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Medicare

February 17, 2021 | Daily News

A federal appeals court on Tuesday (Feb. 16) upheld a lower court’s decision to dismiss a lawsuit by cancer doctors against sequestration cuts to Medicare Part B drug reimbursement rates.

February 17, 2021 | Daily News

The American Hospital Association has laid out a broad 2021 health care advocacy agenda that calls for Congress and the Biden administration to preserve federal Medicaid and Medicare funding, investigate health insurance anti-competitiveness, protect hospitals when implement surprise billing protections and more.

February 17, 2021 | Daily News

The American Hospital Association’s recently released 2021 advocacy agenda asks policymakers to make the health care system more efficient, financially stable and equitable by enacting medical liability reform, increasing electronic communication within the industry and collecting more data on race and ethnicity to improve health outcomes.

February 12, 2021 | Daily News

The Pacific Business Group on Health, which represents several large, nationwide employers, including Walmart, is eyeing numerous ways to reform the health care system in the coming years and is seeking state and federal help where needed.

February 11, 2021 | Daily News

House Energy & Commerce Committee Chair Frank Pallone (D-NJ) and his Democratic colleagues rejected a Republican amendment Thursday (Feb. 12) to add $35 billion in provider relief funds to the COVID-19 relief package, including batches of $5 billion for Medicaid and rural providers.

February 11, 2021 | Daily News

Hospitals on Wednesday (Feb. 10) asked the Supreme Court to take up their lawsuits against the Trump administration’s Medicare Part B reimbursement cuts for 340B drugs and pay cuts for outpatient clinic visits at certain off-campus hospital facilities, alleging the U.S. Court of Appeals for the District of Columbia Circuit gave too much weight to HHS’ interpretation of the statute in each situation.

February 10, 2021 | Daily News

White House Office of Management and Budget Director nominee Neera Tanden committed to quickly moving regulations related to graduate medical education through OMB if confirmed to the post.

February 09, 2021 | Daily News

Newly named Senate Finance Committee ranking Republican Mike Crapo (ID) dubbed Medicare solvency one of his top health care priorities on Tuesday (Feb. 9), along with making sure those on federal health programs have access to the latest health technology -- including telehealth.

February 09, 2021 | Daily News

Better Medicare Alliance, a coalition of Medicare Advantage advocates, wants policymakers to reward MA plans for addressing health disparities as part of policymakers’ COVID-19 response, as well as promote telehealth and other alternative care and streamline the MA enrollment experience by shifting the responsibility to HHS, according to the group’s 2021 policy agenda, released exclusively to Inside Health Policy.

February 08, 2021 | Daily News

The American Hospital Association placed a priority on COVID-19 relief in its 2021 policy agenda document, which asks Congress and the Biden administration for increased support for providers, protection for patients’ access to insurance and permanent telehealth flexibilities.

February 05, 2021 | Daily News

The Senate late Thursday (Feb. 4) agreed to add to the budget resolution a bipartisan amendment sponsored by Sens. Susan Collins (R-ME) and Joe Manchin (D-WV) that aims to replenish the Provider Relief Fund by $35 billion, with 20% set aside for rural hospitals. Only one senator, Mike Lee (R-UT), voted against the language, which now could be included as congressional committees write legislation for Democrats’ $1.9 trillion COVID-19 package.

February 04, 2021 | Daily News

A group of GOP lawmakers are backing providers’ push for relief funding to be included in the next COVID-19 stimulus package, with the Republicans asking President Joe Biden to add $35 billion for providers to his American Rescue Plan.

February 04, 2021 | Daily News

Medicare Advantage grew to almost 26 million enrollees last month, and while plans and MA advocates are pleased, other beneficiary advocates say Congress and CMS need to do a better job about treating the private plans and fee-for-service coverage equally.

February 03, 2021 | Daily News

The American Hospital Association says hospitals need more time to show they met interoperability requirements in 2020 due to problems with the reporting system and the burdens of the COVID-19 pandemic, and the group asks CMS to push the attestation deadline from March 1 to May 1.

February 02, 2021 | Daily News

The Biden administration recently withdrew an unreleased draft rule on end-stage renal disease conditions of coverage that was expected to address the controversial issue of whether insurers must accept premium payments from third-party charities -- a move quickly applauded by kidney care advocates, although the rule could resurface.

February 01, 2021 | Daily News

Congressional Democratic leaders Monday (Feb. 1) kicked off the fast-track process for passing a $1.9 trillion COVID-19 relief package based on President Biden’s American Rescue Plan, which includes temporary subsidies for COBRÅ and enhanced ACA tax credits in addition to boosting funds for vaccinations, testing and more.

January 29, 2021 | Daily News

The Biden administration on Friday (Jan. 29) delayed for 60 days a Trump administration rule to eliminate drug rebates that pharmacy benefit managers use to negotiate lower prices.

January 29, 2021 | Daily News

Biden’s CMS has withdrawn three separate Trump era regulations -- one to allow individuals to access Social Security benefits without taking Medicare Part A coverage, one on third-party pay for dialysis and one on accrediting organization oversight.

January 28, 2021 | Daily News

Congressional Medicare advisers said they are leaning toward recommending that Medicare Part B cover all vaccines, without cost sharing for preventive vaccines, at a meeting Friday (Jan. 15) on potential changes to the reimbursement formula for vaccines.

January 28, 2021 | Daily News

When Trump’s CMS finalized its policy to immediately cover breakthrough medical devices following FDA approvals, the agency decided against expanding the new rule to drugs.

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