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Medicare

October 19, 2020 | Daily News

The American Hospital Association says providers are considering asking the Supreme Court to take up their cases against the Part B reimbursement cuts for 340B drugs and Medicare pay cuts for outpatient clinic visits at certain off-campus hospital facilities after the full U.S. Court of Appeals for the District of Columbia Circuit declined to rehear those cases.

October 19, 2020 | Daily News

A lobbying group called Infusion Providers Alliance has formed to oppose international reference pricing for drugs, specialty pharmacy mandates and a measure in the Senate Finance Committee’s drug pricing bill that would lower reimbursement at physician practices that generate a significant part of their revenue from administering drugs.

October 16, 2020 | Daily News

Center for Medicare and Medicaid Innovation Director Brad Smith said the ongoing bundled pay demo was on track to lose more than $2 billion prior to mid-model changes that some have worried could cause providers to drop out of the demonstration.

October 16, 2020 | Daily News

If the demonstration that caps monthly insulin costs works, CMS might run similar demos for other drugs, Center for Medicare and Medicaid Innovation Center Director Brad Smith said Friday (Oct. 16).

October 16, 2020 | Daily News

Three of the biggest provider groups are pushing back against a recent executive order signed by President Donald Trump that aims to restrict anti-racism and sensitivity training, saying this training is crucial in care settings especially during the COVID-19 pandemic.

October 16, 2020 | Daily News

The vast majority of Medicare beneficiaries surveyed by CMS say they did not forego medical care for non-COVID-19 concerns during the pandemic, according to a survey released Friday (Oct. 16), but 21% said they did skip needed medical care and dental care was the most likely to be skipped.

October 16, 2020 | Daily News

Medicare next year will cut pay for labs that take more than two days to turn around COVID-19 test results, CMS announced Thursday (Oct. 15).

October 15, 2020 | Daily News

Federal judges seemed unconvinced on Thursday (Oct. 15) that the Trump administration’s hospital price transparency rule violates the First Amendment and exceeds HHS’ statutory authority, as the American Hospital Association argued in an appeal to stop the rule.

October 15, 2020 | Daily News

As the fate of the innovation center -- and the rest of the Affordable Care Act -- faces uncertainty in the courts, CMS Administrator Seema Verma said the innovation demonstrations are losing money and the center needs a course correction, including less-generous model benchmarks.

October 14, 2020 | Daily News

CMS on Wednesday (Oct. 14) expanded the list of telehealth services Medicare will reimburse, two months after unveiling a proposed rule to make some of the telehealth flexibilities allowed during the pandemic permanent for rural Medicare beneficiaries.

October 14, 2020 | Daily News

Private-equity owned companies account for the majority of Medicare spending on air ambulance services and charge an average of more than seven times the Medicare reimbursement rate, which leads to expensive surprise medical bills, according to an analysis by the USC-Brookings Schaffer Initiative.

October 13, 2020 | Daily News

The Democratic leaders of congressional health care committees asked the Government Accountability Office to quickly review the legality of the president’s plan to send $200 Medicare drug discount cards to seniors before the election.

October 08, 2020 | Daily News

CMS on Thursday (Oct. 8) laid out Medicare loan repayment terms as revised by the latest continuing resolution, including the option for providers to request an extended repayment schedule if they are facing financial hardships.

October 08, 2020 | Daily News

Though some stakeholders are praising CMS’ proposed increases to evaluation and management payments in the 2021 physician fee schedule, many physicians groups -- including the American Medical Association -- are loudly decrying the budget neutral cuts tied to those pay hikes, and lawmakers recently asked CMS to mitigate the cuts to give Congress time to step in.

October 07, 2020 | Daily News

CMS Administrator Seema Verma on Wednesday (Oct. 7) said her agency will prioritize those most at risk for COVID-19 to get vaccines once they are available, and that includes those in nursing homes.

October 06, 2020 | Daily News

Radiation oncologist and other physician groups are asking CMS to push back the radiation oncology demonstration and ease the cuts that are built into the model, especially given the ongoing COVID-19 pandemic.

October 06, 2020 | Daily News

The Medicare Payment Advisory Commission on Thursday (Oct. 1) expressed support for a staff recommendation to shift indirect Medicare education payment towards outpatient-centric settings, although no official vote was taken.

October 05, 2020 | Daily News

CMS Administrator Seema Verma on Monday (Oct. 5) said the agency will reach out to providers about new flexibility surrounding the Medicare provider relief loans, as laid out in the newly signed continuing resolution to keep the government open through Dec. 11.

October 05, 2020 | Daily News

CMS Administrator Seema Verma on Monday (Oct. 5) said the agency will reach out to providers about new flexibility surrounding the Medicare provider relief loans, as laid out in the newly signed continuing resolution to keep the government open through Dec. 11.

October 05, 2020 | Daily News

The Advanced Medical Technology Association wants CMS to review all its Medicare regulations to find ways to increase coverage of and beneficiary access to digital health technology, learning from its eased regulatory approach during the pandemic.

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