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CMS' 2020 MPFS proposed rule draws more than 40,000 comments

October 1, 2019


CMS' public comment period for the 2020 Medicare Physician Fee Schedule proposed rule ended last week, and the agency received more than 40,000 comments from hospital groups, insurers, and other industry stakeholders.

Do value-based payment programs work?

October 1, 2019


Medicare has increasingly emphasized value-based payment programs since the Affordable Care Act's enactment, but nearly a decade later, experts are still weighing whether these value-based initiatives work, health economist Austin Frakt writes for the New York Times' "The Upshot."

DOJ charges 35 individuals in $2B Medicare scam

October 1, 2019


The Department of Justice last week announced that it has brought charges against 35 individuals, including 10 medical professionals, for their alleged role in a Medicare scam involving dozens of telemedicine companies and genetic testing laboratories.

FDA will not regulate fitness tracker apps, other healthy lifestyle software

September 30, 2019


FDA last week released guidelines clarifying how the agency will regulate digital health products, such as mobile apps and tools that use artificial intelligence to help doctors make clinical decisions.

CMS finalizes rules to cut regulatory burdens on hospitals, transplant centers

September 27, 2019


CMS this week finalized two rules that eliminate several regulations that CMS has deemed duplicative or unnecessary and increases transparency in post-acute care facilities.

Hospitals will see $4B DSH payment cut in 2020 under CMS rule

September 25, 2019


CMS this week finalized a rule outlining how it will calculate annual Medicaid disproportionate share hospital payment cuts from fiscal year (FY) 2020 through FY 2025.

Marketing plans, safety studies, and more: Inside FDA's proposed requirements for e-cigarette applications

September 25, 2019


FDA on Friday released a proposed rule outlining the information e-cigarette makers would need to include in their applications to bring their products to the market.

Appeals court hears case challenging Title X family planning rule

September 24, 2019


A federal appeals court during a hearing yesterday appeared divided about whether to uphold a final rule that bars health care providers and clinics that receive Title X family planning grants from providing or referring patients for abortion care.

Tennessee has a first-in-the-nation plan to convert Medicaid into a block grant

September 19, 2019


Tennessee on Tuesday released a draft Medicaid waiver proposal to convert the state's Medicaid financing structure from an open-ended federal funding system into a block-grant system.

Providers urge CMS to delay proposed radiation oncology bundled payment model

September 19, 2019


Provider groups are urging CMS to delay its proposed mandatory bundled payment model for radiation oncology, saying the model could lower investments in new technologies and equipment and reduce access to new types of care.

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