CMS announced on December 15, 2016 that it will not pursue its plans to finalize a proposed rule that would have created a pilot program to test a new Medicare Part B prescription drug reimbursement model.
The Medicare Payment Advisory Commission (“MedPAC”) met in Washington, DC, on December 8-9, 2016.
McKnight’s reported that The Medicare Payment Advisory Committee (MedPAC) recommended that market basket updates for skilled nursing facilities be eliminated for fiscal years 2018 and 2019 — restating for a second year that current payment levels for providers are “too high.”
The Centers for Medicare & Medicaid Services (CMS) has withdrawn its controversial rule implementing the Medicare Part B payment demonstration.
The 2017 Medicare Physician Fee Schedule finalizes the CMS changes for Telehealth reimbursement and coverage for 2017.
HHS Publishes a New Rule to Protect Dialysis Patients from Being “Steered” into Private Coverage for the Benefit of Dialysis Centers
On implementing significant, new requirements for Medicare-certified dialysis facilities that make payment of premiums for individual health coverage, on December 14, 2016, the Department of Health and Human Services (HHS) published an Interim final rule with comment period.
Medicare providers with pending cases at the administrative law judge (“ALJ”) level received positive news last week as a federal judge for the United States District Court for the District of Columbia (the “Court”) granted summary judgment in favor of the American Hospital Association (“AHA”) in its case against the Secretary of the Department of Health and Human Services (“HHS”).
President-Elect Trump Names Rep. Tom Price, MD As HHS Secretary; Seema Verma, Health Care Consultant, As CMS Administrator
Medicare/Medicaid Reform and ACA Repeal on the Horizon, MACRA Moves Forward for Now.
There was a saying during the election that Donald Trump’s supporters were taking him seriously and not literally, while his detractors took him literally and not seriously. As the president-elect, many are starting to worry that neither camp got it right.
As of January 2016, there were 433 Medicare Shared Savings Program (MMSP) Accountable Care Organizations (ACOs) with almost 7.7 million assigned beneficiaries and more than 14,000 participants (a participant may be a group or an individual).