Login

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

Medicare

May 01, 2019 | Daily News

The Center for American Progress said in a blog post last Thursday (April 25) that proposed cuts to the HHS Office for Civil Rights (OCR) in the president’s 2020 fiscal budget jeopardize patients’ health privacy as well as the process for patients to file health information privacy complaints.

May 01, 2019 | Daily News

The White House Council of Economic Advisers says falling out-of-pocket prices for opioids could explain between 31% and 83% of the growth in opioid overdose deaths between 2001 and 2010, and the council’s report tied that drop in costs to more government subsidization of the drugs through Medicare Part D and the entry of generics in the market.

April 30, 2019 | Daily News

The House Rules Committee debated the potential costs, burden and benefits of transitioning to a Medicare for All system during the first-ever Capitol Hill hearing on the proposal.

April 30, 2019 | Daily News

Progressive Caucus Co-Chair Rep. Pramila Jayapal (D-WA) said Tuesday (April 30) that progressives told Ways & Means Chair Richard Neal (D-MA) and Energy & Commerce Chair Frank Pallone (D-NJ) that progressives would not support a Medicare price negotiation proposal with arbitration as a mechanism instead of direct negotiation.

April 30, 2019 | Daily News

The House Ways & Means Committee will soon hold a hearing on Medicare for All, marking the first time in decades that one of the two main health care committees of jurisdiction will hold a hearing on the hot-button single-payer issue.

April 30, 2019 | Daily News

Conservative lawmakers, media, think tanks and pundits are split on the Trump administration’s proposed rule that would shift Medicare drug rebates to the point of sale.

April 30, 2019 | Daily News

CMS released a proposed rule Tuesday (April 30) that would require Medicare accrediting organizations to notify CMS if they are considering a change in ownership.

April 30, 2019 | Daily News

S&P analysts conclude that health care legislation addressing surprise billing and anti-competitive pharmaceutical practices have a high chance of passing prior to the 2020 elections, but that a repeal of the Affordable Care Act, a transition to Medicare For All and aggressive drug-pricing reforms are unlikely to be implemented in the new few years.

April 29, 2019 | Daily News

HHS on Friday (April 26) announced it is lowering the caps on fines for individuals who violate the Health Insurance Portability and Accountability Act (HIPAA) based on the level of culpability -- or how aware the provider was of the violation and what measures were taken to correct it -- setting a single maximum cap per violation and dropping the annual cap for lesser violations by over $1 million.

April 29, 2019 | Daily News

Progressives and Medicare for All advocates warn that proposals allowing people to opt into Medicare or Medicaid could end up attracting primarily sick and older Americans, thus skewing the risk pools and raising costs for everyone.

April 29, 2019 | Daily News

The American Society for Radiation Oncology is urging Congress to revamp the prior authorization process, which oncologists surveyed by the group say delays cancer treatments.

April 29, 2019 | Daily News

Congressional Democrats and Republicans are considering delaying the Trump administration’s proposed ban of point-of-sale rebates and using savings from the delay to pay for other legislative priorities, sources said.

April 29, 2019 | Daily News

CMS says it has an audit strategy in place for the Merit-based Inceptive Payment System, and will conduct audits and data validation this year on providers’ MIPS submissions of 2017 data, coming as the agency continues efforts to recoup incentive funds from the meaningful use of electronic health records program.

April 29, 2019 | Daily News

A day in advance of a meeting between progressives and key Democratic House committee chairmen to address a rift in the party’s drug-pricing priorities, a coalition of progressive consumer advocates, unions and think tanks did not take sides in the internal conflict over which enforcement mechanism to include in legislation allowing Medicare to negotiate drug prices with manufacturers.

April 26, 2019 | Daily News

Billionaire couple Laura and John Arnold have changed up their political spending game to strengthen their position as a counterforce to pharma’s deep-pocketed efforts to kill state bills to lower drug prices.

April 26, 2019 | Daily News

Accountable care organizations (ACOs) and plans have expressed concern about model overlap after the Center for Medicare and Medicaid Innovation (CMMI) announced two new voluntary primary care models on Monday, prompting the National Association of Accountable Care Organizations (NAACOS) to say it will push CMS to put into writing which models ACOs can participate in even as CMS clarified for Inside Health Policy how model participation will work.

April 26, 2019 | Daily News

Advocates for HIV patients are scheduled to meet May 9 with White House budget officials to argue against a CMS proposal that would let insurers restrict coverage of drugs in six protected classes in Medicare Part D.

April 25, 2019 | Daily News

Plans and provider advocates are optimistic about new models for primary care introduced Monday (April 22) by HHS, but questions remain about who might be able to participate, how benchmarks might be set, and what services the models might include.

April 25, 2019 | Daily News

CMS Administrator Seema Verma said the agency is working to get a final rule updating the Program of All-Inclusive Care for the Elderly published as part of CMS’ commitment to improving care for those dually eligible for Medicare and Medicaid.

April 25, 2019 | Daily News

Information about a drug’s effectiveness compared to alternative treatments could help drug makers argue for formulary placement in a system without rebates, Deloitte’s head of life sciences said.

Pages