cms Archives - Page 6 of 10

CMS Finalizes 2016 Proposed Updates to PACE Program, Includes Compliance and Quality Requirements

On May 28, 2019, the Centers for Medicare & Medicaid Services (CMS) released the Medicare and Medicaid Programs’ Programs of All-Inclusive Care for the Elderly (PACE) Final Rule which finalizes the policies proposed in the August 2016 PACE proposed rule. Specifically, the final rule addresses application and waiver procedures, sanctions, enforcement actions and termination, administrative [...] Read More

In Additional Guidance to Part D Plan Sponsors, CMS Confirms Rebate Proposal Will Not Be Finalized Before 2020 Bid Submission

Earlier this week, the Centers for Medicare and Medicaid Services (CMS) released a memo to Part D plan sponsors with some additional information about submission of calendar year (CY) 2020 Part D plan bids. The bid submission deadline is June 3, 2019 and many stakeholders had been asking whether the recent rebate proposal would be [...] Read More

CMS Finalizes Proposal to Require Drug Manufacturers Include List Price in Direct-to-Consumer Television Advertisements

This morning, the Centers for Medicare and Medicaid Services (CMS) released a final rule that will require pharmaceutical manufacturers to include the list price of a drug in direct-to-consumer (DTC) television advertisements. This idea was initially included in the administration’s drug pricing blueprint, American Patients First, and proposed in a rule released in October 2018. [...] Read More

Verma Announces Plan to Foster Innovation for Transformative Medical Technologies

On May 2, CMS Administrator Seema Verma announced the Trump Administration’s “comprehensive strategy” to foster innovation for and improve patient’s access to transformative medical technologies. The strategy, detailed by Administrator Verma in a speech at the Medical Device Manufacturers Association (MDMA) Annual Meeting, is based on two specific changes related to coding. CMS says that [...] Read More

CMS Proposes FY 2020 Policies for Inpatient Hospital Departments & LTCHs, Both to See Payment Increase

On April 23, 2019, the Centers for Medicare and Medicaid Services released the fiscal year (FY) 2020 proposed rule for payments to hospital inpatient departments and long-term care hospitals (LTCHs). The rule outlines proposed payment policy for hospitals and LTCHs beginning with October 1, 2019. Proposals related to new technology add-on payments, graduate medical education, [...] Read More

CMS Proposes Increase of Over Two Percent for FY 2020 Hospice Payments & Changes to Hospice Election Statement

This evening, the Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 payment rule for hospices. The proposed rule includes a payment increase of 2.7 percent for FY 2020 as a proposed change to the hospice election statement, and a request for information (RFI) on the role of hospice care. Comments [...] Read More

Payment Increase for Inpatient Psychiatric Facilities Proposed, CMS Again Considers Medication Continuation Quality Measure

This evening Center for Medicare & Medicaid Services (CMS) released the FY 2020 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Quality Reporting Updates proposed rule. CMS proposes to update the IPF PPS market basket by 1.85 percent for FY 2020 and to rebase the IPF market basket to 2016 base year- stating that [...] Read More

CMS Proposes Updates to Payment and Quality Reporting for Inpatient Rehab Facilities for FY 2020

On April 17, 2019, the Centers for Medicare and Medicaid Services (CMS) released the proposed FY 2020 inpatient rehabilitation facility payment rule. This proposed rule also includes updates to the IRF Quality Reporting Program (QRP). Comments on the proposed rule are due on June 17, 2019. IRFs Could See Payment Increase Of 2.5 Percent in [...] Read More

New Innovation Model for Part D Announced, Medicare Advantage VBID Model to Expand

On Friday, January 18, the Centers for Medicare and Medicaid Services (CMS) announced two new model programs that will be available to Medicare Part D and Medicare Advantage plans in 2020: Part D Modernization Model. The model, which would run for five years, and would be voluntary, would require plan sponsors to take on additional [...] Read More

Analysis of HHS-OIG’s Hospital Wage Index Report: OIG Cites Significant Vulnerabilities, Advocates for Legislative Change

On November 21 2018, Health and Human Services’ Office of Inspector General (HHS-OIG) released a report, titled “Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments”, which describes their examination of the wage index system for acute-care hospitals. The objective of their analysis was to identify “significant vulnerabilities” and propose solutions to […]

« Previous 1 … 4 5 6 7 8 … 10 Next »

Applied Policy ®

Archive Tag: cms