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Medicare

February 11, 2019 | Daily News

CMS on Monday (Feb. 11) unveiled proposals to impose new interoperability requirements on providers, including new conditions of Medicare participation for hospitals as well as new stipulations for Medicare Advantage, Medicaid and exchange plans.

February 11, 2019 | Daily News

More than 300 House lawmakers touted supplemental benefits for the chronically ill in Medicare Advantage as part of an annual letter praising the program, and they also urged CMS to do as much as possible to build on the broader category of supplemental benefits the agency authorized last year.

February 08, 2019 | Daily News

Capping out-of-pocket Part D costs is a priority for the administration, but HHS Secretary Alex Azar told patient advocates that lowering drug list prices comes first, according to sources familiar with the conversations.

February 08, 2019 | Daily News

Hospitals are pleased that a bipartisan group of senators on Wednesday (Feb. 6) reintroduced the Resident Physician Shortage Reduction Act, which would add 15,000 additional Medicare-funded residency slots over five years, shortly after Sen. John Barrasso (R-WY) expressed concerns that graduate medical education funding needs to be reworked to better help rural areas.

February 08, 2019 | Daily News

Sen. Sherrod Brown (D-OH) and House Democrats are pushing sister bills to curb rising drug prices: one would direct Medicare to negotiate drug prices and let the government force generic competition before patents and exclusivities expire when negotiations fail; the other would penalize companies that price gouge.

February 08, 2019 | Daily News

Five Democratic senators, including a presidential candidate and another potential candidate, introduced a bill to let the government condition drug exclusivity on companies keeping price increases in the single digits.

February 08, 2019 | Daily News

FDA on Friday (Feb. 8) updated its public list of brand drugs for which generic drug makers complain they can’t get a hold of the samples needed for generic development.

February 07, 2019 | Daily News

Johnson & Johnson announced Thursday (Feb. 7) that it would be the first drug maker to disclose list prices in its television advertisements, the Associated Press first reported.

February 07, 2019 | Daily News

The American Hospital Association (AHA), in a report Monday (Feb. 4), called on CMS and Congress to reduce regulations facing rural hospitals and back away from Medicare cuts -- calls echoed by rural health advocates at the National Rural Health Association’s (NRHA) Policy Institute Tuesday (Feb. 5).

February 06, 2019 | Daily News

The House Energy & Commerce health subcommittee spent more time debating whether to hold a hearing on Medicare for All than discussing the stated subject of Wednesday’s hearing -- the implications of the ongoing federal case in Texas that could upend Obamacare.

February 06, 2019 | Daily News

The Senate health committee discussed the potential for telehealth to reduce health care costs and improve access to primary care at a hearing on Tuesday (Jan. 6), but some said the lack of access to broadband in rural communities as well as originating site rules hinder its use.

February 06, 2019 | Daily News

CMS Administrator Seema Verma said the agency plans to open up the financial alignment demonstration for those dually eligible for Medicare and Medicaid to new states, and shortly afterwards duals center chief Tim Englehardt said the results are increasingly positive for those states currently participating.

February 06, 2019 | Daily News

President Donald Trump on Tuesday night (Feb. 5) called for legislation to make insurance companies and hospitals, as well as drug companies, disclose their prices to help bring down costs, a move the White House said would help stop surprise billing.

February 06, 2019 | Daily News

Democrats were not impressed with the president’s pledge during his State of the Union address to lower drug prices because he didn’t mention government price negotiation.

February 05, 2019 | Daily News

HHS Secretary Alex Azar urged rural health advocates on Tuesday (Feb. 5) to consider new health care models for delivering rural health care in a sustainable manner, and indicated it may be time to rethink the role of hospitals in the future of rural health care.

February 05, 2019 | Daily News

Cigna CEO David Cordani said HHS’ proposed rebate rule would have little effect on Express Scripts, which Cigna owns, because the pharmacy benefit manager already gives 95 percent of rebates to its insurer clients and because the rule would not affect commercial markets.

February 04, 2019 | Daily News

The Senate Finance Committee asked seven brand drug makers to testify Feb. 26 on rising drug prices after some of those companies refused to testify at a Jan. 29 hearing.

February 04, 2019 | Daily News

CMS will again ask stakeholders for feedback on how to reduce regulatory burden, according to CMS Administrator Seema Verma, even as work on two separate CMS burden-reduction rules continues.

February 04, 2019 | Daily News

Senate Finance Committee ranking Democrat Ron Wyden (OR) again on Friday (Feb. 1) called on CMS to change guidance on emergency preparedness for nursing homes.

February 04, 2019 | Daily News

Sens. John Barrasso (R-WY) and Debbie Stabenow (D-MI) reintroduced a mental health bill that would lift a restriction barring certain mental health professionals from billing Medicare for their services.

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