With holiday gatherings commencing and COVID-19, flu, and respiratory syncytial virus (RSV) cases rising, it’s reasonable to expect that, in addition to sharing infections, many families will soon…
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Key Takeaways The COVID-19 public health emergency (PHE) will likely be extended beyond January 11, 2023. Centers for Medicare & Medicaid Services (CMS) and Urban Institute research showed…
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On November 29, the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) released a 340B Drug Pricing Program; Administrative Dispute Resolution Period…
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On November 9 and 10, 2022, the Medical Device Manufacturers Association (MDMA) held its Reimbursement and Health Policy Conference in-person in Washington, D.C. The conferencefeatured Centers for Medicare…
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The Centers for Medicare and Medicaid Services (CMS) is considering expanding coverage for continuous glucose monitors (CGMs) which could positively impact the lives of millions of Medicare beneficiaries…
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Fraud, waste, and abuse continue to challenge federal and federally funded healthcare programs. While it is difficult to quantify the extent of the cost of healthcare fraud, the…
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Section 216 of the Protecting Access to Medicare Act of 2014 (PAMA) was intended to reduce Medicare spending on lab testing by implementing a market-based fee schedule and…
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On November 1, the Centers for Medicare & Medicaid Services (CMS) issued the Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Final Rule with Comment Period,…
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On November 1, the Centers for Medicare & Medicaid Services (CMS) issued the final calendar year (CY) 2023 Physician Fee Schedule, which proposes policies for physician payment and…
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On the evening of October 31, 2022, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 final payment rule for home health agencies (HHAs). This…
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On October 31, the Centers for Medicare & Medicaid Services (CMS) issued the 2023 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule. The official CMS fact…
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On October 26, 2022, the Centers for Medicare & Medicaid Services (CMS) held its sixth monthly webinar in preparation for the public health emergency (PHE) unwinding of COVID–19–related flexibilities.…
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