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Medicare

June 11, 2019 | Daily News

House Ways & Means Chair Richard Neal (D-MA) is asking for feedback from the National Association of Insurance Commissioners on the possibility of having Medigap plans cover long-term support services for Medicare beneficiaries.

June 11, 2019 | Daily News

White House budget officials began reviewing Tuesday (June 11) HHS’ final version of a rule to ban drug rebates in Medicare and Medicaid that aren’t shared at the point of sale.

June 10, 2019 | Daily News

The White House Office of Management and Budget on June 5 began reviewing highly anticipated changes to the Stark, or physician self-referral, law.

June 10, 2019 | Daily News

The White House Office of Management and Budget is reviewing a regulatory proposal to replace an interim final rule issued in 2016 that required dialysis firms inform commercial insurers when a patient’s premium would be covered by a third-party payer, including non-profit charities like the American Kidney Fund (AKF), but was later shot down in the courts.

June 10, 2019 | Daily News

More than 100 provider groups called on Senate and House leaders to replace an upcoming pay freeze with pay bumps, extend alternative pay model bonuses and make other improvements to the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.

June 10, 2019 | Daily News

Providers asked for more information on how the Health Insurance Portability and Accountability Act (HIPAA) interacts with proposed exceptions to information blocking in comments submitted to the Office of the National Coordinator for Health IT (ONC) on a proposed interoperability rule released in February.

June 07, 2019 | Daily News

CMS on Friday (June 7) pushed back the timeline by a year, until June 16, 2020, for finalizing updated Medicare and Medicaid conditions of participation for hospitals and critical access hospitals.

June 07, 2019 | Daily News

The Biosimilars Forum is scheduled to meet with White House budget officials June 10 to discuss policies that the trade group says would reduce Medicare spending by boosting the use of biosimilars, according to the Office of Management and Budget website.

June 07, 2019 | Daily News

CMS Administrator Seema Verma on Thursday (June 6) called out large hospital systems for anti-competitive behavior, and said CMS policies like pay cuts for 340B drugs and site-neutral pay policies -- both of which led to lawsuits over CMS’ authority to enact them -- were put in place to help combat consolidation and physician movement from independent work to hospital employment.

June 06, 2019 | Daily News

The White House Office of Management and Budget on Wednesday (June 5) began its review of HHS’ proposal to revise anti-kickback statute safe harbors and beneficiary inducement penalties.

June 06, 2019 | Daily News

Lobbyists for brand drug makers have told Senate Finance Committee staff they’re open to paying a share of seniors’ catastrophic Medicare Part D drug costs in exchange for capping seniors’ out-of-pocket costs and relieving drug makers of the 70% discounts they currently must pay for drugs that beneficiaries take while in the donut hole, according to sources close to the negotiations.

June 06, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley (R-IA) plans to work on a rural health package and changes to the Medicaid Disproportionate Share Hospital payments formula separately, according to the lawmaker’s office, though earlier this year he had discussed the possibility of putting the two together.

June 06, 2019 | Daily News

CMS is asking for another round of feedback on ways to cut administrative and regulatory burden through its ongoing Patients Over Paperwork campaign and is specifically looking for ways to cut down on the burden posed by prior authorization procedures, beneficiary enrollment and beneficiary eligibility determinations, as well burdens on rural providers and duals.

June 06, 2019 | Daily News

Members of the House Energy & Commerce health subcommittee agreed that extending funding for community health centers, the National Health Services Corps, and the Teaching Health Center Graduate Medical Education program for more than two years is a priority, but some House Republicans at a hearing on Tuesday (June 4) expressed concern about paying for the programs.

June 05, 2019 | Daily News

Hospitals cannot bring a legal challenge to the methodology used by CMS to estimate uncompensated care costs for the purpose of calculating Medicare disproportionate share hospital payments, a federal appeals court ruled Tuesday (June 4).

June 05, 2019 | Daily News

The House Ways & Means Committee will hold a hearing on Medicare for All and other coverage expansion options on June 12, making it the first health care committee of jurisdiction to hold a hearing on the progressive health policy priority and the third time a House committee has examined single player in the past month.

June 05, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) said Wednesday (June 5) that he wants drug makers to take on a share of costs in the catastrophic phase of Medicare Part D, and health insurance plans to also pay more.

June 04, 2019 | Daily News

House Ways & Means Chair Richard Neal (D-MA) on Tuesday (June 4) said Congress should be anxious about the fate of rural hospitals, after lawmakers on both sides of the aisle raised concerns with rural hospitals and their closures.

June 04, 2019 | Daily News

White House officials are set to meet with congressional Republicans later this week to talk about prescription drug pricing, Freedom Caucus Chair Mark Meadows (R-NC) said Tuesday (June 4).

June 04, 2019 | Daily News

Sen. Bill Cassidy (R-LA) plans to introduce next week a package of five drug pricing bills that includes measures to help insurers finance expensive drugs, reward insurers that encourage biosimilar adoption, discourage price concessions that pharmacies call unfair, pay pharmacists for managing complicated regimens and stop authorized generics from lowering Medicaid drug rebates.

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