Medicare
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.
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would redesign the Medicare Shared Savings Program’s participation options by offering eligible accountable care organizations two tracks, which they would agree to participate in for at least five years.
In a memorandum to Medicare Advantage organizations, the Centers for Medicare & Medicaid Services yesterday announced new flexibility related to the use of step therapy in coverage of Part B services.