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Archive Tag: medicare

CMS Finalizes CY 2023 Policy Changes for Medicare Advantage and Part D Plans; Including Patient Cost-Sharing, Patient Protections, and Provider Accessibility

On April 29, 2022, the Centers for Medicare & Medicaid Services (CMS) released its final rule and a fact sheet, containing policies for Medicare Advantage (MA) and Medicare Part D plans in CY (contract year) 2023. The rule includes the following changes: Redefining ‘negotiated price’ for Part D drugs so prices at point of sale [...] Read More

CMS Proposes FY 2022 Payment Policies for Hospitals, Extending Add-on Payments, Adding GME Slots, and Repealing Market-Based Data Collection

On the evening of April 27, 2021, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule, Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Final Policy Changes and Fiscal Year 2022 Rates (link), which updates the FY 2022 payment systems and [...] Read More

CMS Updates Minimum Standards of Care for Organ Procurement Organizations, Including Revisions to Outcome Measurements (CMS-3380-F)

On November 20, 2020, the Centers for Medicare & Medicaid Services (CMS) released a fact sheet and final rule that updates the conditions that Organ Procurement Organizations (OPOs) must meet in order to have their services covered by Medicare and Medicaid. Fifty-eight OPOs operate in the U.S. as not-for-profit organizations responsible for recovering organs from [...] Read More

HHS Makes Moves in the Kidney Space: CMS Releases ESRD ETC Model and HRSA Removes Disincentives to Organ Donation

On September 18, 2020, the Centers for Medicare & Medicaid Services (CMS) released its long-awaited Specialty Care Models to Improve Quality of Care and Reduce Expenditures final rule (link) and the Health Resources and Services Administration (HRSA) released its Removing Financial Disincentives to Living Organ Donation final rule (link) and updated guidelines (link). These rules [...] 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

Medicare Can Do More to Improve Access to Digital Health For Seniors

Smart phones, social networks and internet applications help us communicate with family, friends and colleagues, but they can do so much more to improve our lives. Advances in technology and connectivity offer new methods for monitoring and accessing information about our health and well-being. Earlier this year, CMS Administrator Seema Verma announced that the Centers [...] Read More

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