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Medicare

October 29, 2019 | Daily News

The House passed two bills Monday night meant to increase access to palliative and hospice care as well as provide funding for programs that are part of the Older Americans Act, including provisions to reduce social isolation in seniors.

October 29, 2019 | Daily News

The House on Monday (Oct. 28) unanimously passed legislation that would require HHS to publish pharmacy benefit managers’ aggregate rebates, discounts and price concessions and require plans to include real-time benefit information on drug costs in Medicare Part D.

October 29, 2019 | Daily News

The House will vote on its government drug-price negotiation bill soon after returning from next week’s recess, Majority Leader Steny Hoyer (D-MD) said.

October 28, 2019 | Daily News

Rep. Greg Walden (R-OR), the top Republican on the House Energy & Commerce Committee, will retire at the end of this Congress, his office announced Monday.

October 28, 2019 | Daily News

A bipartisan, bicameral bill aimed at reducing social isolation for seniors was introduced Wednesday (Oct. 23) amid a recent focus from both Medicare Advantage plans and Medicare advocates to battle the problem.

October 25, 2019 | Daily News

Provisions of House Democrats’ government drug price negotiation bill could be vulnerable to constitutional challenges, according to an Oct. 21 memo by the nonpartisan Congressional Research Service.

October 25, 2019 | Daily News

CMS Administrator Seema Verma in an Oct. 22 letter stood by the agency’s decision to include non-invasive ventilators in competitive bidding when the program picks back up in 2021, sparking push back from industry and Rep. Morgan Griffith (R-VA).

October 24, 2019 | Daily News

CMS opened applications for two of its new Medicare alternative payment models on Thursday (Oct. 24) as the Health Care Payment Learning and Action Network (LAN) officially laid out its goals to move all Medicare beneficiaries to value-based pay models by 2025.

October 24, 2019 | Daily News

CMS on Monday (Oct. 21) again asked about the best ways to use prior authorization – this time with a focus on using such policies to improve Medicare payment accuracy – and said it is also looking at how artificial intelligence could improve payments.

October 24, 2019 | Daily News

Biosimilar makers got a win Thursday (Oct. 17) when the House Energy & Commerce Committee amended drug pricing legislation to temporarily hike Medicare reimbursement for biosimilars.

October 23, 2019 | Daily News

Twelve hours after it started, the House Ways & Means Committee markup of Democrats' Medicare drug-price negotiation bill took an odd turn as health subcommittee Chair Lloyd Doggett (D-TX) failed to get but a few votes in support of his amendment to extend negotiated drug prices to the uninsured. Republicans, who had been at odds with Democrats all day, voted “present” for the measure.

October 22, 2019 | Daily News

The House Ways & Means Committee passed legislation on Tuesday (Oct. 22) to add vision, hearing and dental benefits to Medicare Part B, which Chair Richard Neal (D-MA) touted as one of the biggest positive changes to Medicare in a generation, and Democrats are eying savings from Speaker Nancy Pelosi’s (D-CA) drug-price negotiation plan to pay for the changes.

October 22, 2019 | Daily News

On the same day CMS Administrator Seema Verma touted CMS’ home health demonstration for reducing fraud, the demonstration start date was delayed in three states so that home health providers can get used to a new pay model.

October 22, 2019 | Daily News

Senators from both parties and hospitals are calling on CMS to reimburse for non-opioid pain management drugs separately to disincentive use of opioids when it issues the final Medicare outpatient rule.

October 22, 2019 | Daily News

Accountable care organizations praised a bipartisan Senate bill introduced Tuesday (Oct. 22) that would remove ACO patients from the regional comparison group when CMS sets benchmarks, fixing what the ACOs call the “rural glitch.”

October 22, 2019 | Daily News

The Republican Study Committee released a health plan that would eliminate large swaths of the Affordable Care Act, standing in contrast to Democrats’ plans to build on the ACA or move to single-payer health care.

October 21, 2019 | Daily News

Federal D.C. District Court Judge Rosemary Collyer on Monday (Oct. 21) turned down CMS’ request to let the agency take a first crack at fixing issues she had found with its site-neutral policy for certain off-campus clinic visits, and the judge also refused the agency’s request for a 60-day stay so that it could decide whether to appeal.

October 21, 2019 | Daily News

House Democrats had floated the possibility of funding drug research at the National Institutes of Health with savings from House Speaker Nancy Pelosi’s (D-CA) government drug price negotiation plan, but the committees of jurisdiction have so far decided to use the savings to expand Medicare benefits.

October 18, 2019 | Daily News

The House Oversight & Reform Committee will likely maintain its health care focus following Rep. Elijah Cummings’ death because health care is a defining Democratic policy area and committee staff typically continue work on investigations when leadership changes within the same party, said Henry Waxman (D-CA), who chaired both the Oversight and Energy & Commerce committees.

October 18, 2019 | Daily News

Medicare advocates praised aspects of House Speaker Nancy Pelosi’s (D-CA) drug price negotiation plan that would use savings to add dental, hearing and vision benefits to Medicare on the same day the House Energy & Commerce Committee and the House Education & Labor Committee held mark-ups on the plan. 

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