions on how to update coverage and reimbursement rules in federal health programs.

May 04, 2020 | Daily News

The American Hospital Association told CMS on Saturday (May 2) that it shouldn’t require hospitals to divert time and attention away from COVID-19 to deal with a 340B drug acquisition cost survey -- which 340B hospitals are expected to fill out by May 15 -- and the group reiterated its concerns that the survey violates Medicare and Administrative Procedures Act statute.

May 01, 2020 | Daily News

Friday (May 1) is the deadline for those who are interested to apply for the CMS innovation center’s Direct Contracting demonstration, but some have had issues applying for the program and stakeholders worry they don’t have all the necessary information to make participation decisions.

May 01, 2020 | Daily News

CMS set up an independent commission to assess the response of nursing homes to COVID-19 the same day the Trump administration promised more personal protective equipment for those providers, though the nursing lobby says the administration’s promise is not enough.

May 01, 2020 | Daily News

The White House Office of Management and Budget recently started reviewing a proposed rule on durable medical equipment pay policies, and CMS’ regulatory agenda says the proposal is tied to the 21st Century Cures Act.

May 01, 2020 | Daily News

The White House Office of Management and Budget on Wednesday (April 29) began its review of final 2021 and 2022 regulatory changes to Medicare Advantage and Part D -- a rule proposed earlier this year in lieu of the call letter that has typically been released alongside the annual MA and Part D rate notice.

May 01, 2020 | Daily News

CMS has extended the deadline to Sept. 1 for most hospitals to apply for a hardship exemption from the Promoting Interoperability -- formerly meaningful use -- program due to the COVID-19 pandemic.

April 30, 2020 | Daily News

In another set of wide-ranging emergency waivers and policy changes aimed at tackling the coronavirus pandemic, CMS announced Thursday (April 30) that it is expanding how Medicare pays for COVID-19 diagnostic tests, encouraging hospitals to increase their capacity, and codifying a new requirement for nursing homes to inform residents and their families of any confirmed or suspected COVID-19 cases in their facilities.

April 30, 2020 | Daily News

CMS will mitigate losses by accountable care organizations from January until the end of the COVID-19 public health emergency, the agency says in broad interim final rule released Thursday (April 30), and the agency also says it will exclude beneficiaries’ COVID-19 inpatient care episodes from ACO spending, give ACOs the option not to take on increased risk in 2021, allow ACOs with expiring contracts to extend them through 2021 and use telehealth claims to help assign beneficiaries to the correct ACOs.

April 30, 2020 | Daily News

The Federal Emergency Management Agency (FEMA) will deliver “care packages” containing four items of personal protective equipment to 15,000 nursing homes nationwide, said FEMA Administrator Peter Gaynor on Thursday (April 30).

April 30, 2020 | Daily News

Some doctors are urging CMS to once again make Part B Medicare loan programs available, and for-profit hospitals are urging Congress to step in and ease the conditions associated with the Part A Medicare loans that CMS has under review.

April 30, 2020 | Daily News

Lawmakers and provider groups are calling on HHS to raise Medicare reimbursement for providers who provide audio-only telehealth services as well as allow providers to submit diagnoses from those visits for risk adjustment purposes.

April 30, 2020 | Daily News

CMS on Thursday (April 30) moved to further expand telehealth in a sweeping rule to ease access to telehealth for Medicare beneficiaries amid COVID-19.

April 30, 2020 | Daily News

A federal appeals court should revive a controversial overpayment rule in Medicare Advantage because, without the rule in place, CMS has limited ability to stop MA plans from engaging in one-sided medical reviews that artificially inflate their payments, the agency says in a recent legal brief.

April 29, 2020 | Daily News

Nursing homes expect the Federal Emergency Management Agency (FEMA) to begin distributing much-needed personal protective gear starting next month, although the agency has been silent about its plans.

April 29, 2020 | Daily News

The Better Medicare Alliance is asking CMS to take steps to stabilize Medicare Advantage rates for 2021, including putting out guidance for plans around the COVID-19 pandemic and paying for all vaccines and COVID-19 treatments separately from MA.

April 28, 2020 | Daily News

The American Hospital Association is pressing CMS to go beyond the extreme and uncontrollable circumstances policy it put in place for the Comprehensive Care for Joint Replacement demonstration and hold hospitals harmless for any penalties in the program in 2020 due to COVID-19.

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