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Medicare

October 03, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) could lose leverage if the panel’s bipartisan drug pricing package is delayed until early 2020, but he would gain political maneuvering time, sources said.

October 03, 2019 | Daily News

CMS announced Thursday (Oct. 3) that it is exploring releasing program data on social determinants of health from its Accountable Health Communities model and asked stakeholders what type of data from the model would be the most useful.

October 02, 2019 | Daily News

An innovation center official told physicians that by 2025 the center aspires to move all Medicare fee-for-service beneficiaries into alternative pay models that include a significant amount of risk for providers.

October 02, 2019 | Daily News

President Donald Trump tweeted Wednesday (Oct. 2) that House Speaker Nancy Pelosi (D-CA) is “incapable” of working on legislation to lower drug prices and is using the issue to distract from House Democrats’ impeachment inquiry.

October 01, 2019 | Daily News

Hospitals and plans say CMS lacks authority to force hospitals and plans to publish standard charges for items and services, and also argue the agency’s proposed price transparency requirement would lead to higher prices, be burdensome for providers and confuse consumers.

October 01, 2019 | Daily News

Hospitals asked CMS which version of its hospital wage index changes the agency plans to apply to the hospital outpatient pay system and suggest that if it plans to institute changes in a budget-neutral way, doing so would hurt some hospitals.

October 01, 2019 | Daily News

As CMS weighs policy options for setting 340B drug pay rates, it is being tugged in different directions by 340B hospitals, for-profit hospitals that don’t participate in the drug discount program, physicians and drug makers.

September 30, 2019 | Daily News

HHS reduced the backlog of Medicare appeals by about 25% as of June 30, according to a status report submitted to the federal D.C. district court, and the American Hospital Association said that reduction was the result of its lawsuit.

September 27, 2019 | Daily News

CMS is signaling a continued effort to lower reimbursement for 340B drugs, even as a court suit over the agency’s earlier cuts continues, by collecting hospital data to back up future reimbursement rates.

September 27, 2019 | Daily News

President Donald Trump on Thursday (Oct. 3) is expected to sign an executive order on protecting and improving Medicare during a trip to The Villages, FL, according to the White House.

September 27, 2019 | Daily News

Accountable Care Organizations on Friday (Sept. 27) again pushed against a new beneficiary notification requirement that is part of CMS’ ACO overhaul, but CMS says it won’t budge on the requirement just yet.

September 26, 2019 | Daily News

Consumer advocates are urging CMS to extend for at least another year a policy that provides penalty relief for Medicare beneficiaries who did not enroll in part B due to misinformation about Affordable Care Act plans.

September 25, 2019 | Daily News

Senate Finance Chair Chuck Grassley said he hopes to rally support from the president and more lawmakers for the drug pricing package he sponsored with Finance ranking Democrat Ron Wyden (OR) after the full bill text’s expected release Wednesday (Sept. 25) evening.

September 25, 2019 | Daily News

CMS significantly revised its proposals for discharge planning requirements for hospitals, critical access hospitals and home health agencies in a final rule released Wednesday (Sept. 25) after providers had raised concerns about what they viewed as the overly prescriptive nature of some aspects of the planning and the burdens of others.

September 25, 2019 | Daily News

CMS finalized a rule Wednesday (Sept. 25) that revamps the Conditions of Participation and Conditions of Coverage for hospitals, home health providers, transplant centers, ambulatory surgical centers and other providers and facilities by removing regulations that CMS deemed burdensome or unnecessary.

September 24, 2019 | Daily News

The House Democrats’ impeachment inquiry all but kills the chances of House Speaker Nancy Pelosi (D-CA) striking a deal on drug pricing with President Donald Trump, lobbyists and analysts say, though they had always said there was little prospect in government drug price negotiation becoming law.

September 24, 2019 | Daily News

CMS Administrator Seema Verma called on insurance plans to work with CMS to drive value-based arrangements, warning that, while premiums are going down for Medicare Advantage plans, private insurers could become obsolete if Medicare for All were to move forward.

September 24, 2019 | Daily News

CMS Administrator Seema Verma said a recent court ruling that found CMS didn’t have the authority to implement site-neutral pay cuts for certain clinic visits was a setback to agency efforts to correct market distortions, and she pushed back on what she called “[e]ndless litigation from entrenched special interests.”

September 24, 2019 | Daily News

The Center for Medicare and Medicaid Innovation (CMMI) says its current focus is to implement the dozen or so new models unveiled prior to former CMMI Director Adam Boehler’s departure from CMS.

September 23, 2019 | Daily News

Former Vice President and Democratic presidential candidate Joe Biden is ramping up his health care message and will spend the week highlighting the Trump administration’s attacks on the Affordable Care Act and alleging a second Trump term would result in millions of people without coverage.

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