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Medicare

July 11, 2019 | Daily News

The House Energy & Commerce health subcommittee on Thursday (July 11) approved bills that would delay Disproportionate Share Hospital (DSH) cuts for two years and decrease the cuts in fiscal 2022 as well as fund community health centers, the National Health Service Corps, teaching health center Graduate Medical Education and special diabetes programs through fiscal 2024.

July 11, 2019 | Daily News

President Donald Trump has decided to withdraw a proposed rule to eliminate rebates in Medicare Part D and Medicaid managed care because of concerns the rule would raise premiums for Part D beneficiaries, an administration official told Inside Drug Pricing.

July 10, 2019 | Daily News

President Donald Trump on Wednesday (July 10) issued an executive order calling for demonstrations to revamp the kidney care sector, and HHS immediately released a mandatory pay model and multiple voluntary pay models to do so.

July 10, 2019 | Daily News

CMS on Wednesday (July 10) proposed a long-awaited bundled pay model for radiation oncology that would replace Medicare’s fee-for-service payments in certain geographic areas.

July 10, 2019 | Daily News

There will be no immediate replacement for departing Center for Medicare and Medicaid Innovation (CMMI) Director Adam Boehler, but CMS Administrator Seema Verma said in an email to staff Wednesday (July 10) that she and Boehler are quickly working on identifying candidates for the role.

July 10, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley told Inside Drug Pricing he wants Congress to require that drug makers disclose list prices for prescription drugs in television ads, coming a day after a federal court on Monday (July 8) ruled the Trump administration lacks authority under current law to regulate drug makers’ television ads.

July 10, 2019 | Daily News

Many dual-eligible beneficiaries are disenrolled from Medicaid even though they likely remain eligible for that coverage, according to a new study, as they are still eligible for Medicare’s low-income drug coverage subsidies.

July 09, 2019 | Daily News

HHS is looking for 15 stakeholders to join a department-wide quality summit to put together a Health Quality Roadmap as required by President Donald Trump’s recent executive order on price transparency.

July 09, 2019 | Daily News

A bipartisan, bicameral group of lawmakers asks CMS to revisit provider cuts resulting from a new home health pay system, scheduled to go into effect next year, when the agency releases the 2020 home health pay rule.

July 05, 2019 | Daily News

Doctors’ groups and accountable care organizations recently praised Rep. Suzan DelBene’s (D-WA) legislation to eliminate beneficiary cost sharing tied to chronic care management codes, as the providers say getting rid of the payments will lead to more beneficiaries taking advantage of those services.

July 05, 2019 | Daily News

The Center for Medicare Advocacy is urging CMS to remove quality measures from the Nursing Home Compare website, or to relabel them so that nursing homes can’t cite the provider-reported ratings to mask lower scores on staffing and health inspections.

July 05, 2019 | Daily News

President Donald Trump is writing an executive order to ensure the United States pays no more than any other country for prescription drugs, he said Friday (July 5).

July 02, 2019 | Daily News

Senate Finance Committee members are scheduled to meet next Tuesday (July 9) to discuss drug-pricing legislation that Chair Chuck Grassley (R-IA) and ranking Democrat Ron Wyden (OR) have been negotiating, according to sources following the talks.

July 02, 2019 | Daily News

FDA on Monday (July 1) eliminated postmarket requirements that makers of HIV prevention drug Truvada and its generics provide training materials to health care professionals and educational information to consumers, due to evidence that most providers and at-risk individuals are aware of the risks of the drug and know how to use it properly.

July 02, 2019 | Daily News

CMS on Tuesday (July 2) finalized its national coverage policy to expand coverage of ambulatory blood pressure monitoring for beneficiaries with suspected masked hypertension.

July 01, 2019 | Daily News

The White House Office of Management and Budget on Friday (June 28) began its review of a final Medicare and Medicaid burden reduction rule that also now includes updates to hospital and critical access hospital requirements that CMS delayed finalizing earlier in June.

July 01, 2019 | Daily News

Private health insurance premiums cannot be reined in without reforms to hospital payments, which make up the largest expenditures in the system, a new analysis from the Center for American Progress says, and the group offers several policy recommendations including rate-setting, reference pricing and site-neutral payments, among others.

June 27, 2019 | Daily News

The White House Office of Management and Budget on Wednesday (June 26) finished a seven-month long review of a burden reduction rule aimed at nursing homes.

June 26, 2019 | Daily News

The House Ways & Means Committee on Wednesday (June 26) advanced five Medicare-related bills, including legislation to expand coverage of telehealth services for mental health treatment, eliminate beneficiary cost-sharing for chronic care management services, and add 1,000 new residency slots under the Graduate Medical Education program.

June 26, 2019 | Daily News

Kidney Care Partners calls for a legislative and regulatory overhaul of renal disease treatment, including changes to the Medicare end-stage renal disease prospective payment system, an expansion of the Medicare Kidney Disease Education benefit, an extension of Medigap access for those with kidney disease and an HHS study on the social, behavioral and biological factors that lead to the disease.

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