Pioneers Briefed On Study Implying Hospitals Should Discharge To Lower-Cost Settings
Pioneer ACOs looking to direct patients to lower-cost post-acute care settings recently received a primer on a study funded by the home-health industry that shows patients often could be discharged to lower-cost settings, according to Allen Dobson, president of the health economics firm Dobson | DaVanzo & Associates, which conducted the research.
U.S. Renal Pays $7.3 Million To Settle Epogen Billing Fraud Cause
Poll Finds 62 Percent In Deep South Back Medicaid Expansion
CMS Approves Virginia's Duals Demo Plan
Tennessee Delegation Questions CMS Choice Of DME Suppliers Not Licensed In Tennessee
Avalere Reports On Projected Impact Of Home Health Copay
Senate Panel Floats Manager's Amendments On Drug Tracking, Compounding
Jackson Hewitt Analysis Finds Lack Of Bank Account Can Impede ACA Enrollment
Senate Panel Floats Drug Traceability Manager's Amendment
Animal Drug Provisions Axed From Senate Compounding Bill, Replaced With GAO Report
House W&M Republicans Push Legislation To Repeal ACA's Hospital Wage Index Provision
CAP Report Finds Majority Of Adults Under 30 Will Be Helped By ACA
CBO Analysis Of Health Proposals In President's FY2014 Budget
CMS Issues Interim Final Rule On Payment Rates For PCIP Patients
CMS Finalizes Policies On MLR For Medicare Advantage, Part D
Prosthetists Sue HHS Over Contractors' Physician Documentation Requirements
The American Orthotic and Prosthetic Association is suing HHS over alleged illegal changes to the prosthetics approval process applied by Recovery Audit Contractors and Medicare Administrative Contractors.
After Telling CMS To Cut Dialysis Pay, Senators Urge CMS Not To Cut Too Deeply
A bipartisan group of 17 senators on Tuesday (May 21) urged CMS to avoid deep payment cuts to dialysis facilities, even though the fiscal-cliff deal directs CMS to scale back dialysis pay.
Ways & Means Puts Home Health Copay On List Of 3 Medicare Cost-Sharing Ideas
Charging seniors a home health copay made the list of three Medicare reforms that House Ways and Means health subcommittee Republicans chose to discuss at a hearing on Tuesday (May 21), as the home health industry engages in an aggressive campaign against such copays with the help of former Louisiana Republican House Energy and Commerce Chair Billy Tauzin as their lobbyist.
Cohen: HHS Eyes Funding More Consumer Assistance In Federal Exchange States
The head of CMS’ insurance oversight office says the administration is looking at whether it can fund additional consumer assistance activities for the federal exchanges apart from ACA navigators, a key program designed to boost enrollment in the exchanges but for which HHS has only made $54 million available.
CBO Newly Optimistic About MA Enrollment; Plans Eye ACOs To Blunt MA Cuts
The Congressional Budget Office expects a lot more seniors to enroll in Medicare Advantage plans than it did just a year ago, and health care consultancy firm Marwood Group said CBO's projections are conservative.
House Appropriators Clear Cuts To HHS Funding, Reject Dems' Sequester Replacement
House appropriators on Tuesday (May 21) approved top-line spending amounts for each of 12 appropriations bills for fiscal 2014 -- including a 22 percent cut to HHS, Labor and Education funding -- while also rejecting a Democratic proposal to replace the across-the-board sequestration cuts.
New Mexico Switches To Partnership Exchange, Will Run SHOP
New Mexico, faced with a time crunch, has opted to set up and operate the state's small business (SHOP) exchange while relinquishing some functions of its individual exchange to the federal government rather than operate a fully state-run exchange in 2014, J.R. Damron, chairman of the New Mexico's health benefit exchange (NMHIX) board, tells Inside Health Policy.
CMS To Lower Provider Pay Rates In Federally-Run PCIP, Prohibit Balance Billing
In an effort to further contain costs so the program lasts through the end of the year, CMS says provider payment rates in federally-run Pre-Existing Condition Insurance Plans starting June 15 will be set at Medicare rates for most covered medical services.
PA Lawmakers Push To Extend Coordinated Care Demo With One Participant
A bipartisan group of lawmakers from Pennsylvania has asked CMS to extend the Medicare Coordinated Care Demonstration, which is slated to terminated June 30, because they say it saves money and improves care, if only for the riskiest patients at a single demo location.
PhRMA, BIO Urge FDA To Discuss Benefit/Risk Framework In Review Meetings
A framework FDA is developing to evaluate a drug's benefits and risks should be used during mid- and late-cycle meetings with sponsors, advisory committee reviews and be fully integrated into the agency's review process, drug industry trade groups told the agency in response to its proposed plan.
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Feds To Run More ACA High-Risk Pools; House Panels Step Up ACA Oversight, Debate Medicare Reform
Seventeen of the 27 states that up until now have run their own Pre-Existing Condition Insurance Plan programs will stop in June, and enrollees in those states will be moved to federally-run PCIPs for the rest of this year, Inside Health Policy has learned. Read the Insider >>
Virginia, CMS Finalize MOU For Regional Duals Demo
CMS has signed off on Virginia's proposed demonstration to coordinate care for beneficiaries dually eligible for both Medicare and Medicaid, the state announced Tuesday (May . . .
Families USA Finds Broad Public Support For Medicaid Expansion In Southern States
Families USA is out with a new poll finding that 62 percent of respondents in five southern states support an expansion of Medicaid in . . .
Woodcock, Gottlieb Are Among Witnesses For Compounding Hearing
FDA drug center Director Janet Woodcock is slated to testify at the House Energy and Commerce Committee drug compounding hearing Thursday (May 23). Also scheduled . . .
House Ways & Means Panel Hones In On Three Medicare Cost-Sharing Proposals
The House Ways and Means health subcommittee is honing in on three specific proposals to inject more beneficiary cost sharing into Medicare as part of . . .
PhRMA Names Reilly New VP Of Policy And Research
The Pharmaceutical Research and Manufacturers of America named Lori Reilly executive vice president of policy and research Tuesday (May 21), filling the position held by . . .
