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Medicare

April 09, 2020 | Daily News

CMS will not keep non-invasive ventilators in the 2021 round of durable medical equipment competitive bidding due to the COVID-19 pandemic, the agency announced Thursday (April 9).

April 09, 2020 | Daily News

CMS has distributed $51 billion in emergency payment advances to Medicare providers to help them cope with the coronavirus pandemic, the agency said Thursday (April 9) -- up from the $34 billion in advance pay that had been disbursed just two days before.

April 09, 2020 | Daily News

In a pitch to progressive voters, presumptive 2020 Democratic nominee former Vice President Joe Biden proposes allowing Americans to opt-in to Medicare once they turn 60.

April 08, 2020 | Daily News

Hospitals and HHS are at odds on how to spend a $100 billion fund authorized for health care providers by the third coronavirus stimulus package, coming as House Democrats push for another $100 billion for hospitals and other health systems in a fourth stimulus package.

April 08, 2020 | Daily News

Despite the COVID-19 pandemic, CMS says it still must publicize Open Payments data by the end of June -- which means stakeholders will need to review the information before May 15 on payments from drug and device manufacturers and group purchasing organizations to certain providers if they want to do so prior to publication.

April 07, 2020 | Daily News

CMS Administrator Seema Verma on Tuesday (April 7) said providers will see $30 billion from the CARES Act distributed this week, and the money will be divvied up based on providers' Medicare revenue.

April 07, 2020 | Daily News

CMS on Friday (April 3) provided further guidance to ambulatory surgical centers that wish to take advantage of new regulatory flexibility in Medicare allowing them to enroll and bill as hospitals during the coronavirus pandemic.

April 07, 2020 | Daily News

Hospitals are asking CMS to waive or lower the interest on advanced payments that providers request under the Medicare accelerated pay program, but the agency says it doesn’t have the authority to waive or change the interest rate on Medicare debts -- including those repayments.

April 06, 2020 | Daily News

The Trump administration slammed an HHS Office of Inspector General report released Monday (April 6) that found hospitals are facing significant challenges with medical supplies, protective gear and COVID-19 testing.

April 06, 2020 | Daily News

The country’s second COVID-19 stimulus law, the Families First Coronavirus Response Act, will increase the federal deficit by $192 billion through 2030, mostly over the next two years, and the largest health-related expenditure is due to the increased federal match rate for Medicaid that doesn’t account for increased enrollment during the downturn, according to an initial estimate from the Congressional Budget Office and the Joint Committee on Taxation.

April 06, 2020 | Daily News

CMS on Monday (April 6) announced that Medicare Advantage plans would see slightly higher expected pay in 2021 under the final rate notice -- about 1.7% -- than projected under the advanced notice -- slightly under 1%.

April 06, 2020 | Daily News

CMS on Thursday (April 2) issued additional guidance for nursing homes as they tackle COVID-19, but the nursing home lobby says it’s not possible to fully comply with CMS’ and Centers for Disease Control and Prevention’s recommendations without an adequate supply of personal protective equipment.

April 02, 2020 | Daily News

Congress’ Medicaid advisers voted in favor what staff called modest but important recommendations to improve care for beneficiaries eligible for both Medicare and Medicaid -- one would create a special enrollment period for duals eligible for Medicare-Medicaid plans and another would propose Congress provide states with funding to put integrated care models in place.

April 02, 2020 | Daily News

Anthem said Wednesday (April 1) it would waive cost-sharing for all treatments related to the COVID-19 diagnosis through May 31, the fourth major insurer to make such a decision in recent weeks.

April 01, 2020 | Daily News

Consumer, labor and beneficiary advocacy groups are urging insurance companies to drop all cost-sharing for all services related to diagnosis and treatment of the COVID-19 and its symptoms.

April 01, 2020 | Daily News

The White House Office of Management and Budget concluded its review of a proposed rule to impose penalties on those who violate the 21st Century Cures Act’s ban on information blocking.

April 01, 2020 | Daily News

The American Hospital Association called on HHS on Tuesday (March 31) to immediately dispense the $100 billion allocated to the Public Health and Social Services Emergency Fund by the third coronavirus stimulus package directly to hospital providers using Medicare Administrative Contractors.

April 01, 2020 | Daily News

Anthem Inc. fraudulently overcharged CMS by millions of dollars in Medicare Advantage payments by failing to correct inaccurate diagnosis data, federal prosecutors allege in a lawsuit against the company.

March 31, 2020 | Daily News

CMS is easing the extreme and uncontrollable circumstances policies for accountable care organizations and the hip-and-knee replacement demonstration, as well as adding flexibility to the Medicare Diabetes Prevention Program in an interim final rule unveiled Monday (March 30).

March 31, 2020 | Daily News

As Medicare Advantage plans wait for the final rates and pay policies for 2021, some stakeholders praised CMS’ recent interim rule for changes to the star ratings and other policies in light of the COVID-19 outbreak -- but one expert says premiums could still go up next year.

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