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Medicare

March 12, 2019 | Daily News

Major hospital groups came out swinging against Sen. Tim Kaine (D-VA) and Michael Bennett’s (D-CO) Medicare-X proposal and released a report showing that such a public option could result in a nearly $800 billion cut for hospital payments over a 10-year period with no additional revenue boosts.

March 11, 2019 | Daily News

President Donald Trump’s fiscal 2020 budget includes a wide-ranging collection of Medicare proposals that the administration says would add eight years to the solvency of the Medicare Trust Fund, including reducing bad debt and uncompensated care payments to hospitals, moving closer to site-neutral payments among providers and creating a primary care pay bump by cutting reimbursement for other physician services.

March 11, 2019 | Daily News

The Trump administration’s 2020 budget includes more than two dozen recommendations for lowering prescription drug prices, including new ideas to punish drug makers for pay-for-delay settlements and to prohibit companies from using authorized generics to game Medicaid rebates.

March 08, 2019 | Daily News

The House Judiciary Committee heard competing views from stakeholders on the effects of rural hospital mergers: Economics and health policy experts testified to sympathetic lawmakers that the mergers hurt competition and thus hike prices and lower quality, but the American Hospital Association argued in a statement that rural hospital mergers improve value-based care.

March 08, 2019 | Daily News

Physician groups and insurance plans applauded CMS for proposing new supplemental benefits for the chronically ill in a draft call letter released at the end of January and urged CMS to allow for updates to the list of eligible conditions and to issue guidance on marketing benefits.

March 07, 2019 | Daily News

Congressional Medicare advisers Thursday (March 7) debated the merits of two of Washington’s hottest drug-pricing policy topics: reference pricing and binding arbitration.

March 06, 2019 | Daily News

Senate Finance Committee members questioned whether the nursing home star ratings system is useful -- and how it might be improved -- one day after CMS announced improvements to the system Tuesday (March 5).

March 06, 2019 | Daily News

Senate Finance Committee Chair Charles Grassley said most senators in both parties think capping seniors’ out-of-pocket costs in Part D is a good idea, though he hasn’t begun negotiating that legislation, which he said would likely be wrapped into a bigger health care bill.

March 06, 2019 | Daily News

Outgoing FDA Commissioner Scott Gottlieb said Wednesday (March 6) that Medicare should inject private negotiation into Medicare Part B, which is in line with HHS’ original plan to design Part B like the retail drug benefit Part D, but he did not mention the current plan to reference foreign drug prices in Part B.

March 05, 2019 | Daily News

CMS may start terminating the contracts of Medicare Advantage and Part D plans that receive consistently low star ratings -- but not until 2022 at the earliest, the agency told plans in a memo last month.

March 05, 2019 | Daily News

Days before a hearing on insulin prices, Eli Lilly announced plans to halve the list price of Humalog with an authorized generic that avoids rebates, though sources say the price of the authorized generic is still higher than its net price.

March 04, 2019 | Daily News

Top administration aide Joe Grogan said Monday (March 4) that implementing recommendations from a December White House report entitled Reforming America’s Health Care System Through Choice and Competition is a top priority for the administration.

March 04, 2019 | Daily News

HHS Secretary Alex Azar indicated Monday (March 4) that HHS hopes to change incentives for home dialysis and transplants, as he said the system is leading dialysis companies to keep from helping patients find or prep for a transplant and to not give patients the best options for care in the home.

March 01, 2019 | Daily News

A former senior privacy official at the Office of the National Coordinator for Health IT (ONC) is concerned one of ONC’s recently proposed exceptions to information blocking would allow organizations to refuse to share electronic health information (EHI) by misapplying the Health Insurance Portability and Accountability Act (HIPAA) privacy law to their internal policies.

March 01, 2019 | Daily News

Bipartisan duo Reps. Markwayne Mullin (R-OK) and Earl Blumenauer (D-OR) plan to introduce legislation that would align the strict privacy scheme for substance abuse treatment records, 42 CFR Part 2, with the less stringent Health Insurance Portability and Accountability Act (HIPAA) sometime in March, spokespersons for their offices told Inside Health Policy Wednesday (Feb. 27).

March 01, 2019 | Daily News

Senate Health, Education, Labor & Pensions Committee Chair Lamar Alexander (R-TN) told Inside Health Policy Wednesday (Feb. 27) he supports the Trump administration’s proposed demonstration to reference drug prices in Medicare Part B to a market basket of foreign countries.

March 01, 2019 | Daily News

Sen. Bill Cassidy (R-LA) said Thursday (Feb. 28) that he likes the Trump administration’s proposed international reference-pricing demonstration, though he would like to see a way to deal with drugs that are only available in the United States.

February 28, 2019 | Daily News

CMS publicly updated the overall hospital star ratings on Thursday (Feb. 28) even as the agency says it is looking at possible changes to how those ratings are calculated for both the short and long term, and hospitals say CMS should have waited until changes were put in place before updating the ratings.

February 28, 2019 | Daily News

Officials with CMS’ Center for Medicare and Medicaid Innovation (CMMI) said Wednesday (Feb. 27) that Medicare fee-for-service (FFS) beneficiaries will have to work with ambulance providers in selecting alternate locations for transport under the so-called ET3 demo, rather than choosing where they are taken, and gave more details on the payment rates.

February 28, 2019 | Daily News

The House Ways & Means health subcommittee will hold a hearing on promoting competition to lower prescription drug prices in Medicare on March 7, chair Rep. Lloyd Doggett (D-TX) announced Thursday (Feb. 28).

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