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CMS proposes 1.7% bump to Medicare payments for dialysis providers

August 5, 2019


CMS last week released a proposed rule that would update Medicare policies and payments for the End-Stage Renal Disease program and aims to promote the adoption of new equipment and supplies among dialysis facilities.

How CMS wants to change Medicare's Physician Fee Schedule in 2020

July 30, 2019


CMS on Monday issued a proposed rule to update the Medicare Physician Fee Schedule and Quality Payment Program for calendar year 2020, which includes proposals intended to reduce physicians' administrative burdens and promote value-based care.

Senate panel approves sweeping bill to lower Rx prices—but changes might be in store

July 26, 2019


The Senate Finance Committee on Thursday voted 19-9 to advance a bipartisan bill aimed at lowering prescription drug costs, but the bill might face opposition in the full Senate unless it undergoes substantial revisions.

Senate will take up 'surprise' billing package after August recess

July 26, 2019


The Senate Health, Education, Labor and Pensions Committee's top Republican and Democratic members on Wednesday said the full Senate would not take up the committee's legislative package to address so-called "surprise" medical bills before Congress' August recess.

The Trump admin's top 3 health care priorities

July 25, 2019


HHS Secretary Alex Azar on Tuesday laid out three of the Trump administration's top health care priorities heading into the 2020 election.

Inside the Senate Finance Committee's sweeping new proposal to lower Rx drug costs

July 24, 2019


Senate Finance Committee Chair Chuck Grassley (R-Iowa) and Sen. Ron Wyden (D-Ore.), the ranking member on the committee, on Tuesday introduced a sweeping bill aimed at lowering prescription drug costs by changing various Medicare and Medicaid policies, but the bill quickly drew criticism from congressional Republicans and the pharmaceutical industry.

Why lawmakers keep missing the biggest source of 'surprise' bills

July 24, 2019


At the state and federal levels, lawmakers are considering bills to address so-called "surprise" out-of-network medical bills, but their efforts largely ignore ground ambulances, which are one of the main sources of such bills.

How 'Dr. Dave' scammed insurers for $4M—without a medical license

July 23, 2019


For more than four years, a personal trainer who called himself "Dr. Dave" fraudulently billed major health insurers for about $25 million, collecting about $4 million in cash.

Verma calls public option proposals a single-payer 'Trojan horse'

July 23, 2019


CMS Administrator Seema Verma on Monday criticized proposals to implement a so-called "public option" health plan in the United States, calling such a plan a "Trojan horse with a single-payer hiding inside."

Medicare has overpaid MA insurers billions. Now, CMS wants the payments back.

July 22, 2019


CMS is preparing to move forward with a proposal to use audits to recoup millions of dollars in overpayments to Medicare Advantage insurers, after insurers overcharged Medicare by nearly $30 billion over the past three years.

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