Centers for Medicare & Medicaid Services Archives - Page 3 of 4

CMS Releases Proposed Payment Rules for Multiple Care Settings, Proposes Payment Increases for Hospices and Others

This evening, the Centers for Medicare and Medicaid Services (CMS) released proposed payment rules for four settings of care: hospices, inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF), and inpatient psychiatric facilities. Each rule contains payment updates for the prospective payment system for each type of facility as well as update to additional policies. All […]

CMS Releases Feedback from New Direction RFI; Issues New Request Related to Direct Provider Contracting

This week, the Centers for Medicare and Medicaid Services (CMS) released public comments that were submitted in response to the CMS Innovation Center’s New Direction Request for Information (RFI). This RFI, which was released in September 2017, received approximately 1,000 public responses. The September 2017 RFI had solicited feedback for the Innovation center related to […]

CMS Releases Payment Update for Hospitals; Proposes Changes to EHR Incentive Program

On the evening of April 24th, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule for the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes. The rule outlines payment policy for hospitals beginning October 1, 2018 (FY 2019) and […]

CMS Proposes Exemptions for States with High Medicaid Managed Care Presence

On Thursday, March 23, 2018, the Centers for Medicare and Medicaid Services (CMS) has released a new proposed rule entitled Methods for Assuring Access to Covered Medicaid Services- Exemptions for States with High Managed Care Penetration Rates and Rate Reduction Threshold. In this rule, CMS proposes to exempt states with at least 85 percent of […]

Council of Economic Advisers Wades into Drug Pricing Conversation

On February 9, 2018, the Council of Economic Advisers released a report looking at drug pricing proposals entitled “Reforming Biopharmaceutical Pricing at Home and Abroad.” The report highlights two goals: reducing the price that Americans pay for biopharmaceutical products and raising innovation incentives as a way to reduce the overall price of health in the […]

CMS Releases CY 2019 Call Letter, Proposes New Strategies for Opioid Policy, Expanding Supplemental Benefits

On February 1, 2018 CMS released the CY 2019 draft Call Letter for Medicare Advantage (MA) and Medicare Part D plans. CMS states that the updates made will continue to create more choices for Medicare beneficiaries that choose MA and Part D plans in 2019. CMS is accepting comments through March 5, 2018. The final […]

Senate Finance Committee Considers Azar for HHS Secretary

On January 9, 2017, the Senate Finance Committee held a hearing to consider the nomination of Alex Azar II to be the Secretary of Health and Human Services (HHS). This hearing follows the Senate Health, Education, Labor and Pensions (HELP) Committee nomination hearing on November 29, 2017. Mr. Azar has been nominated to replace Tom […]

CMS Finalizes Cancellation of Episode Payment and Cardiac Rehabilitation Incentive Payment Models, Makes Joint Replacement Model Voluntary for Some Hospitals

On Thursday, November 30, 2017, CMS a final rule that cancels the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) Incentive Payment Model. The rule also makes participation in the Comprehensive Care for Joint Replacement (CJR) model optional for hospitals located in some areas of the country. The initial proposed rule was released in August […]

Trump Administration Rolls Out First ACA Rule, Sticks to Standard Republican Script

This afternoon, the Trump Administration released the first proposed rule under regular order concerning the Affordable Care Act’s Marketplaces (or Exchanges). The rule, which covers benefit and payment parameters for qualified health plans (QHPs) operating on and off the Marketplaces, would impact plans offered in 2019. This is another signal that despite the uncertainty surrounding […]

MedPAC Looks for Alternatives to MIPS, Discusses Utilization of Telehealth Services

The Medicare Payment Advisory Commission (MedPAC) held their second public meeting of the current term on October 5-6, 2017. While no recommendations were presented, the topics discussed by the Commissioners indicate areas where MedPAC may offer recommendations during this term. The first session of the meeting looked at possible next steps for the Merit-based Incentive […]

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Archive Tag: Centers for Medicare & Medicaid Services