Login

Forgot password?
Sign up today and your first download is free.
REGISTER

Medicare

August 06, 2019 | Daily News

CMS will increase the add-on payments hospitals receive for CAR-T cancer treatments, but the agency didn’t make what industry sources say are easy changes to the reimbursement system that would have allowed CMS to know the true price of chimeric antigen receptor T-cells.

August 06, 2019 | Daily News

DaVita officials said in a recent earnings call that the economic impact of President Donald Trump’s kidney care executive order is uncertain, and the dialysis company wants to work with CMS to ensure the new mandatory model included in the broader kidney care plan has a sustainable pay rate over the long term.

August 05, 2019 | Daily News

A provision in CMS’ proposed 2020 outpatient hospital rule requiring greater price transparency appears to have been in the making long before President Donald Trump issued an executive order in June calling for HHS to propose that hospitals publicly post standard charge information.

August 02, 2019 | Daily News

CMS raises the add-on pay for new technology and provides an alternative path for both breakthrough devices and Qualified Infectious Disease Products to qualify for that add-on pay as part of the final fiscal 2020 hospital inpatient pay rule released Friday (Aug. 2).

August 02, 2019 | Daily News

CMS will boost pay for low-wage hospitals by overhauling the hospital wage index -- a policy change long sought by rural hospitals -- and the agency backed away from its original proposal to pay for the change by redistributing money solely from high-wage hospitals.

The change to the wage index is finalized in the fiscal 2020 inpatient hospital pay rule, which CMS released Friday (Aug. 2).

August 02, 2019 | Daily News

House Ways & Means Chair Richard Neal (D-MA) urged CMS to keep in mind the Government Accountability Office’s findings that the Medicare Plan Finder has incomplete information in certain areas and is difficult for beneficiaries to use as the agency works on a webpage redesign expected to be unveiled this month.

August 02, 2019 | Daily News

Sen. Marsha Blackburn (R-TN) introduced a rural health agenda on Thursday (Aug. 1) that bundles three bills she introduced this week, one with support from Democratic Whip Dick Durbin (D-IL), that would incentivize more physicians to work in rural areas, expand access to federally qualified health centers (FQHC) and increase use of telehealth in rural areas.

July 31, 2019 | Daily News

CMS on Wednesday (July 31) finalized a $210 million pay bump for inpatient rehabilitation facilities in fiscal 2020, a slight increase from the agency’s proposal earlier this year.

July 31, 2019 | Daily News

CMS on Wednesday finalized a 2.6% increase in Medicare payments to hospices in fiscal 2020 as well as changes to the hospice election statement in its annual payment rule.

July 30, 2019 | Daily News

Democrats vying for the 2020 nomination spent the first 45 minutes of the second debate hashing out policy disagreements on Medicare for All versus a public option, with progressives arguing that a single-payer system would provide the most benefit to the most people and more moderate candidates saying it would eliminate choice and raise taxes on the middle class.

July 30, 2019 | Daily News

CMS finalized a 2.4% pay bump for nursing homes in fiscal 2020 on Tuesday (July 30) as part of the industry’s annual pay rule, as well as changes to how many patients can be involved in group therapy under the new Medicare pay model that will go into effect Oct. 1.

July 30, 2019 | Daily News

Inpatient psychiatric facilities will see a 1.5% pay bump in fiscal 2020 and will be subject to a new quality measure intended to assess whether patients fill their prescriptions soon after being discharged.

July 30, 2019 | Daily News

The US Court of Appeals for the District of Columbia on Tuesday (July 30) told a lower court to take another look at the American Clinical Laboratory Association’s lawsuit over lab reporting policies the group says have driven down CMS’ pay for clinical lab services.

July 30, 2019 | Daily News

The leaders of the Senate Finance and health committees met Tuesday (July 30) to begin cross-committee talks on drug pricing, the chairmen said.

July 30, 2019 | Daily News

CMS announced a voluntary pilot on Tuesday (July 30) as part of the MyHealthEData initiative out of the White House that will let providers access Medicare claims data starting in January 2020.

July 29, 2019 | Daily News

Hospitals would have to publicly post pay-specific negotiated prices of their “shoppable services,” including x-rays or caesarean deliveries, under CMS’ proposed 2020 outpatient rule, as the agency also doubles down on its site-neutral and 340B pay cut policies that hospitals have slammed.

July 29, 2019 | Daily News

CMS on Monday (July 29) proposed to increase Medicare payments for doctor’s office visits and abandoned its plan to pay a blended rate for certain levels of office visits starting next year.

July 29, 2019 | Daily News

CMS proposed a payment rule Monday (July 29) meant to encourage dialysis facilities to adopt new equipment and supplies while also increasing pay for those facilities and updating the pricing system for medical devices.

July 29, 2019 | Daily News

Democratic primary candidate Sen. Kamala Harris (D-CA) is pushing a variation of Medicare for All that would both create a public option and preserve a Medicare Advantage-adjacent private insurance option.

July 29, 2019 | Daily News

Freshman Democratic Rep. Katie Porter (CA) last week dived straight into an ongoing controversary over industry-funded premium assistance programs by asking HHS’ Office of Inspector General to investigate the American Kidney Fund and suspend the advisory opinion that lets AKF take contributions from dialysis firms without facing anti-kickback penalties.

Pages