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Medicare

April 28, 2021 | Daily News

Although drug pricing legislation is taking center stage, there are some policies, including appraisals and reporting requirements, that likely would need to be handled administratively because budget reconciliation rules would prohibit them, sources say.

April 28, 2021 | Daily News

The Biden administration’s American Families Plan, set to be unveiled Wednesday night, invests $200 billion to make permanent the rescue plan’s hiked Affordable Care Act tax credits, which the White House is framing as a tax cut for millions of families that would be offset through tax reforms.

April 27, 2021 | Daily News

Hospitals and health systems are pleased with a number of policies proposed by CMS in its fiscal 2022 inpatient hospital pay rule, including provisions allowing accountable care organizations to opt out of additional risk in fiscal 2022, repealing a requirement that hospitals share Medicare Advantage negotiated rates for services and temporarily suppressing certain quality measures the agency determined could have been affected by COVID-19.

April 27, 2021 | Daily News

The Institute for Clinical and Economic Review on Monday (April 26) released a slate of 10 policy reforms FDA and payers could undertake to strengthen FDA’s accelerated approval pathway.

April 26, 2021 | Daily News

Vermont Rep. Pete Welch (D-VT) said Monday (April 26) that House Democrats have numerous good ideas on how to spend the $456 billion or so that could be gleaned through government negotiation and other policies in their drug-pricing bill, but they need to focus on ensuring the legislation can pass before fighting over other health care investment priorities.

April 26, 2021 | Daily News

Medicare patient advocates are worried changing payment models for home health care over time have diminished patients’ ability to obtain Medicare-covered home health and home health aide care, and they want Congress to quiz CMS and the appropriate agencies on whether the benefit’s being properly interpreted and administered.

April 22, 2021 | Daily News

Sen. John Cornyn (R-TX) asked for time to meet with the White House chief of staff to discuss the Texas 1115 Medicaid waiver rescission before the Senate Finance Committee’s vote on Chiquita Brooks-LaSure's confirmation for CMS administrator Thursday morning (April 22), but the committee’s vote was not postponed and ultimately resulted in a tie.

April 22, 2021 | Daily News

The House Energy & Commerce Committee plans to hold a hearing May 4 on Democrats’ drug pricing bill following its reintroduction Thursday morning (April 22), lobbyists said.

April 21, 2021 | Daily News

A Biden administration official demurred when asked whether the White House’s upcoming legislative package would include an expansion of Medicare benefits, saying more details would be coming soon on the bill, but Senate Finance Committee ranking Republican Mike Crapo (ID) recently said benefit expansions should go through that committee, rather than a reconciliation process.

April 21, 2021 | Daily News

A trio of Democratic senators Wednesday (April 21) reintroduced legislation that would allow adults from ages 50 to 64 to buy in to Medicare.

April 21, 2021 | Daily News

Sen. John Cornyn (R-TX) placed a hold on a floor vote to confirm Chiquita Brooks-LaSure as CMS administrator, citing the agency’s decision last Friday (April 16) to revoke a 10-year extension of a Texas 1115 Medicaid waiver that let the state use federal funding to boost its uncompensated care pool.

April 21, 2021 | Daily News

Medical device makers are pressing CMS to immediately reinstate a Trump-era rule frozen by the Biden administration that would provide instant Medicare coverage of FDA breakthrough devices for four years, but insurers want the device coverage policy rescinded.

April 20, 2021 | Daily News

Hospitals and Accountable Care Organizations are urging HHS Secretary Xavier Becerra to make the Next Generation Accountable Care Organization demonstration permanent -- or at least extend it beyond 2021 -- as they say those in the model don’t have good value-based care options after the demo ends.

April 20, 2021 | Daily News

Innovation center chief Liz Fowler asked accountable care organizations for patience as the Center for Medicare and Medicaid Innovation evaluates its models, and indicated the center needs to focus on transforming the health care system, not just certifying models to be a permanent part of Medicare.

April 20, 2021 | Daily News

Senate Democrats this week introduced legislation creating a new Medicare Part E that would be available to individuals on the ACA exchanges and to employers of all sizes.

April 19, 2021 | Daily News

Better Medicare Alliance, LeadingAge and more than 30 other organizations wrote a letter in support of two bills that would allow audio-only telehealth to be used in risk assessment by Medicare Advantage organizations during the COVID-19 public health emergency.

April 16, 2021 | Daily News

The Centers for Disease Control and Prevention is considering ways to minimize disruptions to long-term care facilities’ vaccination plans for staff and residents in light of the pause on using the Johnson & Johnson COVID-19 vaccine, according to a Friday (April 16) notice to stakeholders.

April 15, 2021 | Daily News

Senators focused Thursday (April 15) in a confirmation hearing for President Joe Biden’s CMS administrator and deputy HHS secretary nominees on the administration’s recent revocation of Medicaid work requirement waivers and its proposals to lower the Medicare age threshold and increase funding for home and community-based services.

April 14, 2021 | Daily News

Rep. Kevin Brady (R-TX), ranking member and former chairman of the House Ways & Means Committee, won’t run for re-election in 2022, he said on Tuesday, announcing his 13th term will be his last.

April 14, 2021 | Daily News

The Biden administration should administratively reform Medicare to prevent market consolidation, improve cost transparency, boost site-neutral payments and increase the number of mandatory alternative payment models, among other changes, Consumers First, a coalition of beneficiary, union and employer-sponsored insurance advocates, said Tuesday (April 13).

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