Login

Forgot password?
Sign up today and your first download is free.
REGISTER

Medicare

October 24, 2018 | Daily News

CMS is working on a rule to streamline Medicare coverage of breakthrough medical technologies, according to the agency's most recent regulatory agenda, which was unveiled shortly after CMS Administrator Seema Verma complained about Medicare's inability to quickly cover devices.

October 23, 2018 | Daily News

The White House Council of Economic Advisers links single-payer healthcare to what it calls the pitfalls of socialism, arguing in a new report that socialism is making a comeback in American politics and that Medicare-for-all would hurt seniors and cause the Gross Domestic Product to fall.

October 23, 2018 | Daily News

Although President Donald Trump has pledged to make drug companies bid for government business, the White House Council of Economic Advisers said Tuesday (Oct. 23) that Medicare negotiation of drug prices would significantly curtail the invention of new pharmaceuticals.

October 17, 2018 | Daily News

American Medical Association President Barbara McAneny on Tuesday (Oct. 16) expressed hope that CMS will test doctors' proposals recommended by the Physician-Focused Payment Model Technical Advisory Committee, but the head of the Health Care Transformation Task Force said it is unlikely a perfect model will walk in the door and P-TAC needs to be given authority to advise CMS on which proposals to test.

October 16, 2018 | Daily News

In the weeks leading up to the midterm elections, the Trump administration has seized every opportunity to link the entire Democratic Party to Sen. Bernie Sanders’ (I-VT) Medicare for All proposal, even though the majority of Democratic candidates in the midterms do not support Sanders’ plan.

October 16, 2018 | Daily News

American Medical Association President Barbara McAneny on Tuesday (Oct. 16) raised concerns with a single-payer system based on Medicare, as well as a Medicaid buy-in being pursued in New Mexico, and said that moving people from commercial coverage to government-funded health care programs could cause practices to close, especially in rural areas, due to inadequate reimbursement.

October 16, 2018 | Daily News

One day after the launch of Medicare’s annual open enrollment period, CMS Administrator Seema Verma touted Medicare Advantage plans while saying traditional Medicare is slow to innovate and riddled with misaligned financial incentives.

October 16, 2018 | Daily News

CMS Administrator Seema Verma on Tuesday (Oct. 16) lamented CMS' lack of adequate legal authority to conduct Medicare prior authorization reviews that are routine in the private sector, coming as American Medical Association President Barbara McAneny told reporters that prior authorization can cause major disruptions to care and contributes to providers' administrative burden.

October 12, 2018 | Daily News

A bipartisan group of 32 senators is asking CMS to extend its proposal to apply higher pay rates for durable medical equipment suppliers in rural areas, and Alaska and Hawaii, to also include suppliers in all non-bid areas, and more than 130 House lawmakers also sent a letter to the agency Oct. 12 with a similar request.

October 12, 2018 | Daily News

The standard monthly premium for Part B beneficiaries will increase slightly for 2019, but about 2 million beneficiaries will pay less than the full premium due to the statutory hold-harmless provision, according to CMS.

October 12, 2018 | Daily News

Merck is discontinuing its insulin biosimilar Lusduna, the company announced Thursday (Oct. 11), but, unlike most biologics, insulin is covered by Medicare Part D instead of Part B where biosimilar makers can make a bigger profit, so the Lusduna discontinuation is not seen as a bellwether of biosimilar market erosion, brand drug and analyst sources said.

October 11, 2018 | Daily News

Patient advocates plan to meet with HHS officials in the coming weeks to make their case against what they say is an increasingly common insurance industry practice of preventing drug company financial assistance from counting toward consumers’ deductibles and out-of-pocket spending limits.

October 10, 2018 | Daily News

A bipartisan group of 103 House members signed on to a letter asking CMS to tell Medicare Advantage plans not to use prior authorization to inhibit beneficiaries' access to services.

October 10, 2018 | Daily News

Industry lawyers say it is not clear whether Congress' expansion of the sunshine law's reporting requirements to include industry payments to health professionals beyond doctors will kick in in 2021 or 2022.

October 10, 2018 | Daily News

The Justice Department on Wednesday (Oct. 10) approved the $69 billion merger of CVS Health Corporation and Aetna, two of the largest companies in the prescription drug market, but Aetna must sell its Medicare Part D plans that cover 1.5 million people to WellCare Health Plans, and Aetna may not sell new Medicare drug plans in 2020.

October 10, 2018 | Daily News

The Justice Department on Wednesday (Oct. 10) approved the $69 billion merger of CVS Health Corporation and Aetna, two of the largest companies in the prescription drug market, but Aetna must sell its Medicare Part D plans that cover 1.5 million people to WellCare Health Plans, and Aetna may not sell new Medicare drug plans in 2020.

October 09, 2018 | Daily News

Congress' Medicare advisers are looking at the merits of setting up a scholarship or loan repayment program for medical students who commit to providing care to Medicare beneficiaries -- though one commissioner cautioned at a meeting Thursday (Oct. 4) that Medicare is not set up for such a system and questioned how Medicare would pay for it.

October 09, 2018 | Daily News

CMS says about 1,300 entities have agreed to participate in the Trump administration's first advanced alternative pay model, the Bundled Payments for Care Improvement Advanced, and Christina Smith Ritter, the director of the Patient Care Models Group at CMS' innovation center said that participation reflects an understanding that value-based pay is where the health care system is heading.

October 06, 2018 | Daily News

The Senate’s Saturday confirmation of Judge Brett Kavanaugh fills the lone vacancy on the Supreme Court and adds an expected conservative vote to the high court’s term that could include several pressing health policy cases.

October 05, 2018 | Daily News

CVS next year will offer a Part D plan that shares drug rebates at the point of sale, and the monthly premium for the plan is $80 in the Washington area, compared to the $32.50 national average Part D premium, though the CVS plan offers more generous benefits than basic drug plans.

Pages