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Medicare

July 30, 2019 | Daily News

The US Court of Appeals for the District of Columbia on Tuesday (July 30) told a lower court to take another look at the American Clinical Laboratory Association’s lawsuit over lab reporting policies the group says have driven down CMS’ pay for clinical lab services.

July 30, 2019 | Daily News

The leaders of the Senate Finance and health committees met Tuesday (July 30) to begin cross-committee talks on drug pricing, the chairmen said.

July 30, 2019 | Daily News

CMS announced a voluntary pilot on Tuesday (July 30) as part of the MyHealthEData initiative out of the White House that will let providers access Medicare claims data starting in January 2020.

July 29, 2019 | Daily News

Hospitals would have to publicly post pay-specific negotiated prices of their “shoppable services,” including x-rays or caesarean deliveries, under CMS’ proposed 2020 outpatient rule, as the agency also doubles down on its site-neutral and 340B pay cut policies that hospitals have slammed.

July 29, 2019 | Daily News

CMS on Monday (July 29) proposed to increase Medicare payments for doctor’s office visits and abandoned its plan to pay a blended rate for certain levels of office visits starting next year.

July 29, 2019 | Daily News

CMS proposed a payment rule Monday (July 29) meant to encourage dialysis facilities to adopt new equipment and supplies while also increasing pay for those facilities and updating the pricing system for medical devices.

July 29, 2019 | Daily News

Democratic primary candidate Sen. Kamala Harris (D-CA) is pushing a variation of Medicare for All that would both create a public option and preserve a Medicare Advantage-adjacent private insurance option.

July 29, 2019 | Daily News

Freshman Democratic Rep. Katie Porter (CA) last week dived straight into an ongoing controversary over industry-funded premium assistance programs by asking HHS’ Office of Inspector General to investigate the American Kidney Fund and suspend the advisory opinion that lets AKF take contributions from dialysis firms without facing anti-kickback penalties.

July 29, 2019 | Daily News

Drug makers would pay a significantly larger share of costs in Medicare Part D under the Senate Finance Committee’s new drug-pricing plan, according to Senate Finance Chair Chuck Grassley’s (R-IA) office.

July 26, 2019 | Daily News

Democratic presidential candidate Sen. Michael Bennet (D-CO) released a rural health plan Friday (July 26) that includes proposed improvements to Medicare and Medicaid, particularly for seniors and new mothers, following on the heels of other presidential hopefuls who have released health plans to address rural populations, seniors, and mothers.

July 26, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) on Thursday (July 25) warned fellow GOP senators that the drug pricing bill he negotiated with ranking Democrat Ron Wyden (OR) is moderate compared to policies being considered by the Trump administration and House Democrats.

July 25, 2019 | Daily News

Freedom Caucus Chair Mark Meadows (R-NC) said Thursday (July 25) it is “very likely” the Trump administration will take its own steps to lower drug prices in Part D, though the details are in flux. Meadows said he attended a drug-pricing meeting Wednesday between President Donald Trump and drug lobbyists that was first reported by Politico.

July 25, 2019 | Daily News

Medicare Advantage plans and some Medicare advocates are asking CMS to work with plans on a framework to sustainably implement supplemental benefits for the chronically ill in 2020, coming as the Bipartisan Policy Center calls for Congress to follow MA’s lead and also authorize non-medical benefits for Medicare fee-for-service beneficiaries with chronic illnesses.

July 25, 2019 | Daily News

Thirteen Republican senators and one Democrat voted Thursday (July 25) to kill President Donald Trump’s plan to connect Medicare payment for physician-administered drugs to foreign drug prices in a rebuke of one of the administration’s last remaining drug-pricing policies.

July 25, 2019 | Daily News

In a tie vote, an amendment to repeal a key measure of the Senate Finance Committee’s drug-pricing bill failed Thursday (July 25).

July 25, 2019 | Daily News

A measure to ban drug rebates that aren’t shared at the point of sale might be added to the Senate Finance Committee’s drug pricing bill before a floor vote, Senate Finance Chair Chuck Grassley (R-IA) and ranking Democrat Ron Wyden (OR) said Thursday (July 25) during the bill’s markup.

July 24, 2019 | Daily News

The Senate will not vote on drug pricing legislation before the August recess, key committee chairs said Wednesday (July 23).

July 23, 2019 | Daily News

The Center for American Progress (CAP) is touting an Avalere analysis that found the think tank’s universal health care proposal, under which Americans could choose between enrolling a beefed-up Medicare plan or keeping their existing coverage, would cost less than $3 trillion over 10 years and could be fully funded without having to levy taxes on the middle class.

July 23, 2019 | Daily News

The budget and debt ceiling deal reached by Congress and the White House extends sequestration on Medicare through 2029 to help pay for higher budget caps on FDA and other nondefense agencies -- a move the Congressional Budget Office says will increase spending by around 2% for most Medicare benefits through September 2027.

July 23, 2019 | Daily News

The White House expressed support on Tuesday (July 23) for the Senate Finance Committee’s new drug-pricing bill as did the generic drug lobby, but the brand-drug lobby came out against it.

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