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Medicare

September 24, 2020 | Daily News

The Senate put off until Tuesday (Sept. 22) its vote on a continuing resolution to fund the government through Dec. 11 and extend funding for several Medicare and Medicaid programs, among other health care riders.

September 24, 2020 | Daily News

The average monthly Medicare Advantage premium is expected to drop by just under $3.00 in 2021 compared to this year, CMS said Thursday (Sept. 24), coming to $21.00 per month.

September 24, 2020 | Daily News

CMS Administrator Seema Verma warned in an op-ed earlier this month that nursing homes restricting visitors without a reasonable health or safety reason will face citations, after the agency issued guidance telling nursing homes to again allow visitation.

September 23, 2020 | Daily News

Congress is expected to soon send to the president a continuing resolution to fund the government through Dec. 11 that also includes funding extensions for several Medicare and Medicaid programs, a delay in cuts to Medicaid disproportionate share hospitals, and an extension for repayment and lowered interest for certain COVID-19 provider relief payments, among other health care riders.

September 22, 2020 | Daily News

Key House and Senate Democrats say the Medicare loan programs instituted during the pandemic could cost $6 billion more than lawmakers were initially told and could cause Part B premiums to increase by as much as $50 per month absent congressional intervention, and they ask CMS to respond by Oct. 2 on how it is handling those loans.

September 22, 2020 | Daily News

CMS on Tuesday (Sept. 22) announced it will expand Medicare prior authorization for repetitive, scheduled, non-emergency ambulance transportation nationwide after a demonstration saved Medicare about $650 million over four years while preserving access and quality.

September 22, 2020 | Daily News

Two Democratic senators released a report Tuesday (Sept. 22) lambasting the Trump administration for lacking a comprehensive plan to protect nursing home residents, saying data collected both from CMS and the Centers for Disease Control and Prevention found 11 nursing homes residents died every hour from COVID-19 in July and August.

September 22, 2020 | Daily News

The White House Office of Management and Budget on Monday (Sept. 21) started reviewing the second part of the Medicare Advantage and Part D rate notice and pay policies for 2022, though the Trump administration potentially could be out of office when that regulation is released.

September 21, 2020 | Daily News

House Democrats on Monday (Sept. 21) introduced a continuing resolution to fund the government through Dec. 11 that includes Medicare and Medicaid funding extensions supported by the White House.

September 21, 2020 | Daily News

Administration officials haven’t figured out how to make coronavirus vaccinations free to Medicare fee-for-service beneficiaries, though HHS Deputy Chief of Staff for Policy Paul Mango said they would pay no more than $3.50.

September 18, 2020 | Daily News

CMS on Friday (Sept. 18) announced it will start on Jan. 1 a mandatory demonstration aimed at increasing the use of home dialysis and kidney transplants -- which the agency says should give providers plenty of time to prepare -- and also revealed it will include 30% of dialysis facilities and providers managing adults with End-Stage Renal Disease in the model rather than its proposed 50% while rejecting the idea of a voluntary approach.

September 18, 2020 | Daily News

Oncologists vowed to go to Congress if CMS doesn’t delay its plans to kick off in January a mandatory radiation oncology 90-day pay bundle demonstration for those providers, as they say starting a new model during the pandemic won’t work.

September 18, 2020 | Daily News

Beneficiary advocates say an independent report on the federal response to the COVID-19 pandemic in nursing homes puts too little responsibility on nursing homes and on CMS’ role in mitigating the crisis, even as CMS says the report validates its own actions.

September 17, 2020 | Daily News

An independent nursing home commission that reviewed the federal government’s response to the COVID-19 pandemic on Wednesday (Sept. 16) called for improved testing and screening within nursing homes among over two dozen recommendations, which the nursing home lobby said validates what it’s been demanding for months.

September 17, 2020 | Daily News

CMS on Thursday (Sept. 17) announced it was revising guidance on visitations in nursing homes during the COVID-19 pandemic to allow both indoor and outdoor visits with residents, citing the emotional toll that isolating nursing home residents has taken.

September 17, 2020 | Daily News

Senate Finance Committee ranking Democrat Ron Wyden (OR) on Thursday (Sept. 17) said the next president will be forced to tackle Medicare’s biggest financial crisis and he argued that the program must be protected from President Donald Trump.

September 16, 2020 | Daily News

The American Hospital Association, Association of American Medical Colleges and America’s Essential Hospitals asked the full U.S. Court of Appeals for the District of Columbia Circuit to rehear their lawsuit over cuts to hospitals’ Medicare reimbursement for 340B drugs, arguing the court’s initial decision doesn’t match up with previous court rulings and doesn’t take into account the exceptional importance of the issue at hand.

September 15, 2020 | Daily News

The White House Office of Management and Budget is reviewing a CMS proposal to decouple Medicare Part A enrollment and Social Security benefits, which would allow beneficiaries to decline Part A coverage while still accessing their other benefits.

September 15, 2020 | Daily News

CMS Administrator Seema Verma on Tuesday (Sept. 15) said CMS is looking at creating a new, outcomes-based reimbursement strategy for COVID-19 tests and hinted any policy changes on reimbursement will move quickly.

September 15, 2020 | Daily News

The American Hospital Association says the Medicare Payment Advisory Commission’s estimate that hospitals lost up to $30 billion in April but will recover with CARES Act funding is skewed because it considers only a few hospitals, does not consider that losses began in late March and assumes patient volume has uniformly returned.

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