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Medicare

May 14, 2021 | Daily News

HHS plans to rescind a midnight regulation by the Trump administration that makes health centers pass 340b discounts for insulin and epinephrine to patients, according to a proposal being reviewed by the White House budget office.

May 13, 2021 | Daily News

CMS is taking nominations to fill three open seats on the Advisory Panel on Outreach and Education (APOE), which makes recommendations to HHS and CMS on how to improve consumer education for the insurance exchanges, Medicare, Medicaid and CHIP. The agency will take submissions through June 11.

May 13, 2021 | Daily News

Post-acute care trade organizations have come together in support of legislation that would reset the implementation timeline for the development of a unified post-acute care payment system so the system prototype can reflect recent payment changes for post-acute providers and the effects of the COVID-19 pandemic.

May 12, 2021 | Daily News

Texas representatives grilled HHS Secretary Xavier Becerra Wednesday (May 12) over CMS’ recent decision to revoke a Trump-era uncompensated care waiver for the state, coming as the Senate simultaneously moved toward a vote to confirm Chiquita Brooks-LaSure as CMS chief despite Sen. John Cornyn’s (R-TX) hold on floor action due to the waiver.

May 12, 2021 | Daily News

The Senate voted 51 to 48 Wednesday (May 12) to advance the nomination of Chiquita Brooks-LaSure for CMS administrator after Sen. Chuck Schumer (D-NY) made a motion to discharge her nomination from the Finance Committee, with Sen. Susan Collins (R-ME) and Sen. Jerry Moran (R-KS) joining Democrats to vote in favor of the motion.

May 11, 2021 | Daily News

CMS on Tuesday (May 11) released an interim final rule that requires long term care facilities and intermediate care facilities treating those with intellectual disabilities to submit weekly reports on the COVID-19 vaccination status of residents and staff, and to educate those individuals about the vaccine and offer shots when supplies are available.

May 10, 2021 | Daily News

More than 12,000 Medicare Part D beneficiaries aged 65 and older who were long-stay nursing home residents had a Part D claim for an antipsychotic drug but were not reported as having received the drug in CMS’ dataset in 2018, according to an HHS Office of Inspector General report that says CMS data on antipsychotic drug use in nursing homes is incomplete.

May 07, 2021 | Daily News

CMS is encouraging stakeholders to provide feedback on the White House Office of Management and Budget’s request for information on ways to improve equity and support underserved communities.

May 07, 2021 | Daily News

The America’s Physician Groups Direct Contracting Coalition is recommending ways to improve the direct contracting model in its first year and in future years, saying CMS’ decision to stop accepting additional applications and related issues are raising concerns.

May 06, 2021 | Daily News

CMS on Thursday (May 6) more than doubled the reimbursement for home infusion of COVID-19 monoclonal antibodies to treat those with coronavirus, from a national average payment rate of $310 to $750 and raised the pay rate for most health care settings from $310 to $450.

May 06, 2021 | Daily News

The White House Office of Management and Budget is reviewing this administration’s version of a final rule to establish instant Medicare coverage of FDA breakthrough devices for four years and define the so-called reasonable and necessary criteria for Medicare coverage.

May 06, 2021 | Daily News

CMS released Wednesday (May 5) a long-awaited COVID-19 waiver that lets Medicare reimburse ground ambulances for treating a patient in place when a community’s pandemic emergency protocols keep an ambulance from taking a lower acuity patient to a medical facility.

May 05, 2021 | Daily News

Long term care hospitals are pleased to see a provision in CMS’ fiscal 2022 proposed inpatient hospital pay rule that would require state Medicaid programs allow all Medicare providers to enroll in Medicaid, so long as they meet that program’s federal requirements.

May 05, 2021 | Daily News

The United States of Care is recommending the Center for Medicare and Medicaid Innovation branch out into more Medicaid-focused models, test Medicare Advantage care options within traditional Medicare and test virtual care in the wake of the COVID-19 pandemic in order to boost health equity.

May 04, 2021 | Daily News

Accountable care organizations are asking CMS to walk back its quality reporting revamp that is set to be fully implemented next year, with multiple groups saying the planned move to electronic quality reporting measures will create more work for ACOs, will cost ACOs a large amount of money upfront and won’t necessarily help with care.

April 29, 2021 | Daily News

CMS on Thursday (April 29) finalized an extension of the Comprehensive Care for Joint Replacement demonstration and said results from the additional three years of testing could justify expanding the demonstration under a revised pay method.

April 29, 2021 | Daily News

CMS issued an interim final rule Tuesday (April 27) that would let urban hospitals be treated as rural hospitals throughout the entire process of seeking a higher Medicare wage reimbursement rate.

April 28, 2021 | Daily News

President Joe Biden said he wants to move on drug price negotiation this year and use savings to shore up the Affordable Care Act beyond a permanent extension of enhanced tax credits included in the American Rescue Plan and expand Medicare coverage benefits.

April 28, 2021 | Daily News

Nursing homes say $400 billion -- which President Joe Biden has targeted at home and community care in his infrastructure proposal -- is large enough to include investments in their facilities as well as care in individuals’ homes, but other long-term care stakeholders say home- and community-based services have long been underfunded and should be prioritized.

April 28, 2021 | Daily News

The American Health Care Association and National Center for Assisted Living says nursing homes need additional provider relief, funding for infection prevention and structural updates as the pandemic wears on and occupancy levels are down in nursing homes across the country.

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