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CMS finalizes 2020 payment rules for SNFs, hospices, inpatient rehab, psych facilities

August 5, 2019


CMS last week released rules finalizing Medicare payment adjustments for skilled nursing facilities, hospices, and inpatient rehabilitation and psychiatric facilities for fiscal year 2020.

How Medicare wants to help doctors fill in the gaps in patients' medical histories

August 5, 2019


CMS on Tuesday unveiled a new pilot program intended to help providers fill gaps in Medicare beneficiaries' medical histories by giving providers access to Medicare claims data that contain a beneficiary's previous diagnoses, procedures, and more.

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.

Trump admin unveils plan to import foreign drugs. Will it actually lower prices?

August 2, 2019


HHS and FDA on Wednesday unveiled two potential pathways that entities in the United States could use to safely import drugs from other countries, where they typically are sold at lower prices.

A federal judge just struck down Medicaid work requirements. (Again.)

August 2, 2019


A federal judge on Monday blocked New Hampshire's Medicaid work requirements, noting that the requirements would cause about 17,000 people to lose health care coverage.

In the states: Arizona brings opioid case to US Supreme Court, California reaches largest 'pay-for-delay' settlements, and more

August 2, 2019


American Health Line rounds up the latest health care news in the states.

CMS looks to increase price transparency in latest Medicare payment rule

July 30, 2019


CMS on Monday released a proposed rule to update Medicare's Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year 2020 that would require hospitals to publicly disclose insurer-negotiated rates and maintains controversial 340B payment cuts.

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.

Mapped: Where 76B opioid pills went in the US

July 29, 2019


The United States' largest drug companies distributed 76 billion opioid pain pills throughout the country from 2006 to 2012, and California received the most, according to an analysis by the Washington Post published this month.

CMS says it won't approve enhanced federal funding for partial Medicaid expansions

July 29, 2019


CMS last week rejected Utah's proposed Medicaid waiver request seeking enhanced federal funding for the state's partial Medicaid expansion, and the agency said it will not approve similar requests in the future.

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