Blog Archive

Achieving sex equality in pharmaceutical testing

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

CMS Holds Webinar on Unwinding the Public Health Emergency

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

HHS, HRSA Propose Changes to 340B Administrative Dispute Resolution Process

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

MDMA holds Reimbursement and Health Policy Conference, attendees gain insight from CMS leadership

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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 conference featured…

Applied Policy helps define the path for CGM expansion

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

The False Claims Act

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

PAMA: Is your lab ready for cuts of up to 15 percent on January 1?

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

CMS Releases Final Hospital Outpatient and Ambulatory Surgical Center Update for CY 2023, Increasing Payment, Implementing Rural Emergency Hospital Policies, with 340B Payment Increases (CMS-1772-FC)

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

CMS Increases 2023 Cuts in Final Physician Fee Schedule, Finalizes Behavioral Health Reforms and Changes to Medicare Shared Savings Program (CMS-1770-F)

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

CMS Releases Final Policies for Home Health Agencies in CY 2023

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

CMS Increases Payments for ESRD Facilities in 2023 and Finalizes Changes to the ESRD Quality Reporting Program and ETC Model

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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 Holds Webinar on Transitioning Beneficiaries from Medicaid to Medicare and State Strategies for PHE Unwinding

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]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…

impact your business