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Medicare

December 20, 2018 | Daily News

Senate Finance Committee Chairman Chuck Grassley (R-IA) announced his incoming permanent health policy staff for the next Congress, consisting of a combination of returning and new health policy staffers.

December 19, 2018 | Daily News

CMS is seeking comments from stakeholders about potential conflicts of interest when Medicare accrediting organizations offer fee-based consulting services to the same health care providers they accredit for participation in Medicare.

December 18, 2018 | Daily News

Odds are decent that the Senate will vote this year on a House package of Medicare and Medicaid bills that includes a measure aimed at stopping drug companies from gaming the Medicaid rebate system, but sources say first the upper chamber must deal with concerns from a couple of fiscal conservative GOP senators over a separate provision that would increase federal Medicaid funding to help states establish health homes for kids with complex needs.

December 17, 2018 | Daily News

CMS on Sunday (Dec. 16) sent an email to stakeholders clarifying that the Center for Medicare and Medicaid Innovation’s work will continue unchanged while Texas v. Azar continues moving through the courts, and the demonstrations run through the Affordable Care Act-created center will keep going as well.

December 14, 2018 | Daily News

CBO on Thursday (Dec. 13) added two options to reduce Medicare Advantage plan payments to its suggestions on ways to reduce the deficit -- change payments to plans for beneficiary health risks and reduce quality bonus payments to MA plans.

December 14, 2018 | Daily News

Janssen Pharmaceuticals, which is a subsidiary of Johnson & Johnson, announced Thursday (Dec. 13) that it entered into an outcome-based contract with Oklahoma’s Medicaid program for a long-acting injectable drug used to treat schizophrenia.

December 12, 2018 | Daily News

The top regulatory officer at HHS said Wednesday (Dec. 12) that rebates are an “obvious problem” driving up list prices for prescription drugs, and noted that Pfizer recently raised list prices to make up for rebates it pays to pharmacy benefit managers.

December 11, 2018 | Daily News

House Ways & Means Republicans put a spotlight on a package of bills Tuesday (Dec. 11) as part of their Medicare Red Tape Relief Project, including legislation to give providers an annual vehicle to tell CMS how to reduce administrative burden, codify CMS’ quality measure removal factors, permanently get rid of physician supervision requirements for critical access hospitals, repeal the 96-hour rule for critical access hospitals, and require prior authorization notification and a study on simplification.

December 11, 2018 | Daily News

National Coordinator for Health IT Don Rucker told lawmakers on Tuesday (Dec. 11) he is optimistic that his office’s upcoming rule implementing the 21st Century Cures Act will be helpful in pushing providers to share data.

December 11, 2018 | Daily News

Senate health committee Chairman Lamar Alexander (R-TN) called on think tank leaders to help craft legislation to lower health care costs, saying the federal government will not be able to cut health insurance costs until it can lower the overarching costs of healthcare.

December 11, 2018 | Daily News

Senate health committee Chairman Lamar Alexander (R-TN) called on think tank leaders to help craft legislation to lower health care costs, saying the federal government will not be able to cut health insurance costs until it can lower the overarching costs of healthcare.

December 11, 2018 | Daily News

The White House Office of Management and Budget on Friday (Dec. 7) began reviewing two parts of the advanced notice of Medicare Advantage and Part D changes for 2020, including the call letter and 2020 capitation rates.

December 11, 2018 | Daily News

The Republican and Democratic senators who recently introduced a Medicaid-rebate bill support the House Medicare/Medicaid legislative package that their bill is being used to help pay for.

December 11, 2018 | Daily News

The PBM lobby said that the vendor role in the Trump administration’s Medicare Part B demo should be filled by entities such as pharmacy benefit managers or specialty pharmacies, but not by manufacturers in comments submitted to HHS and CMS on Thursday (Dec. 6).

December 10, 2018 | Daily News

Insurers, beneficiary advocates, retailers and employers floated guiding principles they hope will drive an expected bipartisan effort by the incoming Congress to tackle “surprise medical billing,” and urged lawmakers to end surprise medical billing and standardize payments to out-of-network physicians.

December 07, 2018 | Daily News

The House is using Medicaid-rebate legislation, introduced Dec. 4 in the Senate, to pay for a bill that combines a handful of Medicaid and Medicare bills from the past two years, according to legislation on the House floor schedule for the week of Dec. 10.

December 07, 2018 | Daily News

Congress’ Medicare payment advisers discussed possible 2020 pay for a wide range of providers at their December meeting Thursday and Friday (Dec. 6 and Dec. 7), including draft recommendations to tie some hospital pay to the advisers’ Hospital Value Incentive Program, but the commissioners plan to look again at what to pay long-term care hospitals in January as they didn’t agree on whether to provide LTCHs a pay increase in 2020.

December 07, 2018 | Daily News

Senate Finance Committee Ranking Democrat Ron Wyden (OR) called on CMS Thursday (Dec. 6) to “be straight with the seniors about all of their health care options” amid concerns from some beneficiary advocates that the agency is favoring Medicare Advantage over traditional Medicare.

December 07, 2018 | Daily News

Congressional Medicare advisers said Thursday (Dec. 6) that Medicare spending on drugs doctors administer is growing fast, and on the same day, CMS actuaries said Medicare retail drug spending growth has slowed.

December 07, 2018 | Daily News

HHS hit back at conservative critics of its international price referencing Medicare Part B demo Thursday (Nov. 6) in a blog post authored by its new senior adviser for drug pricing reform, John O’Brien.

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