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Category: CMS


Experts say Medicare's new $35 copay cap for insulin is hardly a win as it applies only to insulin, doesn't change actual prices, and will drive premiums up, all while giving drug companies political cover

Bob Herman Axios Author Healthcare HandoutPosted on May 28, 2020May 28, 2020Categories CMS Go Deeper
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Relaxed regulations and improved payments lead to Medicare telehealth visits exploding from 11,000 per week in March to 1.3M in a week in April

Rebecca Pifer Healthcare Dive Author Healthcare HandoutPosted on May 28, 2020May 28, 2020Categories Medicare Advantage, CMS Go Deeper
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CMS announces 1,750 insurance plans have agreed to cap insulin costs for Medicare Advantage and Part D members at $35/month; Drugmakers have also agreed to the plan

Robert King Fierce Healthcare Author Healthcare HandoutPosted on May 26, 2020May 26, 2020Categories Medicare Advantage, CMS Go Deeper
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CMS expands Medicare Advantage telehealth rules to allow plans to include more specialists to meet network adequacy standards; Also allows ESRD patients to enroll in MA plans

Laura Dyrda Becker's Hospital Review Author Healthcare HandoutPosted on May 22, 2020May 22, 2020Categories CMS, Medicare Advantage, Telehealth
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CMS says nursing homes should stay closed to visitors until they have no new COVID-19 cases for 28 days and should test workers weekly

Bruce Japsen Forbes Author Healthcare HandoutPosted on May 19, 2020May 19, 2020Categories CMS, COVID-19, Nursing Homes/SNF
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Analysis: As of May 2, 27 million have lost employer sponsored insurance; 79% of those are eligible for subsidized coverage through Medicaid or subsidized exchange plans

Rachel Garfield, Larry Levitt, Gary Claxton, Anthony Damico Kaiser Family Foundation Author Healthcare HandoutPosted on May 13, 2020May 13, 2020Categories Insurance, CMS, COVID-19
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Doctor on Demand to start offering services to Medicare Part B FFS beneficiaries; Assuming telehealth regulations will remain loosened post-pandemic

Katie Jennings Forbes Author Healthcare HandoutPosted on May 13, 2020May 13, 2020Categories Telehealth, CMSTags Doctor on Demand
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CMS circulates draft guidelines for reopening nursing homes; Industry says they're too vague, while experts say it's too soon to reopen

Anna Wilde Mathews, Jon Kamp The Wall Street Journal Author Healthcare HandoutPosted on May 11, 2020May 11, 2020Categories Nursing Homes/SNF, CMS, COVID-19
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CMS issues interim rule to remove spending associated with COVID patients from performance calculations for ACOs

Michael Brady Modern Healthcare Author Healthcare HandoutPosted on May 1, 2020May 1, 2020Categories ACO, CMS, COVID-19
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CMS announces new rules to extend telehealth coverage & boost payment rates; Also relaxing rules to make it easier to get coronavirus testing

Paige Minemyer Fierce Healthcare Author Healthcare HandoutPosted on April 30, 2020April 30, 2020Categories CMS, Government
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CMS to pay providers via MIPS for participating in COVID-19 drug treatment trials

Robert King Fierce Healthcare Author Healthcare HandoutPosted on April 21, 2020April 21, 2020Categories Government, CMS, COVID-19
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Healthcare Handout Everything worth knowing in healthcare tech and business.
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