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Medicare

August 18, 2020 | Daily News

Hospitals with Medicare beneficiaries diagnosed with COVID-19 will only see a 20% hike in payment if they prove a positive diagnosis starting on Sept. 1, CMS said on Monday (Aug. 17) in a Medicare Learning Network memo.

August 18, 2020 | Daily News

Nursing homes worry CMS’ move to resume routine inspections could result in asymptomatic state surveyors infecting facility staff and residents, the American Health Care Association told Inside Health Policy Tuesday (Aug. 18).

August 18, 2020 | Daily News

Sen. Bernie Sanders (I-VT) and Rep. Pramila Jayapal (D-WA), lead advocates of Medicare for All, told progressives who are not excited about the moderate 2020 Democratic ticket to support former Vice President Joe Biden and Sen. Kamala Harris (D-CA) because it would make progressive health care priorities more achievable.

August 17, 2020 | Daily News

CMS on Monday (Aug. 17) announced it will resume all regular inspections of nursing homes, after postponing them earlier this year as nursing homes grappled with COVID-19 outbreaks.

August 12, 2020 | Daily News

Generic drug makers are pleased the president is again saying he’ll eliminate rebates because it would fix an aspect of Medicare Part D that encourages plans to use brands over generics.

August 11, 2020 | Daily News

The Democratic presidential ticket now includes two moderates who support aggressive measures to rein in drug prices and reform health insurance markets.

August 11, 2020 | Daily News

The Democratic presidential ticket now includes two moderates who support aggressive measures to rein in drug prices and reform health insurance markets.

August 11, 2020 | Daily News

Nearly 100 House lawmakers on Tuesday (Aug. 11) asked House leadership from both parties to allow CMS in 2021 and 2022 to raise pay for some evaluation and management codes, which tends to benefit primary care providers, without cutting other providers’ pay to offset those costs.

August 11, 2020 | Daily News

CMS on Tuesday (Aug. 11) gave details on its new rural health model, previously laid out in a recent executive order, and said the demo will have a track for rural communities and a track for accountable care organizations, with the first applications likely opening in September.

August 11, 2020 | Daily News

At a White House roundtable on Tuesday (Aug. 11), CMS Administrator Seema Verma said the agency continues to examine policies around audio-only telehealth and touted an upcoming regulation on using telehealth for physician supervision purposes.

August 09, 2020 | Daily News

While President Donald Trump’s payroll tax holiday doesn’t appear to affect the Medicare portion of those taxes, one analyst said it’s a small step to go from not collecting the taxes that fund Social Security to not collecting the Medicare taxes and some lawmakers worry Trump is setting the stage to defund taxes supporting Medicare.

August 07, 2020 | Daily News

House Ways & Means rural health task force members on Thursday (Aug. 6) called for extending telehealth flexibilities beyond the pandemic, and some members stressed a need to add guardrails.

August 06, 2020 | Daily News

The buy-American executive order that the president will sign Thursday (Aug. 6) aims to avoid raising drug prices by making it easier to build advanced U.S. manufacturing facilities that make drugs from start to finish, White House trade advisor Peter Navarro said Thursday morning.

August 05, 2020 | Daily News

House Ways & Means Chair Richard Neal (D-MA) wrote to CMS Administrator Seema Verma on Wednesday (Aug. 5) that his committee has found large gaps in the COVID-19 data nursing homes are reporting to the government, making it difficult to accurately assess death rates, staffing needs and allocate provider relief funds. Neal wants to know by Aug. 21 how CMS will fix the data collection problems.

August 05, 2020 | Daily News

The American Medical Association, therapists and others are pushing Congress to avert large-scale cuts proposed by CMS this week for certain physician specialties by waiving budget neutrality requirements. Doing so would let CMS pay more for evaluation and management codes without cutting others’ pay.

August 04, 2020 | Daily News

CMS on Tuesday (Aug. 4) finalized its fiscal 2021 inpatient rehabilitation facility prospective pay rule that will lift requirements on post-admission evaluations and expand the services non-physician practitioners can provide.

August 04, 2020 | Daily News

Providers and plans applaud CMS’ regulatory proposal to make some telehealth provisions allowed during the COVID-19 pandemic permanent, but many say more needs to be done by the agency and Congress.

August 04, 2020 | Daily News

CMS on Tuesday (Aug. 4) announced plans to deepen cuts to Part B pay for 340B drugs by an additional 6%, shortly after the U.S. Court of Appeals for the District of Columbia Circuit backed the agency’s pay cuts for 2018 and 2019.

August 03, 2020 | Daily News

Some specialties could see pay bumps as high as 17% next year, while others could see pay cuts as large as 11% under CMS’ proposed 2021 physician fee schedule, which the agency unveiled late Monday (Aug. 3).

August 03, 2020 | Daily News

President Donald Trump on Monday (Aug. 3) signed an executive order calling on CMS to make permanent some telehealth provisions allowed during the COVID-19 pandemic as well as authorize the Center for Medicare and Medicaid Innovation to create a rural health payment model.

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