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Medicare

December 23, 2019 | Daily News

The House Democrats’ bill that would direct Medicare to negotiate drug prices would increase wages $116 billion over a decade for those with employer-sponsored health insurance, according to the Joint Committee on Taxation.

December 20, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley (R-IA) was caught by surprise when six of his fellow Republican committee members introduced an alternative to his drug pricing bill on Friday (Dec. 20), a Grassley spokesperson said.

December 19, 2019 | Daily News

The year-end spending package passed by the Senate Thursday (Dec. 19) includes provisions pushed by laboratories that would delay commercial pay data reporting until 2021 and require Congress’ Medicare payment advisers to study how CMS has implemented an earlier law aimed at basing Medicare pay rates for lab tests on commercial rates.

December 18, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley said Senate Majority Leader Mitch McConnell (R-KY) told fellow Republicans to withhold support for the Finance drug pricing bill, but the Iowa Republican hopes to build support by negotiating with the House and urging the president to add his personal touch to the White House’s backing of S. 2543.

December 16, 2019 | Daily News

Congress included the pro-generic CREATES Act to help pay for five months of so-called Medicare and Medicaid “extenders” in the one-year government funding bill, plus a few minor biologics policies.

December 16, 2019 | Daily News

The year-end spending deal released Monday (Dec. 16) includes industry-sought exemptions from Medicare competitive bidding for manual complex rehab technology wheelchairs and the accessories, but other durable medical equipment stakeholder priorities, like exempting non-invasive ventilators from competitive bidding, were not included in the package.

December 16, 2019 | Daily News

The end-of-year spending deal released Monday (Dec. 16) includes funding for five months for several Medicare and Medicaid extenders, as well as two years of Medicaid funding for the territories and an even longer extension for the Patient-Centered Outcomes Research Trust Fund, as previously anticipated.

December 16, 2019 | Daily News

Congress is slated to fully repeal three controversial health care taxes after congressional leaders agreed to include the repeals in an end-of-year spending package, sources familiar with the talks say.

December 16, 2019 | Daily News

A federal district court judge on Monday (Dec. 16) turned down hospitals’ request to keep CMS from putting the second year of so-called site-neutral cuts for clinics at certain off-campus hospitals in place next year, as she said the court doesn’t have jurisdiction over the 2020 rule at this time.

December 13, 2019 | Daily News

The National Hospice and Palliative Care Organization and the Medicare Rights Center called on CMS to delay adding hospice to the expanded Value-Based Insurance Design demonstration by at least one year.

December 13, 2019 | Daily News

The government on Thursday (Dec. 12) appealed a federal district court’s ruling that CMS lacked authority to impose deep reimbursement cuts for clinic visits at certain off-campus facilities.

December 12, 2019 | Daily News

House Democrats on Thursday (Dec. 12) unanimously voted to pass Speaker Nancy Pelosi’s drug pricing bill, and two Republicans crossed party lines to support H.R. 3, too.

December 12, 2019 | Daily News

Despite its plan to follow a federal court decision and repay hospitals for deep cuts to clinic visits at certain off-campus hospital facilities for 2019, CMS tells Inside Health Policy it will implement the second year of those so-called site-neutral pay cuts to the same providers in 2020.

December 12, 2019 | Daily News

While Medicare Advantage plans have new flexibility to offer supplemental benefits to beneficiaries with chronic illnesses, uptake has been limited due to operational challenges and lack of CMS guidance, researchers from the Duke-Margolis Center for Health Policy say.

December 12, 2019 | Daily News

Federal lawmakers from California grilled the American Kidney Fund over its decision to stop providing premium assistance to about 3,700 patients with end-stage renal disease, but AKF says it made it clear the charity could not operate under a recently enacted California bill and believes the state is looking for someone to blame now that about 3,700 patients will lose premium assistance.

December 11, 2019 | Daily News

CMS tells Inside Health Policy it plans to repay hospitals that sued over 2019 pay cuts from the agency’s so-called site-neutral policy.

December 11, 2019 | Daily News

The House Rules Committee on Tuesday (Dec. 10) cleared House Speaker Nancy Pelosi’s drug pricing bill (H.R. 3) for a floor vote after Pelosi reached a deal with progressives to increase the minimum number of drugs subject to negotiation each year to 50 and to restore Rep. Pramila Jayapal’s (D-WA) amendment to extend price-spike protections to private plans.

December 11, 2019 | Daily News

House and Senate lawmakers urge CMS to make it clear to Medicare beneficiaries that they could qualify for a special enrollment period if they were misled by information in the Medicare Plan Finder, coming after beneficiary advocates said there are a number of problems with the updated website.

December 11, 2019 | Daily News

The Congressional Progressive Caucus expressed optimism it would get at least one of its amendments added to House Speaker Nancy Pelosi’s drug pricing bill, following a meeting between caucus leaders and the California Democrat Tuesday afternoon (Dec.10).

December 10, 2019 | Daily News

GOP lawmakers on a House Energy & Commerce subcommittee took advantage of a Tuesday (Dec. 10) hearing meant to explore ways to move to universal health care to instead blast Democrats’ drug pricing legislation that heads for a vote this week.

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