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Trump Administration Announces Innovation Center Model for Rural Communities

August 11, 2020 On Tuesday, August 11, the Centers for Medicare & Medicaid Services Innovation Center announced the Community Health Access and Rural Transformation (CHART) Model to address disparities in healthcare services in rural communities. The CHART model is a result of President Trump’s Executive Order last week on Improving Rural Health and Telehealth Access [...] Read More

CMS Proposes Increase to OPPS & ASC Payment, Expands Site-Neutrality, Revises Hospital Star Rating Program, and Adds Flexibility for High Medicaid Facilities

On the morning of August 4, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Hospital Outpatient Prospective Payment System (OPPS) calendar year (CY) 2021 proposed rule. The rule also includes updates to the ambulatory surgical center (ASC) payment system and other specified policies: Update and refine the requirements for the Hospital Outpatient [...] Read More

CMS Updates COVID-19 Blanket Waivers

In addition to a second interim final rule to address the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) also updated the current blanket waivers that are aimed at helping providers respond to the declared public health emergency (PHE). Below are the new waiver items updated by CMS after April 21, 2020. Telehealth [...] Read More

CMS Issues Additional Waivers & Interim Final Rule (CMS-5531-IFC) for COVID-19

On the afternoon of April 30th, the Centers for Medicare and Medicaid Services (CMS) announced that it submitted a second interim final rule (IFC) to the Federal Register and that it released an additional set of blanket waivers under section 1135 of the Social Security Act aimed at addressing the ongoing COVID-19 public health emergency (PHE). Below are many of the new flexibilities and capabilities included in the waivers and rule:   Interim Final [...] Read More

Congress Reaches a Deal on the Next COVID-19 Package

Senate leaders have recently announced that Congress has reached a deal on an additional COVID-19-driven funding package, the Paycheck Protection Program and Health Care Enhancement Act. This recent funding package replenishes a loan program for small businesses impacted by the coronavirus outbreak, but also includes funding related to COVID-19 testing. Dubbed CARES 3.5, this deal [...] Read More

CMS Issues Waivers & Interim Final Rule (CMS-1744-IFC) to Address COVID-19

On the evening of March 30th, the Centers for Medicare and Medicaid Services (CMS) announced a series of additional blanket waivers under section 1877(g) and section 1135 of the Social Security Act and an interim final rule (IFC) aimed at addressing the ongoing COVID-19 public health emergency.   Below are many of the new flexibilities and capabilities included in the waivers and rule:   Increasing Hospital Capacity Allow ambulatory [...] Read More

Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748)

Congress has been working on Phase III of coronavirus relief and a vote on the package is expected to occur the week of Mar 23-27, 2020. Provisions in the legislation include human resources, hospital payment, patient cost-sharing, coverage of diagnostics and vaccines, and supply shortages. For many of the provisions, HHS is directed to implement [...] Read More