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Medicare

November 07, 2019 | Daily News

Senate Finance Committee ranking Democrat Ron Wyden (OR) warned that a provision in a bipartisan budget reform measure sponsored by Budget Chair Mike Enzi (R-WY) and Sen. Sheldon Whitehouse (D-RI) could portend the end of traditional Medicare if enacted.  The bill would set up an automatic budget reconciliation process for debt reduction that would kick in should the Congressional Budget Office determine the debt would be higher at the end of a decade than it would be under the budget resolution. The Budget Committee approved the legislation 15-6 on Wednesday.

November 06, 2019 | Daily News

HHS has teamed up with the National Kidney Foundation and the American Society of Nephrology on a public awareness initiative about kidney disease that President Donald Trump called for in an executive order. Both stakeholder groups praised the initiative, but some have criticized the administration for not also reforming kidney treatment payment and coverage policies.

November 06, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley suggested  Tuesday (Nov. 5) that he plans to file an updated drug pricing bill next week, and a White House official said the administration is working with the Iowa Republican and ranking Finance Democrat Ron Wyden (OR) on provisions to limit seniors’ monthly out-of-pocket costs and to help seniors with sharply rising insulin list prices.

November 05, 2019 | Daily News

Hospitals called on CMS to release final guidance on how hospitals can avoid violating Medicare conditions of participations when creating policies to reduce risk in patients who may cause harm to themselves and others or sharing locations with other providers.

November 05, 2019 | Daily News

The American Kidney Fund (AKF) and Dialysis Patient Citizens (DPC) and two kidney failure patients have sued California over legislation enacted last month that the advocates say will cause irreparable harm to patients with end-stage renal disease.

November 01, 2019 | Daily News

CMS on Friday (Nov. 1) finalized changes to the Physician Fee Schedule that will simplify documentation and coding requirements for office visits, add a new Part B benefit for opioid treatment programs and increase pay for care management services provided to beneficiaries after they leave the hospital.

November 01, 2019 | Daily News

CMS on Friday (Nov. 1) finalized controversial proposals in the 2020 hospital outpatient pay rule to continue cuts to 340B drug reimbursement and to pay for clinic visits at certain off-campus facilities, despite federal district judges ruling against both polices.

November 01, 2019 | Daily News

The National Home Infusion Association pushed back after CMS finalized a new home infusion benefit for 2021 as part of a home health pay rule out Thursday (Oct. 31) that excludes pharmacists, instead reimbursing them under the durable medical equipment benefit.

November 01, 2019 | Daily News

CMS Administrator Seema Verma said the upcoming rural health demonstration will be focused on giving rural areas seed money to redesign their health care systems and encouraging providers in those areas to participate in value-based care.

November 01, 2019 | Daily News

Democratic Primary candidate Sen. Elizabeth Warren (D-MA) responded to pressure from fellow Democrats and released a proposal outlining how she would pay for her Medicare for All policy through a $9 billion tax on employers, a shift of $6 trillion in state funds to Medicare for All, heavy taxes on corporations and the wealthy, and spending cuts to other government agencies.

October 31, 2019 | Daily News

CMS on Thursday (Oct. 31) finalized provisions to increase pay for dialysis facilities that use new equipment, and streamlined durable medical equipment pay requirements, which the agency says will help cut down on fraud and abuse.

October 31, 2019 | Daily News

CMS on Thursday (Oct. 31) halved a proposed behavioral adjustment cut in its final home health pay rule meant to offset potential spending increases under a new home health payment model after industry backlash.

October 31, 2019 | Daily News

Twenty-five consultants, health systems, universities and analysts will receive Medicare claims data after advancing to the first stage of a Center for Medicare and Medicaid Innovation competition on artificial intelligence.

October 31, 2019 | Daily News

CMS Administrator Seema Verma is setting up an Office of Burden Reduction as the administration’s Patients Over Paperwork effort hits its two-year anniversary, and she said on Tuesday (Oct. 29) the agency will need an ongoing commitment to cutting back on administrative burdens.

October 30, 2019 | Daily News

The White House opposes House Speaker Nancy Pelosi’s (D-CA) government drug price negotiation bill, Domestic Policy Council chief Joe Grogan told Politico on Wednesday (Oct. 30).

October 30, 2019 | Daily News

The White House sees little chance for enactment of House Speaker Nancy Pelosi’s (D-CA) government drug price negotiation bill and is pushing for passage of the Senate Finance Committee's bill, Domestic Policy Council chief Joe Grogan told Politico on Wednesday (Oct. 30).

October 30, 2019 | Daily News

A bipartisan, bicameral bill introduced Wednesday (Oct. 30) would allow HHS to waive telehealth restrictions under Medicare, expand telehealth for mental health services, encourage CMS to test more telehealth models in Medicare, and allow for the use of telehealth to recertify a Medicare beneficiary for hospice.

October 30, 2019 | Daily News

House Energy & Commerce health subcommittee ranking Republican Mike Burgess (TX) commended CMS Administrator Seema Verma for committing to tackle prior authorization after she said recently that the agency expects to move on the issue by the end of the year.

October 30, 2019 | Daily News

CMS Administrator Seema Verma indicated on Tuesday (Oct. 29) the agency may grant pharmacists provider status under Medicare, and she pointed to the president’s Medicare executive order that directed CMS to look into allowing clinicians to work to the top of their license.

October 29, 2019 | Daily News

Less than a week after CMS delayed the implementation of its new alternative payment model for primary care, HHS Secretary Alex Azar on Tuesday (Oct. 29) touted the model as a centerpiece of the Trump administration’s conservative vision for Medicare.

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