Medicare

House Ways and Means Committee Chairman Kevin Brady (R-TX) and Subcommittee on Health Chairman Peter Roskam (R-IL) yesterday sent Centers for Medicare & Medicaid Services Administrator Seema Verma recommendations to further alleviate Medicare administrative and regulatory burdens for hospitals…
House Energy and Commerce Committee leaders Aug. 30 sent a letter to the Medicare Payment Advisory Commission asking it to conduct additional research on hospital consolidation and the financial impact it has on Medicare patients and the program.
The Centers for Medicare & Medicaid Services Aug. 29 announced that beginning in 2020 it will allow Medicare Part D plans to vary the formulary placement of a drug based on what condition the drug may treat.
The Centers for Medicare & Medicaid Services (CMS) Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2019. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-exempt…
In 2016, the difference between the amount that the Medicare drug benefit program reported spending on 29 brand-name combination medications and the estimated spending for generic constituents for the same number of doses was $925 million.
House Ways and Means Committee Chairman Kevin Brady (R-TX) and Subcommittee on Health Chairman Peter Roskam (R-IL) yesterday released a report reviewing the committee’s year-long initiative to reduce legislative and regulatory burdens on Medicare providers and potential next steps.
Beginning in January, Medicare will pay for certain care management home visits under the Next Generation Accountable Care Organization Model.
The Centers for Medicare & Medicaid Services (CMS) Aug. 9 issued a rule proposing changes to the Medicare Shared Savings Program (MSSP) and provisions relating to Medicare payments to providers of services and suppliers participating in accountable care organizations (ACOs) under the MSSP.
In a brief filed today in federal court, the AHA and three member hospitals reaffirmed their support for four broad categories of non-deadline remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the Administrative Law Judge level.