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Medicare

December 10, 2019 | Daily News

All but $5 billion from the half a trillion dollars in overall savings from House Democrats’ drug pricing bill would be absorbed by new Medicare benefits for seniors and other investments, according to the final budget-impact projection by the Congressional Budget Office.

December 10, 2019 | Daily News

A top HHS official plugged the parallel review program between FDA and CMS as a key step to close what is sometimes a years-long gap between approval of new therapies and Medicare coverage decisions, and a CMS official said the agency hopes to better promote and support the program.

December 10, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley (R-IA) is expected to unveil legislation to improve nursing home oversight, possibly before the end of the year, according to a source working on the legislation.

December 09, 2019 | Daily News

House Republicans on Monday (Dec. 9) introduced a bill (H.R. 19) that combines many bipartisan measures to control drug prices, including several from the Senate Finance bill, but it excludes a key measure from the upper chamber’s bill that would make drug companies pay back the government when they raise prices faster than inflation.

December 06, 2019 | Daily News

The Medicare Payment Advisory Commission discussed possible 2021 pay recommendations on Thursday and Friday (Dec. 5 and 6) for a number of industries, including reducing the hospice pay cap and tying some hospital pay to the Hospital Value Incentive Program, though the commissioners plan to have a further discussion in January on what to pay hospitals.

December 06, 2019 | Daily News

Senate Finance Committee leaders are wrapping Medicare and Medicaid extenders into their updated drug pricing plan released Friday (Dec. 6), a move that comes one day after Democratic House leaders announced the savings from House Speaker Nancy Pelosi’s (D-CA) drug pricing bill would be reinvested into additional Medicare benefits and extenders.

December 06, 2019 | Daily News

Senate Finance Committee leaders will release an updated drug pricing bill on Friday (Dec. 5) less than 24 hours after House Speaker Nancy Pelosi (D-CA) announced the lower chamber will vote on her more-aggressive drug pricing bill next week.

December 06, 2019 | Daily News

Senate Finance Committee leaders will release an updated drug pricing bill on Friday (Dec. 5) less than 24 hours after House Speaker Nancy Pelosi (D-CA) announced the lower chamber will vote on her more-aggressive drug pricing bill next week.

December 06, 2019 | Daily News

Senate Finance Committee leaders will release an updated drug pricing bill on Friday (Dec. 5) less than 24 hours after House Speaker Nancy Pelosi (D-CA) announced the lower chamber will vote on her more-aggressive drug pricing bill next week.

December 06, 2019 | Daily News

Senate Finance Committee leaders will release an updated drug pricing bill on Friday (Dec. 5) less than 24 hours after House Speaker Nancy Pelosi (D-CA) announced the lower chamber will vote on her more-aggressive drug pricing bill next week.

December 05, 2019 | Daily News

The Congressional Budget Office estimates that House Democrats’ drug pricing bill would save half a trillion dollars in a decade, according to House Democratic leaders, and Democrats plan to use those savings to pay for additional drug research at the National Institutes of Health, additional Medicare benefits and a hodgepodge of Medicare and Medicaid policies that would lower costs for beneficiaries of those programs.

December 05, 2019 | Daily News

The House will vote next week on legislation to let Medicare negotiate drug prices and make those prices available to people with private insurance.

December 04, 2019 | Daily News

Two Democratic senators are calling on CMS, the Federal Trade Commission and five health care companies to ensure artificial intelligence tools used in health care are not biased, amid recent interest by CMS in using artificial intelligence in Medicare.

December 04, 2019 | Daily News

The Energy & Commerce health subcommittee will hold a hearing next Tuesday (Dec. 10) to review a slate of bills that aim to achieve universal coverage either through a public option, Medicare or Medicaid buy-ins, or providing Medicare for all residents with or without maintaining private alternatives.

December 04, 2019 | Daily News

In the lead up to the last week of Medicare open enrollment, CMS said it is already seeing the positive impact of the new Medicare Plan Finder and blames the media for talking about glitches or malfunctions, but the Center for Medicare Advocacy says the agency is not acknowledging that problems with the new system could hurt beneficiaries.

December 03, 2019 | Daily News

The White House Council of Economic Advisers estimates that House Democrats’ drug pricing bill would thwart up to 100 drug inventions over a decade, compared to the eight to 15 fewer drugs that the nonpartisan Congressional Budget Office estimated would result from H.R. 3.

December 03, 2019 | Daily News

Democratic presidential candidate Pete Buttigieg proposed giving the Center for Medicare and Medicaid Innovation authority to pilot new payment models that would tackle social determinants of health and requiring Medicare and Medicaid develop and meet health equity standards as well as collect and protect demographic health data to reduce inequity in health care.

December 02, 2019 | Daily News

Accountable Care Organizations view CMS’ new Direct Contracting demonstration as laying the groundwork for the next generation of ACOs -- particularly with the Next Generation ACO demo set to sunset soon -- and PACE organizations view the Direct Contracting demo as a way to reach new patients who could benefit from the Program of All-Inclusive Care for the Elderly care model.

November 26, 2019 | Daily News

Researchers in a study released Thursday (Nov. 21) suggested reforming Medicare by building a premium-support type system based solely on Medicare Advantage as an alternative to Democrats’ Medicare for All built off the current system, but the researchers said a premium support system should be set up without a public option and MA risk adjustment would need to be retooled first.

November 25, 2019 | Daily News

When President Donald Trump took to Twitter Friday (Nov. 22) to weigh in on drug pricing reforms, he gave House Republicans cover to vote against House Democrats’ bill to let Medicare negotiate drug prices, instead of leaning on Senate Republicans to support the less-aggressive bipartisan drug pricing legislation in that chamber, even though White House adviser Joe Grogan said recently that the administration backs the Senate bill.

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