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Medicare

July 01, 2020 | Daily News

A CMS official on Wednesday (July 1) hinted that an upcoming physician pay rule may contain provisions to make permanent waived restrictions in telehealth and encouraged stakeholders to comment on the rule once it’s proposed.

July 01, 2020 | Daily News

Senate Finance Committee Chair Chuck Grassley plans to introduce “in the coming days” an updated version of his drug pricing legislation, and the Iowa Republican now blames Democrats, who voted for his bill in committee, for not negotiating on changes.

June 30, 2020 | Daily News

Two Republican committee leaders on Monday (June 29) asked the HHS Office of the Inspector General to investigate whether five states violated federal guidance by asking nursing homes to accept COVID-19 positive patients.

June 29, 2020 | Daily News

The hospice lobby told Inside Health Policy on Monday (June 29) that HHS signaled to the group an extension of the public health emergency declaration is likely as a growing number of provider groups join hospitals’ calls to HHS to extend the declaration before its expiration on July 25.

June 29, 2020 | Daily News

The Trump administration has secured 500,000 treatment courses of Gilead’s experimental COVID-19 drug remdesivir, and hospitals will pay no more than $3,200 per average treatment course, HHS and Gilead announced Monday morning (June 29).

June 26, 2020 | Daily News

A broad telehealth task force seeks input as it develops long-term recommendations to build on the use of telehealth during the COVID-19 pandemic -- including what criteria should be used to decide which telehealth regulations should be continued once the pandemic ends.

June 26, 2020 | Daily News

After having reworked certain innovation center models in light of COVID-19,[/node/115262], Center for Medicare and Medicaid Innovation Director Brad Smith said during a virtual summit Wednesday (June 24) the center hopes to release new models later this year.

June 25, 2020 | Daily News

Beneficiary advocates, family and nursing home staff told lawmakers at a heated House Ways & Means Committee hearing Thursday (June 25) that an increased focus on testing and oversight in nursing homes is needed after CMS said more than 29,000 residents died of COVID-19.

June 25, 2020 | Daily News

CMS on Thursday (June 25) proposed to permanently expand home health telehealth options, initially approved for use during the COVID-19 pandemic, as part of its proposed 2021 home health pay rule, and the rule also would implement new wage index calculations while capping cuts that could be tied to those calculations.

June 25, 2020 | Daily News

The American Medical Association calls the health insurance industry’s prior authorization process reforms a failure after more than half of providers surveyed said the paperwork burden has increased in the last five years, and the physician lobby now wants Congress to step in.

June 24, 2020 | Daily News

Lawmakers are upset that federally supported test sites are set to close soon, but HHS officials said the federal government is simply transferring control to states.

June 24, 2020 | Daily News

Dialysis Patient Citizens sued CMS over its decision to let Medicare Advantage plans attest to having dialysis available in their networks rather than requiring specific time and distance standards for outpatient dialysis centers -- a decision the patient advocate group says discriminates against end-stage renal disease patients and was finalized without stakeholders knowing it was an imminent proposal.

June 23, 2020 | Daily News

A federal judge on Tuesday (June 23) ruled the Trump administration can proceed with its controversial mandate that hospitals publish negotiated rates, rejecting the American Hospital Association’s call for the court to scrap CMS’ hospital price transparency rule that is expected to go into effect in 2021.

June 23, 2020 | Daily News

Centers for Disease Control and Prevention Director Robert Redfield told lawmakers on Tuesday that CDC is working to ensure nursing home reporting data include ethnicity and race when it is sent to CMS to be publicly reported, although CMS hasn’t yet confirmed whether it will include such data.

June 23, 2020 | Daily News

CMS on Tuesday (June 23) rolled out its promised Office of Burden Reduction and Health Informatics to reduce administrative costs across Medicare, Medicaid, the exchanges and the Children’s Health Insurance Program, and the new office will also leverage the regulatory flexibilities put in place during COVID-19.

June 22, 2020 | Daily News

CMS on Monday (June 22) released sought-after Medicare data on beneficiaries’ COVID-19 outcomes that found black beneficiaries had the highest rates of hospitalization, followed by Hispanic beneficiaries, Asian beneficiaries and white beneficiaries -- but CMS Administrator Seema Verma said the data also showed the impact of socioeconomic status and the need for providers to move to value-based care.

June 22, 2020 | Daily News

CMS on Thursday (June 18) issued a second public update of nursing home COVID-19 data that scrubbed about 3,000 resident deaths from the total count, which CMS attributes to obtaining more precise data.

June 22, 2020 | Daily News

The American Hospital Association on Friday (June 19) called on HHS to extend the public health emergency declaration set to expire on July 25 until testing capacity increases and fewer people test positive for COVID-19.

June 19, 2020 | Daily News

CMS on Friday (June 19) announced the 25 members of an independent commission that will assess nursing homes’ response to COVID-19 and provide recommendations on immediate and future responses.

June 19, 2020 | Daily News

Provider relief recipients won’t have to submit a separate quarterly report to HHS or the Pandemic Response Accountability Committee because the department will develop a report to satisfy the transparency requirements, HHS says in CARES Act frequently asked questions.

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