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Medicare

July 02, 2019 | Daily News

Senate Finance Committee members are scheduled to meet next Tuesday (July 9) to discuss drug-pricing legislation that Chair Chuck Grassley (R-IA) and ranking Democrat Ron Wyden (OR) have been negotiating, according to sources following the talks.

July 02, 2019 | Daily News

FDA on Monday (July 1) eliminated postmarket requirements that makers of HIV prevention drug Truvada and its generics provide training materials to health care professionals and educational information to consumers, due to evidence that most providers and at-risk individuals are aware of the risks of the drug and know how to use it properly.

July 02, 2019 | Daily News

CMS on Tuesday (July 2) finalized its national coverage policy to expand coverage of ambulatory blood pressure monitoring for beneficiaries with suspected masked hypertension.

July 01, 2019 | Daily News

The White House Office of Management and Budget on Friday (June 28) began its review of a final Medicare and Medicaid burden reduction rule that also now includes updates to hospital and critical access hospital requirements that CMS delayed finalizing earlier in June.

July 01, 2019 | Daily News

Private health insurance premiums cannot be reined in without reforms to hospital payments, which make up the largest expenditures in the system, a new analysis from the Center for American Progress says, and the group offers several policy recommendations including rate-setting, reference pricing and site-neutral payments, among others.

June 27, 2019 | Daily News

The White House Office of Management and Budget on Wednesday (June 26) finished a seven-month long review of a burden reduction rule aimed at nursing homes.

June 26, 2019 | Daily News

The House Ways & Means Committee on Wednesday (June 26) advanced five Medicare-related bills, including legislation to expand coverage of telehealth services for mental health treatment, eliminate beneficiary cost-sharing for chronic care management services, and add 1,000 new residency slots under the Graduate Medical Education program.

June 26, 2019 | Daily News

Kidney Care Partners calls for a legislative and regulatory overhaul of renal disease treatment, including changes to the Medicare end-stage renal disease prospective payment system, an expansion of the Medicare Kidney Disease Education benefit, an extension of Medigap access for those with kidney disease and an HHS study on the social, behavioral and biological factors that lead to the disease.

June 24, 2019 | Daily News

The president signed an executive order Monday (June 24) aimed at informing patients of prices and out-of-pocket costs for health care services – particularly hospital services.

June 21, 2019 | Daily News

CMS on Friday (June 21) finalized a streamlined coverage policy for transcatheter aortic valve replacements that reduces the number of procedures required to start or maintain a TAVR program.

June 21, 2019 | Daily News

The White House budget office began reviewing CMS’ proposal to base Medicare Part B drug prices on prices paid abroad, increasing pressure on Senate Finance Committee members to reach a deal on alternative changes to the doctor reimbursement system for drugs and on industry to support those changes.

June 20, 2019 | Daily News

Sens. Bill Cassidy (R-LA) and Sherrod Brown (D-OH) are leading a Senate letter asking CMS to reconsider its plan to add non-invasive ventilators to the durable medical equipment competitive bidding program -- or at least include patient safeguards in the bidding process -- and lawmakers in the House have been collecting signatures for a similar letter, which the American Association for Homecare estimates has about 180 lawmakers on board.

June 19, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley opposes indexing prices of Medicare Part B drugs to those in foreign countries, but the Iowa Republican thinks that third-party vendors should negotiate prices for Part B specialty drugs that are in short supply.

June 19, 2019 | Daily News

Senate health committee Chair Lamar Alexander (R-TN) and ranking Democrat Patty Murray (WA) ultimately decided not to include drug-pricing provisions that would tie patient coinsurance to net prices instead of list prices and require drug makers to justify price hikes in the committee’s final package on lowering health care costs.

June 19, 2019 | Daily News

The Senate health committee’s latest health cost-containment legislation adds funding for community health centers, the National Health Service Corps, teaching health center Graduate Medical Education and special diabetes programs through fiscal 2024, as well as including a new section to strengthen mental health parity and additional drug pricing provisions.

June 18, 2019 | Daily News

Senators and stakeholders on Tuesday (June 18) said parts of the Senate health committee’s bipartisan package to lower health costs would particularly help rural areas, including provisions on maternal health and telemedicine, but some said more could be done.

June 18, 2019 | Daily News

Senate health committee Chair Lamar Alexander (R-TN) said Tuesday (June 18) that his committee will mark up its bipartisan legislation to lower health costs next week.

June 17, 2019 | Daily News

CMS on Monday (June 17) offered Inpatient Rehabilitation Facilities the option to settle certain Part A appeals for partial payment -- and in certain instances full payment -- as the agency seeks to cut down the backlog of Medicare appeals.

June 17, 2019 | Daily News

CMS proposed a new rule on Monday (June 17) that would streamline the electronic prior authorization process for Medicare Part D by sidestepping certain Health Insurance Portability and Accountability Act (HIPAA) requirements and requiring Part D plans implement transaction standards developed by the National Council for Prescription Drug Plans (NCPDP).

June 17, 2019 | Daily News

The Pharmaceutical Research and Manufacturers of America is running attack ads that say AARP cares more about insurers than seniors, but AARP says the poll that PhRMA is relying on for that message is so misleading that the seniors’ group filed a complaint with the organization that guards against push polling.

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