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Medicare

August 26, 2020 | Daily News

CMS on Wednesday (Aug. 26) delayed by one year its timeframe for finalizing reforms to the physician self-referral rule -- but the HHS Office of Inspector General made no mention of a similar extension for pending reforms to the anti-kickback statute.

August 26, 2020 | Daily News

Brand drug makers are offering two alternatives to the president’s most-favored-nation executive order: one would hurt doctors and hospitals, instead of drug makers, and the other is loosely based on the Senate Finance Committee drug pricing bill, according to a summary of the proposals obtained by Inside Drug Pricing.

August 25, 2020 | Daily News

The American Hospital Association and the Federation of American Hospitals called on CMS to immediately reverse its plan to potentially remove hospitals from Medicare and Medicaid if they don’t report COVID-19 data to HHS, with AHA calling the changes to hospital conditions of participation unveiled on Tuesday (Aug. 25) disturbing and heavy-handed.

August 25, 2020 | Daily News

HHS Secretary Alex Azar is letting pharmacists temporarily administer vaccines to children during the pandemic, and hospital pharmacists want Azar to use the same authority he relied on for that directive to let pharmacists administer coronavirus vaccines to adults and children once they are available.

August 24, 2020 | Daily News

Lawmakers, providers and other stakeholders are urging the White House to let HHS finalize reforms to the so-called physician self-referral or Stark law and anti-kickback statute, as some lobbyists appear concerned the rules aren’t moving quickly enough through the White House Office of Management and Budget’s clearance process.

August 23, 2020 |

The president tweeted Saturday night (Aug. 22) that he signed last week the executive order to base Medicare reimbursement on the lowest drug prices among developed countries — an order he earlier said he would hold off signing if the drug industry presented an acceptable alternative by Monday (Aug. 24).

August 23, 2020 | Daily News

The president tweeted Saturday night (Aug. 22) that he signed last week the executive order to base Medicare reimbursement on the lowest drug prices among developed countries — an order he earlier said he would hold off signing if the drug industry presented an acceptable alternative by Monday (Aug. 24).

August 21, 2020 | Daily News

With a Monday deadline looming, the drug industry does not seem to have agreed on a policy to present to the White House as an alternative to the president’s plan to base Medicare reimbursement on the cheapest prices for drugs in other developed countries.

August 20, 2020 | Daily News

HHS on Thursday (Aug. 20) announced it has awarded $35 million in grants to 50 rural organizations to boost telehealth, the health care workforce, health research, assistance for rural hospitals and HIV care.

August 18, 2020 | Daily News

Hospitals with Medicare beneficiaries diagnosed with COVID-19 will only see a 20% hike in payment if they prove a positive diagnosis starting on Sept. 1, CMS said on Monday (Aug. 17) in a Medicare Learning Network memo.

August 18, 2020 | Daily News

Nursing homes worry CMS’ move to resume routine inspections could result in asymptomatic state surveyors infecting facility staff and residents, the American Health Care Association told Inside Health Policy Tuesday (Aug. 18).

August 18, 2020 | Daily News

Sen. Bernie Sanders (I-VT) and Rep. Pramila Jayapal (D-WA), lead advocates of Medicare for All, told progressives who are not excited about the moderate 2020 Democratic ticket to support former Vice President Joe Biden and Sen. Kamala Harris (D-CA) because it would make progressive health care priorities more achievable.

August 17, 2020 | Daily News

CMS on Monday (Aug. 17) announced it will resume all regular inspections of nursing homes, after postponing them earlier this year as nursing homes grappled with COVID-19 outbreaks.

August 12, 2020 | Daily News

Generic drug makers are pleased the president is again saying he’ll eliminate rebates because it would fix an aspect of Medicare Part D that encourages plans to use brands over generics.

August 11, 2020 | Daily News

The Democratic presidential ticket now includes two moderates who support aggressive measures to rein in drug prices and reform health insurance markets.

August 11, 2020 | Daily News

The Democratic presidential ticket now includes two moderates who support aggressive measures to rein in drug prices and reform health insurance markets.

August 11, 2020 | Daily News

Nearly 100 House lawmakers on Tuesday (Aug. 11) asked House leadership from both parties to allow CMS in 2021 and 2022 to raise pay for some evaluation and management codes, which tends to benefit primary care providers, without cutting other providers’ pay to offset those costs.

August 11, 2020 | Daily News

CMS on Tuesday (Aug. 11) gave details on its new rural health model, previously laid out in a recent executive order, and said the demo will have a track for rural communities and a track for accountable care organizations, with the first applications likely opening in September.

August 11, 2020 | Daily News

At a White House roundtable on Tuesday (Aug. 11), CMS Administrator Seema Verma said the agency continues to examine policies around audio-only telehealth and touted an upcoming regulation on using telehealth for physician supervision purposes.

August 09, 2020 | Daily News

While President Donald Trump’s payroll tax holiday doesn’t appear to affect the Medicare portion of those taxes, one analyst said it’s a small step to go from not collecting the taxes that fund Social Security to not collecting the Medicare taxes and some lawmakers worry Trump is setting the stage to defund taxes supporting Medicare.

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