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Medicare

March 18, 2021 | Daily News

The preliminary injunction in favor of Eli Lilly’s lawsuit against a 340B rule could help pharmaceutical benefit managers in a separate legal challenge to HHS’ Medicare Part D rebate-ban rule.

March 18, 2021 | Daily News

Sen. Elizabeth Warren (D-MA), other Democratic senators and witnesses questioned the role of private equity ownership and mishandled federal funds in the pandemic’s toll on nursing homes at a Senate Finance Committee hearing Wednesday (March 17), and Warren plans a deeper probe into the issue.

March 18, 2021 | Daily News

The Senate confirmed Xavier Becerra as HHS secretary in a 50-49 mostly party-line vote Thursday (March 18), with Sen. Susan Collins (R-ME) being the only Republican senator to support Becerra’s nomination and Sen. Mazie Hirono (D-HI) not voting.

March 16, 2021 | Daily News

CMS is scrapping the Trump administration’s 11th-hour plan to test waivers that would let Part D plans ignore key Medicare patient safeguards: the six protected drug classes and the requirement that formularies cover at least two drugs in all other classes.

March 15, 2021 | Daily News

The Medicare Payment Advisory Commission’s annual March report, released Monday (March 15), says telehealth flexibilities should be extended after the COVID-19 public health emergency expires but should not yet be made permanent; however, the commission did not make official recommendations in the report.

March 15, 2021 | Daily News

White House adviser Andy Slavitt said Monday (March 15) that Medicare will nearly double reimbursement for administering coronavirus vaccines, from about $23 per shot to $40 per shot, to entice vaccinators to reach people in rural areas and speed up the national vaccination campaign.

March 12, 2021 | Daily News

CMS delayed a final rule Friday (March 12) that would provide instant Medicare coverage of FDA-designated breakthrough technology for four years in order to hold a 30-day public comment period on the rule that the Trump administration finalized shortly before leaving office.

March 12, 2021 | Daily News

House Democrats’ bill to extend the Medicare sequester moratorium and waive the cost of the American Rescue Plan likely would need to be changed to make it through the upper chamber, those closely following the issue say, as one lobbyist notes Republicans aren’t necessarily in favor of waiving the PAY-GO scorecard for the newly signed COVID-19 relief bill.

March 12, 2021 | Daily News

Many hospitals are dragging their feet on the new hospital price transparency requirements and compliance is low overall, though some major providers have begun to comply, Deloitte representatives said at the America’s Health Insurance Plans conference Thursday (March 11).

March 12, 2021 | Daily News

The American Psychological Association CEO advocated for increased funding for mental health and substance abuse treatment and prevention, better enforcement of mental health parity laws and racial equity in treatment at a House Appropriations subcommittee hearing on COVID-19 and the mental health and substance use crises Thursday (March 11).

March 11, 2021 | Daily News

House Democrats plan to take up legislation next week to extend the Medicare sequester moratorium through the end of the year and to waive the PAY-GO scorecard for the newly signed American Rescue Plan so that it doesn’t create an additional sequester cut, lobbyists say.

March 11, 2021 | Daily News

Lee Fleisher, CMS chief medical officer and director of its Center for Clinical Standards & Quality, told insurers Tuesday (March 9) that peer-to-peer outreach is crucial for convincing reluctant people to take the COVID-19 vaccine.

March 11, 2021 | Daily News

A new coalition of health care companies is advocating for increased Medicare coverage and reimbursement of at-home outpatient services, entering the health lobbying scene as the pandemic spurs interest in home-based care.

March 11, 2021 | Daily News

CMS Chief Medical Officer Lee Fleisher weighed the benefits -- and drawbacks -- of telehealth Tuesday (March 9) at the America’s Health Insurance Plans conference as he and Danielle Lloyd, AHIP’s senior vice president of private market innovations and quality initiatives for clinical affairs, discussed the quality action plan that is in the works at CMS.

March 10, 2021 | Daily News

It its first update since September, CMS said nursing homes should allow indoor visits for residents, with limited exceptions -- though the document says outdoor visits are preferred even when residents and visitors are fully vaccinated against COVID-19.

March 10, 2021 | Daily News

A senior Democratic aide says the House plans to take up an extension of the Medicare sequester moratorium in the next few weeks, after providers unsuccessfully pushed for the extension to be part of the American Rescue Plan.

March 10, 2021 | Daily News

Former Biden adviser Chris Jennings and Matt Eyles, head of the nation’s largest insurance lobby, agreed on Tuesday (March 9) that Congress will face pressure to maintain the more generous ACA premium tax credits that is slated to pass as part of the American Rescue Plan but will expire in just two years.

March 09, 2021 | Daily News

Medicare Payment Advisory Commission members supported draft recommendations for a new value incentive program to reward skilled nursing facilities for good performance, and they said their lingering concerns about rewarding low-performing homes that serve high proportions of dually eligible beneficiaries could be tackled in the future through upfront payments and public reporting of nursing home performance scores.

March 08, 2021 | Daily News

For the first time in history, a majority of New York state legislators are backing the New York Health Act, which would transition the state to a single payer system funded by a Medicare-like tax, bill supporters said Monday (March 8).

March 08, 2021 | Daily News

House lawmakers are trying to balance their interest in continuing telehealth expansion beyond the pandemic with concerns such services could be overused or used improperly, coming as Department of Justice officials say stopping telehealth false claims is a priority.

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