The New Old Age: Got Medicare Advantage? Prepare for New Perks — and New Questions.
Medicare Advantage plans will be allowed to cover adult day care, home modifications and other new benefits. But they may not be available to all enrollees every year. (Source: NYT Health)
Source: NYT Health - July 20, 2018 Category: Consumer Health News Authors: PAULA SPAN Tags: Health Insurance and Managed Care Elderly Medicare Centers for Medicare and Medicaid Services Verma, Seema Medicare Advantage United States Politics and Government Kaiser Family Foundation Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking public comment by September 18, 2018 on its intention to collect information for the evaluation of CMS Quality Improvement Organizations' medication safety and adverse drug event prevention activities. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 20, 2018 Category: Rural Health Source Type: news

Mercy Health teams with insurer on new plans
Mercy Health, which claims to operate the largest hospital system in Ohio, will partner with Bright Health to offer Medicare Advantage plans to seniors in Cincinnati, Springfield, Youngstown and Toledo. Minneapolis-based Bright Health filed paperwork with the federal government to begin offering 2019 Medicare Advantage plans in Ohio during this fall’s annual enrollment period. The insurer received conditional approval from the Centers for Medicare and Medicaid Services. Medicare is a federal… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - July 19, 2018 Category: Pharmaceuticals Authors: Barrett J. Brunsman Source Type: news

CMS: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS
Notice of proposed rule from the Centers for Medicare and Medicaid Services to update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2019, the payment rate for renal dialysis services furnished by by an ESRD facility to patients with acute kidney injury, and the requirements for the ESRD Quality Incentive Program. Also proposes changes to the bidding and pricing methodologies under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) competitive bidding program and adjusts the DMEPOS fee schedule, both of which include special methodologies for rural ...
Source: Federal Register updates via the Rural Assistance Center - July 19, 2018 Category: Rural Health Source Type: news

Mercy Health teams with insurer on new plans
Mercy Health, which claims to operate the largest hospital system in Ohio, revealed today it will partner with Bright Health to offer Medicare Advantage plans to seniors in Cincinnati, Springfield, Youngstown and Toledo. Minneapolis-based Bright Health filed paperwork with the federal government to begin offering 2019 Medicare Advantage plans in Ohio during this fall’s annual enrollment period. The insurer received conditional approval from the Centers for Medicare and Medicaid Services. Medicare… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - July 18, 2018 Category: Health Management Authors: Barrett J. Brunsman Source Type: news

Mercy Health teams with insurer on new plans
Mercy Health, which claims to operate the largest hospital system in Ohio, revealed today it will partner with Bright Health to offer Medicare Advantage plans to seniors in Cincinnati, Springfield, Youngstown and Toledo. Minneapolis-based Bright Health filed paperwork with the federal government to begin offering 2019 Medicare Advantage plans in Ohio during this fall’s annual enrollment period. The insurer received conditional approval from the Centers for Medicare and Medicaid Services. Medicare… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - July 18, 2018 Category: Biotechnology Authors: Barrett J. Brunsman Source Type: news

Demand for second opinions prompts Medicare payment
The U.S. Centers for Medicare and Medicaid Services has often denied payment...Read more on AuntMinnie.comRelated Reading: Second opinions change half of breast imaging results SIIM: Patients should have access to imaging studies Second opinions of outside mammograms find more cancer How useful are second opinion breast imaging reads? Image sharing presents challenges to the enterprise (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 17, 2018 Category: Radiology Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Eligibility of Drugs, Biologicals, and Radiopharmaceutical Agents for Transitional Pass-Through Status Under the Hospital Outpatient Prospective Payment System (OPPS); 2) Medicare Subpart D-Private Contracts; and 3) Medicare Disproportionate Share Adjustment Procedures and Criteria, which provides additional payment to hospitals that serve a disproportionate share of low-income patients. Comments are due by September 17, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 17, 2018 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment by August 15, 2018 on the evaluation of the technical assistance provided to CMS programs as they integrate health equity into their programs, as determined through the CMS Equity Plan for Improving Quality in Medicare. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 16, 2018 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services making changes to the Medicare Physician Fee Schedule and other Medicare Part B payment policies. Provides information on payment for rural facilities and providers throughout. Comments on the proposed rule are due by September 10, 2018. Official publication of this notice is scheduled for July 27, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 13, 2018 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments to Correct Existing Regulations Related to the CBP for Certain DMEPOS
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services to update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2019, the payment rate for renal dialysis services furnished by by an ESRD facility to patients with acute kidney injury, and the requirements for the ESRD Quality Incentive Program. Also proposes changes to the bidding and pricing methodologies under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) competitive bidding program and adjusts the DMEPOS fee schedule, both of which include special methodol...
Source: Federal Register updates via the Rural Assistance Center - July 13, 2018 Category: Rural Health Source Type: news

Internists optimistic about proposed CMS payment rule, recognize areas to improve
(American College of Physicians) Washington, DC (July 13, 2018) -- The American College of Physicians (ACP) is encouraged by provisions included in the proposed rules for the Medicare Physician Fee Schedule and the Quality Payment Program (QPP) for 2019, while recognizing several areas for improvement in the rules that were released by the Centers for Medicare and Medicaid Services (CMS) on July 12. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - July 13, 2018 Category: International Medicine & Public Health Source Type: news

CMS's 2019 proposal makes broad strides in telehealth, interoperability, documentation
The Centers for Medicare and Medicaid Services released its new proposed Physician Fee Schedule and Qualified Payment Program updates for 2019, and the announcement includes some big strides forward in promoting digital health technology, including widened telemedicine coverage, an overhaul of documentation requirements, and a new focus on interoperability. (Source: mobihealthnews)
Source: mobihealthnews - July 12, 2018 Category: Information Technology Source Type: news

Centers for Medicare and Medicaid Services Releases Reports on the Performance of the Exchanges and Individual Health Insurance Market
CMS released three reports that provide important information on the current condition of the Federal and State-based Exchanges and state individual health insurance markets. (Source: HSR Information Central)
Source: HSR Information Central - July 12, 2018 Category: International Medicine & Public Health Source Type: news

CMS: Medicaid Program; Reassignment of Medicaid Provider Claims
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would remove the regulatory text that allows a state to make payment to third parties on behalf of an individual provider for benefits such as health insurance, skills training, and other benefits customary for employees. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 12, 2018 Category: Rural Health Source Type: news

CMS:Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations
Notice of a proposed rule from the Centers for Medicare and Medicaid Services to update the home health prospective payment system (HH PPS) payment rates for services provided on or after January 1, 2019. Among other things, it includes a proposal for the methodology used to determine rural add-on payments for calendar years 2019-2022. Comments on the proposed rule are due by August 31, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 12, 2018 Category: Rural Health Source Type: news

CMS: Medicaid Program; Reassignment of Medicaid Provider Claims
Public inspection notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would remove the regulatory text that allows a state to make payment to third parties on behalf of an individual provider for benefits such as health insurance, skills training, and other benefits customary for employees. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 11, 2018 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; CY 20 19 Home Health Prospective Payment System Rate Update and CY 20 20 Case - Mix Adjustment Methodology Refinements; Home Health Value - Based Purchasing Model; Home Health Quality Reporting Requirements ; Home Infusion Therapy Requirements ; and Training Requirements for Surveyors of National Accrediting Organizations
Public inspection notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would update the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2019. It also proposes methodology used to determine rural add-on payments for CYs 2019-2022, changes to the Home Health Value-Based Purchasing (HHVBP) Model, and to define "remote patient monitoring" an...
Source: Federal Register updates via the Rural Assistance Center - July 11, 2018 Category: Rural Health Source Type: news

CMS Administrator Seema Verma presses for remote monitoring of patients
The Centers for Medicare and Medicaid Services is promoting the idea of paying home health agencies for monitoring patients remotely. Remote monitoring enables the collection of patients ’ health data, such as vital signs, weight, blood pressure, blood sugar, blood oxygen levels, heart rate and electrocardiogram readings. (Source: mobihealthnews)
Source: mobihealthnews - July 10, 2018 Category: Information Technology Source Type: news

Federal freeze on ACA payments could cost MN insurers $71M
A push by the Trump administration to suspend an Affordable Care Act payments program could cost Minnesota insurers more than $70 million in expected funding this year.    The New York Times has a report on the move by the federal Centers for Medicare and Medicaid Services, which blamed its decision to freeze payments on a court decision earlier this year. But the plan drew criticism from insurers, who say it threatens their business and raises the likelihood of insurance premium hikes, especially… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - July 10, 2018 Category: Health Management Authors: Mark Reilly Source Type: news

Federal freeze on ACA payments could cost MN insurers $71M
A push by the Trump administration to suspend an Affordable Care Act payments program could cost Minnesota insurers more than $70 million in expected funding this year.    The New York Times has a report on the move by the federal Centers for Medicare and Medicaid Services, which blamed its decision to freeze payments on a court decision earlier this year. But the plan drew criticism from insurers, who say it threatens their business and raises the likelihood of insurance premium hikes, especially… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - July 10, 2018 Category: Biotechnology Authors: Mark Reilly Source Type: news

CMS Proposes Rule Change to Protect Medicaid Provider Payments
The Centers for Medicare and Medicaid Services (CMS) released a proposed rule change to the Medicaid Provider Reassignment regulation. In 2014, this regulation was revised with a new exception authorizing the state to divert Medicaid payments to third parties to fund other costs on behalf of providers. This rule would eliminate that exception in an effort to ensure that taxpayer dollars dedicated to providing healthcare services for low-income patients are not diverted inappropriately. CMS is accepting comments on this proposed rule change. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - July 10, 2018 Category: Rural Health Source Type: news

Health Insurers Warn of Market Turmoil as Trump Suspends Billions in Payments
The Trump administration said it would suspend a program that stabilizes markets by paying billions to insurers that enroll many unhealthy people under the Affordable Care Act. (Source: NYT Health)
Source: NYT Health - July 7, 2018 Category: Consumer Health News Authors: ROBERT PEAR Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) Centers for Medicare and Medicaid Services Blue Cross and Blue Shield Assn Verma, Seema Trump, Donald J United States Politics and Government Source Type: news

‘ It ’ s Almost Like a Ghost Town. ’ Most Nursing Homes Overstated Staffing for Years
Payroll records for more than 14,000 facilities show that the number of nurses and aides at work dips far below average some days and consistently sinks on weekends. (Source: NYT Health)
Source: NYT Health - July 7, 2018 Category: Consumer Health News Authors: JORDAN RAU Tags: Nursing Homes Elderly Medicare Patient Protection and Affordable Care Act (2010) Centers for Medicare and Medicaid Services Source Type: news

Augmenix wins Japanese reimbursement for SpaceOar hydrogel
Augmenix said yesterday that its SpaceOar hydrogel won national reimbursement in Japan from the Ministry of Health, Labour & Welfare. The Belford, Mass.-based company’s SpaceOar hydrogel is designed to separate the prostate from the rectal wall during radiation treatment for prostate cancer. The product is delivered through a small needle as a liquid, which then solidifies into a soft gel that expands the space between the prostate and rectum during radiotherapy. The substance then liquefies and is absorbed and cleared from the body in the patient’s urine, Augmenix said. “We are delighted th...
Source: Mass Device - July 3, 2018 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Orthopedics Augmenix Inc. Source Type: news

Public Inspection: CMS:Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations
Prepublication notice of a proposed rule from the Centers for Medicare and Medicaid Services to update the home health prospective payment system (HH PPS) payment rates for services provided on or after January 1, 2019. Among other things, it includes a proposal for the methodology used to determine rural add-on payments for calendar years 2019-2022. Comments on the proposed rule are due by August 31, 2018. Official publication of this notice will appear in the July 12, 2019 Federal Register. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 3, 2018 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment by September 4, 2018 on the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration. The MAQI demonstration would exempt clinicians who participate to a sufficient degree in certain payment arrangements with Medicare Advantage Organizations (MAOs) from the Merit-based Incentive Payment System (MIPS) reporting requirements and payment adjustment. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 3, 2018 Category: Rural Health Source Type: news

ICD placements not meeting medicare coverage decline after investigation
(American College of Cardiology) Following the announcement of a US Department of Justice (DOJ) investigation into potential overuse of primary prevention implantable cardioverter defibrillators (ICDs) that did not meet the Centers for Medicare and Medicaid Services (CMS) National Coverage Determination criteria, the number of ICDs placed not meeting the criteria declined, according to a study of hospitals participating in the NCDR ICD Registry. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - July 3, 2018 Category: International Medicine & Public Health Source Type: news

CMS Takes Action to Modernize Medicare Home Health
The Centers for Medicare and Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System. These changes aim to improve outcomes with remote patient monitoring technology and updates to the payment model for home health care. These updates include, among other things, allowing the cost of remote patient monitoring to be reported by home health agencies as allowable costs and implementing a new Patient-Driven Groupings Model (PDGM) for home health payments, with units of payment based not on the number of therapy visits but on 30-day periods of care. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - July 2, 2018 Category: Rural Health Source Type: news

CMS Advances Demonstration to Waive MIPS Requirements for Clinicians in Certain At-Risk Medicare Advantage Plans
The Centers for Medicare and Medicaid Services (CMS) is advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration. This would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare advantage plans that involve taking on risk. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - June 29, 2018 Category: Rural Health Source Type: news

CMS opens NCA to reconsider TAVR coverage
The Centers for Medicare and Medicaid have opened a National Coverage Analysis looking to reconsider its National Coverage Determination for transcatheter aortic valve replacement procedures. Medicare’s NCD for TAVR was established in 2012 with strict criteria for reimbursement and procedure performance that limited TAVR to high-volume hospitals and medical centers. Requirements in the 2012 decision included specific procedural volume requirements for heart teams and hospitals’ as well as mandatory participation in a registry. In a letter requesting reconsideration of the decision, Providence Health & Servi...
Source: Mass Device - June 28, 2018 Category: Medical Devices Authors: Fink Densford Tags: Cardiac Implants Cardiovascular Replacement Heart Valves Centers for Medicare and Medicaid Services (CMS) Edwards Lifesciences Source Type: news

CMS announces initiatives to strengthen Medicaid program integrity
Today, the Centers for Medicare and Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. (Source: HSR Information Central)
Source: HSR Information Central - June 26, 2018 Category: International Medicine & Public Health Source Type: news

Comments from Richard Besser, MD, on Proposed Rule Related to Standard Charges by Hospitals and Transparency Around Out-of-Pocket Costs
RWJF comments on the proposed rule related to both the online posting of standard charges by hospitals and the Center for Medicare and Medicaid Services Request for Information about transparency around out-of-pocket costs. (Source: RWJF - News Releases)
Source: RWJF - News Releases - June 25, 2018 Category: Health Management Authors: Robert Wood Johnson Foundation Tags: Health Care Quality and Value Source Type: news

CMS: Medicare Program; Request for Information Regarding the Physician Self-Referral Law
Request for information from the Centers for Medicare and Medicaid Services on how to address any undue regulatory impact and burden of the physician self-referral law, also known as the Stark Law. Comments accepted through August 24, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 25, 2018 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs: Application From the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) for Continued Approval of its Ambulatory Surgical Center Accreditation Program
Proposed notice from the Centers for Medicare and Medicaid Services (CMS) acknowledging the receipt of an application from American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) for continued recognition as a national accrediting organization for Ambulatory Surgical Centers (ASCs) participating in Medicare and Medicaid programs. Comments on whether AAAASF's requirements meet or exceed the Medicare conditions for coverage for ASCs must be submitted by July 23, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 22, 2018 Category: Rural Health Source Type: news

CMS Launches Data Element Library Supporting Interoperability
The Centers for Medicare and Medicaid Services (CMS) announced a new database that supports the exchange of electronic health information. Using the Data Element Library, the public can view the specific types of data that CMS requires post-acute facilities to collect as part of the health assessment of their patients. It also includes health information technology standards that support the collection of health information, with the ultimate goal of making it easier to share electronic health information between providers. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - June 21, 2018 Category: Rural Health Source Type: news

CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims; Correction
Notice from the Centers for Medicare and Medicaid Services making technical and typographical corrections to theMay 7, 2018 proposed rule with the same title. Official publication of this notice is scheduled for June 20, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 20, 2018 Category: Rural Health Source Type: news

CMS Seeks Public Input on Reducing the Regulatory Burdens of the Stark Law
The Centers for Medicare and Medicaid Services (CMS) is seeking recommendations from the public on how to address any undue impact and burden of the physician self-referral law, also known as the Stark Law, with a focus on how the law may impede care coordination. This is part of an ongoing effort by the administration to reduce regulatory burdens. Comments are due by August 24, 2018. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - June 20, 2018 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims; Correction
Pre-publication notice from the Centers for Medicare and Medicaid Services making technical and typographical corrections to theMay 7, 2018 proposed rule with the same title. Official publication of this notice is scheduled for June 20, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 18, 2018 Category: Rural Health Source Type: news

CMS relents, opens up smartphone-connected CGMs for reimbursement
The Centers for Medicare and Medicaid Services will reverse a longstanding unpopular position on reimbursement for smartphone-connected continuous glucose monitors, CMS announced yesterday. (Source: mobihealthnews)
Source: mobihealthnews - June 13, 2018 Category: Information Technology Source Type: news

OP hospital appeals loss of Medicare, Medicaid reimbursements
Blue Valley Hospital, a surgical center in Overland Park, lost its Medicare certification in May due to a change in guidance issued by the Centers for Medicare and Medicaid Services in September. According to KCUR, the hospital challenged the termination of its Medicare certification, but a federal judge ruled last week that the court did not have jurisdiction to hear the lawsuit because the hospital had not exhausted its options with CMS. The hospital has appealed the case to the 10th U.S . Circuit… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - June 12, 2018 Category: American Health Authors: Andrew Vaupel Source Type: news

VA looks to launch largest US medical implant registry
The US Department of Veterans Affairs is looking to launch the largest medical device implant tracking registry in the US with collaborative help from the FDA, the Centers for Medicare and Medicaid Services and the Department of Defense, according to a Regulatory Affairs Professionals Society report. The VA hopes that, with the help of the FDA, CMS and DoD, its new registry will allow it to monitor the safety of devices in both Veterans and their families, as well as tracking quality metrics and improving care, according to the report. “The implant registry collaboration with U.S. Food and Drug Administration, Depart...
Source: Mass Device - June 11, 2018 Category: Medical Devices Authors: Fink Densford Tags: Patient Monitoring U.S. Department of Veterans Affairs Source Type: news

CMS Opioids Roadmap
Blog post from the Centers for Medicare and Medicaid Services (CMS) on the opioid crisis and the roadmap they are publishing to outline their efforts to address it. Among other things, it details their three-pronged approach to combating the opioid epidemic, focusing on prevention, treatment, and utilizing data from across the country to target prevention and treatment activities. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - June 11, 2018 Category: Rural Health Source Type: news

CMS: Medicare Program; Changes to the Comprehensive Care for Joint Replacement Payment Model (CJR): Extreme and Uncontrollable Circumstances Policy for the CJR Model
Final rule from the Centers for Medicare and Medicaid Services finalizing a policy to provide flexibility in the determination of episode spending for Comprehensive Care for Joint Replacement Payment Model (CJR) participant hospitals located in areas impacted by extreme and uncontrollable circumstances for performance years 3 through 5, such as the hurricanes and wild fires in Fall 2017. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 8, 2018 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment by July 9, 2018 on the following information collections: 1) Medicare Part D Reporting Requirements and Supporting Regulations; 2) Medicare and Medicaid Electronic Health Record Incentive Program; 3) Section 1115 Demonstration Projects Regulations; 4) Medicare Fee-for-Service Early Review of Medical Records; 5) Hospice Information for Medicare Part D Plans; and 6: Good Cause Processes. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 8, 2018 Category: Rural Health Source Type: news

Disaster Healthcare Resources Available in Spanish
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. 05/18/2018 This Web page from TRACIE (Technical Resources, Assistance Center, and Information Exchange) provides links to disaster healthcare resources available in Spanish. Categories are Chronic Illness Resources, Centers for Medicare and Medicaid Services (CMS) Emergency Preparedness Rule Resources, Disaster Behavioral/Mental Health Resources, General Emergency Preparedness Resources, Pediatric-Specific Resources, and Zika-Specific Resources. (Text) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - June 6, 2018 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news

Insightec wins Medicare coverage in 10 states
Insightec has won Medicare coverage for its magnetic technology that treats essential tremor via ultrasound. The Centers for Medicare and Medicaid Services have approved the company’s Exablate Neuro device for patients in 10 U.S. states and will add coverage for six more states July 1, according to a company statement. Additional Medicare administrative contractors have issued positive draft local coverage determinations, indicating the potential to further expand Medicare coverage to a total of 38 states. Haifa, Israel-based Insightec refers to its magnetic-resonance-guided focused ultrasound procedure (MRgFUS)...
Source: Mass Device - June 5, 2018 Category: Medical Devices Authors: Nancy Crotti Tags: Business/Financial News Ultrasound INSIGHTEC Source Type: news

CMS: Medicare Program; Update to the Required Prior Authorization List of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items That Require Prior Authorization as a Condition of Payment
Notice from the Centers for Medicare and Medicaid Services announcing the addition of 31 Healthcare Common Procedure Coding System (HCPCS) codes to the Required Prior Authorization List of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that require prior authorization as a condition of payment. Prior authorization for these codes will be implemented nationwide, effective September 1, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 5, 2018 Category: Rural Health Source Type: news

Public Inspection: Medicare Program; Update to the Required Prior Authorization List of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items That Require Prior Authorization as a Condition of Payment
Pre-publication notice from the Centers for Medicare and Medicaid Services announcing the addition of 31 Healthcare Common Procedure Coding System (HCPCS) codes to the Required Prior Authorization List of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items that require prior authorization as a condition of payment. Prior authorization for these codes will be implemented nationwide, effective September 1, 2018. The official publication of this notice is scheduled for June 5, 2018. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - June 4, 2018 Category: Rural Health Source Type: news

CMS Unveils Scorecard to Deliver New Level of Transparency within Medicaid and CHIP Program
The Centers for Medicare and Medicaid Services (CMS) released the first Medicaid and Children's Health Insurance Program (CHIP) Scorecard in an effort to increase CMS's transparency and accountability. It includes measures voluntarily reported by states as well as federally reported measures related to state health system performance, state administrative accountability, and federal administrative accountability. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - June 4, 2018 Category: Rural Health Source Type: news