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CMS delays controversial price transparency requirements—and other key takeaways from the HOPPS final rule

November 4, 2019


CMS on Friday released a final rule to update Medicare's Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year 2020, in which the agency said it will continue to implement site-neutral payment cuts and cuts under Medicare's 340B Drug Discount Program, despite separate court rulings striking down the policies.

How CMS will change Medicare payments to physicians in 2020

November 4, 2019


CMS on Friday issued a final rule to update the Medicare Physician Fee Schedule and Quality Payment Program (QPP) for calendar year 2020, which includes policies to shift QPP's Merit-based Incentive Payment System to a new conceptual framework and update evaluation and management visit payment rates.

How Warren would pay for 'Medicare for All'

November 4, 2019


Sen. Elizabeth Warren (D-Mass.), who is seeking the 2020 Democratic nomination for president, on Friday unveiled how she would pay for a so-called "Medicare-for-All" plan without raising taxes on middle-income U.S. residents.

CMS finalizes Medicare payment updates for home health and kidney care

November 1, 2019


CMS on Thursday finalized two separate rules that will increase Medicare payments for home health agencies and end-stage renal disease care.

Trump admin faces lawsuit over policy to deny visas to immigrants without health insurance

November 1, 2019


Seven U.S. citizens and a nonprofit organization this week filed a lawsuit that seeks to block the Trump administration's recent decision to deny immigrants visas if they cannot prove they can afford to cover their medical expenses or that they will be enrolled in health coverage.

More than 1,500 hospitals will receive VBP bonuses in FY 2020

October 31, 2019


CMS on Tuesday announced that over 1,500 hospitals will receive bonuses in fiscal year 2020 under Medicare's Value-based Purchasing program.

House passes bills to increase transparency around PBM rebates

October 31, 2019


The House on Monday voted unanimously to approve two bills that would increase transparency of the discounts drugmakers offer pharmacy benefit managers.

Rep. Greg Walden is retiring. Here's what he's done on health care.

October 30, 2019


Rep. Greg Walden (Ore.), who since 2017 has served as the top Republican on the House Energy & Commerce Committee, on Monday announced that he will retire at the end of the current Congress and will not seek re-election.

Pelosi's Rx drug pricing bill might be unconstitutional, congressional researchers say

October 29, 2019


Provisions in House Speaker Nancy Pelosi's (D-Calif.) bill that aim to reduce prescription drug prices in the United States might violate the U.S. Constitution, according to a memo issued last week by Congressional Research Service that was obtained by news outlets.

CMS delays new primary care, kidney care value-based payment models

October 28, 2019


CMS on Thursday announced it is delaying the start of several new voluntary value-based payment models, but it continued to encourage Medicare providers to apply to participate in the payment models.

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