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CMS Proposes Minor Increase to Physician Fee Schedule and Delays to Diabetes Prevention Program; Appears Willing to Reconsider Biosimilar Payments

On July 13, 2017, the Centers for Medicare and Medicaid Services (CMS) released the Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018 proposed rule. The proposed rule updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on […]

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HHS Secretary and CMS Administrator Send Letter to Governors

The Secretary of the U.S. Department of Health and Human Services released a letter to governors this week that is signed by both Secretary Price and Seema Verma, Administrator of the Centers for Medicare and Medicaid Services. The letter outlines their priorities, which largely align with Administrator Verma’s previous work on Medicaid reform efforts in […]

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Senate Finance Committee Holds Hearing for CMS Administrator Nominee Seema Verma

On Thursday, February 16, 2017, the Senate Finance Committee held a hearing to consider the nomination of Seema Verma for Administrator of the Centers for Medicare and Medicaid Services (CMS). The hearing was noticeably less combative than the hearings held for previous nominees, including Tom Price, who was recently sworn in as Secretary of the […]

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The Regulatory Clock Strikes Midnight: What Happens Now?

Today is November 21, 2016. Sixty days from today? Friday, January 20, 2017. Otherwise known as the first day of the new Trump administration. What does this mean for the rules and regulations currently under review with the Office of Management and Budget (OMB)? Republican Congressional leadership has issued a letter to the Obama administration, […]

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As Obama Administration Winds Down, Rule Activity Picks Up

There are a little over four months left until the end of the Obama administration, and the pace of health care program regulations and announcements are picking up. Today, CMS released a final rule outlining requirements for Medicare and Medicaid providers and suppliers regarding emergency management. Under the new regulations, providers will be required to […]

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CMS Cuts Reimbursement for Diabetic Test Strips by 20%

On March 15, 2016 CMS announced the payment rates for seven product categories in 90 Competitive Bidding Areas throughout the country.  In addition, CMS also announced the payment rates for the National Mail Order Program for Diabetic Supplies.  CMS will begin offering contracts to suppliers who submitted bids and CMS will announce the list of suppliers this […]

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