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Medicare

July 28, 2020 | Daily News

CMS’ updated data released Tuesday (July 28) show a higher incidence of Black beneficiaries and dual eligibles being hospitalized for COVID-19 than in the initial data release, and the latest data also show American Indian and Alaskan native populations have the second highest rate of hospitalization from COVID-19, behind Black Medicare beneficiaries.

July 28, 2020 | Daily News

President Donald Trump said that pharmaceutical executives will come to the White House on Wednesday (July 29) to discuss his executive order tying drug prices to prices abroad, even though drug makers ditched the meeting scheduled for Tuesday and say they are uninterested in discussing the proposal.

July 27, 2020 | Daily News

The White House canceled a meeting Tuesday (July 28) with drug companies to discuss an alternative to the president’s upcoming executive order to direct Medicare to tie Part B drug reimbursement to international prices, a White House spokesperson said.

July 27, 2020 | Daily News

The White House canceled a meeting Tuesday (July 28) with drug companies to discuss an alternative to the president’s upcoming executive order to direct Medicare to tie Part B drug reimbursement to international prices, a White House spokesperson said.

July 24, 2020 | Daily News

The Trump administration on Friday (July 24) announced four executive orders that, with one exception, attempt to reboot proposals that have been languishing and that, in one case, was outright withdrawn by administration officials.

July 24, 2020 | Daily News

The American Hospital Association and the Association of American Medical Colleges will seek a rehearing before the U.S. Court of Appeals for the District of Columbia of their lawsuit over Medicare pay cuts for outpatient clinic visits at certain off-campus hospital facilities.

July 24, 2020 | Daily News

Medicare Advantage and hospice stakeholders say legislation could be introduced soon that would push back until 2023 the option for MA plans to add hospice to the Value-Based Insurance Design demonstration run through the innovation center -- but while hospice providers say a delay is needed, the Better Medicare Alliance says plans have prepped for the demo and a two-year delay is untenable.

July 23, 2020 | Daily News

Hospitals are concerned CMS’ move to resume Recovery Audit Contractor and other audits could reignite problems with the Medicare appeals system while others are concerned about providers’ bandwidth to deal with audits and the pandemic -- but one durable medical equipment expert told Inside Health Policy that the public health emergency for COVID-19 could go on for some time and the agency can’t indefinitely hold off the audits.

July 23, 2020 | Daily News

Facing pushback from stakeholders, CMS has signaled it will phase in its resumption of Recovery Audit Contractor and other audits instead of starting all of them on Aug. 3 as recently announced, an industry lobby group says.

July 23, 2020 | Daily News

While a final package has yet to emerge, details are trickling out on the scope of Senate Republicans’ latest draft COVID-19 response bill: A summary floating on Capitol Hill that lobbyists say followed a GOP meeting on Wednesday (July 22) includes expected liability protections, less funding for provider relief than sought by stakeholders, an extension of telehealth reimbursement through 2021, and flat Medicare Part B premiums for next year.

July 22, 2020 | Daily News

HHS will distribute an additional $5 billion to nursing homes nationwide from the provider relief fund, President Donald Trump announced Wednesday (July 22), contingent upon nursing homes completing infection control best practices training.

July 22, 2020 | Daily News

The American Hospital Association, the American Nurse Association and the American Medical Association on Wednesday (July 22) called on congressional leaders to replenish the provider relief fund with an additional $100 billion in the upcoming coronavirus stimulus package.

July 22, 2020 | Daily News

The public health emergency declaration will expire on July 25, ending numerous Medicare and Medicaid waivers as well as setting a Sept. 30 end date for the federal Medicaid match increase, unless extended by the administration.

July 22, 2020 | Daily News

The White House Office of Management and Budget on Tuesday (July 21) began reviewing final physician self-referral and anti-kickback statute regulatory reforms.

July 21, 2020 | Daily News

As the Senate negotiates the upcoming coronavirus stimulus package, providers, plans and beneficiary advocates are laying out what they want to see in the package, including a bump in the federal Medicaid match, additional state funding, and a focus on contact tracing.

July 20, 2020 | Daily News

HHS on Monday (July 20) again defended its controversial decision that hospitals stop submitting COVID-19 data to the Centers for Disease Control and Prevention and instead report the information to a new HHS database, with interim HHS Chief Information Officer José Arrieta calling the new dataset more robust than anything HHS has published before.

July 17, 2020 | Daily News

The non-partisan, non-profit United States of Care, founded by former CMS Administrator Andy Slavitt and other health policy experts such as former Senate Majority Leader Bill Frist, urge Congress to include in the upcoming COVID-19 relief bill funding for a Health Care Resilience Program that would grant advanced payments or loan forgiveness to providers who agree to accelerate their transition to value-based care.

July 17, 2020 | Daily News

The organization that represents Quality Improvement Organizations, which CMS has deployed to assist nursing homes with their COVID-19 response, says QIOs remain limited in the help they can offer due to funding challenges.

July 17, 2020 | Daily News

The DC federal appeals court on Friday (July 17) ruled CMS has the authority to reduce reimbursement rates for outpatient clinic visits at certain off-campus hospital facilities in order to control the volume of services provided, reversing a lower court’s ruling that sided with hospitals in their challenge to the so-called site-neutral policy.

July 16, 2020 | Daily News

A coalition of 340B providers, patient and rural advocates is pressing HHS to act against drug manufacturers they say are either limiting access to 340B pricing or threatening providers to give them data, both of which the coalition says violate 340B statute and shouldn’t be condoned by HHS.

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