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Medicare

July 17, 2019 | Daily News

CMS Administrator Seema Verma on Wednesday (July 17) touted the revamped accountable care organization program, which kicked in July 1, for leading more ACOs to take on risk, but the National Association of ACOs is worried that fewer new ACOs appear to be joining the program.

July 17, 2019 | Daily News

The House Energy & Commerce Committee on Wednesday (July 17) unanimously approved legislation that would delay Disproportionate Share Hospital (DSH) cuts, reauthorize Medicaid funding to the territories with increased oversight of Puerto Rico’s funding, fund community health centers and other extenders for four years, and tackle surprise billing.

July 17, 2019 | Daily News

National Kidney Foundation leaders expressed hope signals from the White House that FDA, CMS and the Center for Medicare & Medicaid Innovation (CMMI) are interested in advancing renal replacement therapies or devices could encourage more investment in medical product development for kidney disease.

July 16, 2019 | Daily News

CMS on Tuesday (July 16) repealed a prohibition on nursing homes using pre-dispute, binding arbitration agreements with residents, but the final rule also says nursing homes can’t require residents to sign binding arbitration agreements as a condition of admission or to continue receiving care at a facility.

July 16, 2019 | Daily News

CMS on Tuesday (July 16) proposed to loosen regulatory requirements for nursing homes by rolling back numerous safety and compliance provisions of an Obama-era rule that the agency now says is overly burdensome.

July 16, 2019 | Daily News

The Congressional Budget Office on Tuesday (July 16) reported that the wide-ranging Senate health committee bill, which aims to end surprise medical billing, increase transparency and lower prescription drug and other health costs, would save about $7.6 billion over 10 years, largely due to expected decreases in federal spending on insurance premiums as a result of the surprise billing provisions.

July 16, 2019 | Daily News

The House Ways & Means Committee on Tuesday (July 16) put together a rural and underserved communities health task force charged with finding bipartisan solutions to improve health care in those communities.

July 16, 2019 | Daily News

Senate health committee Chair Lamar Alexander (R-TN) called on CMS to quickly finalize a proposed fiscal 2020 hospital inpatient rule that would raise pay for low-wage hospitals by cutting pay for high-wage hospitals, saying this will help rural hospitals keep up with the cost of providing care, but hospital groups say keeping the proposal budget neutral is unnecessary and could be detrimental to some hospitals.

July 16, 2019 | Daily News

Sen. Kamala Harris is the latest Democratic presidential candidate to vow that Americans would not pay more for drugs than other countries pay, if she is elected.

July 16, 2019 | Daily News

Nearly all the Democratic members of the Senate Finance Committee asked ranking Democrat Sen. Ron Wyden (OR) to push for government price negotiation authority to be included in the committee’s drug-pricing package.

July 15, 2019 | Daily News

Democratic presidential candidate Sen. Amy Klobuchar (D-MN) released a plan for seniors on Friday (July 12) that includes a number of Medicare proposals, including expanding Medicare services for Alzheimer’s patients, supporting site-neutral payments and expanding telehealth, as other presidential hopefuls begin to release their own health plans.

July 15, 2019 | Daily News

CMS on Monday (July 15) proposed to cover acupuncture for Medicare beneficiaries with chronic low back pain who are enrolled in CMS-approved studies or clinic trials sponsored by the National Institutes of Health.

July 15, 2019 | Daily News

Democratic presidential candidate Joe Biden proposed a Medicare-like public health insurance option that would be offered at no-cost for people in states that have not expanded Medicaid under the Affordable Care Act and would increase premium tax credits for middle-income individuals to purchase exchange coverage.

July 15, 2019 | Daily News

Democratic presidential candidate Joe Biden proposed a Medicare-like public health insurance option that would be offered at no-cost for people in states that have not expanded Medicaid under the Affordable Care Act and would increase premium tax credits for middle-income individuals to purchase exchange coverage.

July 15, 2019 | Daily News

Democratic presidential candidate Joe Biden over the weekend added himself to the list of Democrats pushing for Medicare drug price negotiation, and his plan includes a foreign-price component that takes a page from President Donald Trump’s plan to tie Medicare Part B drugs to foreign prices.

July 12, 2019 | Daily News

CMS is working on possible changes to the end stage renal disease pay system as part of a broader kidney care revamp unveiled by HHS Wednesday (July 10), as the agency says that “continual refinement of the ESRD PPS is necessary to benefit people living with ESRD.”

July 12, 2019 | Daily News

CMS agreed on Wednesday (July 10) to turn a tobacco-use quality measure into a pay-for-reporting measure rather than a pay-for-performance measure in 2018 in response to concerns by the National Association of Accountable Care Organizations (NAACOS).

July 11, 2019 | Daily News

CMS on Thursday (July 11) proposed phasing out pre-payments for home health services in an effort to reduce Medicare fraud, laid out its plan to implement a new home infusion benefit in 2021, and proposed allowing therapist assistants to perform maintenance therapy.

July 11, 2019 | Daily News

CMS included an 8% rate cut within a new home health pay model as part of a proposed rule on the sector’s 2020 pay released Thursday (July 11), which the agency says accounts for changes in home health agency behavior expected under the new system.

July 11, 2019 | Daily News

House Speaker Nancy Pelosi (D-CA) is negotiating with the White House on a government drug price negotiation plan that spans Medicare Part D, Part B and Medicaid, and the Federal Trade Commission or the Veterans Health Administration would arbitrate when HHS officials and drug company executives fail to agree on price, according to sources briefed on the latest proposal.

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