Medicare severely restricts Biogen's Alzheimer's drug coverage
The Centers for Medicare and Medicaid Services are sticking to their January decision to limit coverage of Aduhelm to patients enrolled in randomized clinical trials. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 8, 2022 Category: Biotechnology Authors: Rowan Walrath Source Type: news

CMS finalizes rule on limited payment for Alzheimer's drugs
The U.S. Centers for Medicare and Medicaid Services (CMS) has issued a fina...Read more on AuntMinnie.comRelated Reading: MITA takes aim at CMS proposal to limit Alzheimer's drug coverage CMS to limit coverage of new drugs for Alzheimer's disease MRI sheds light on effects of aducanumab Alzheimer's drug SNMMI pushes for coverage of PET tracers for Aduhelm use FDA approves Alzheimer's treatment under accelerated pathway (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - April 7, 2022 Category: Radiology Source Type: news

Medicare Officially Limits Coverage of Aduhelm to Patients in Clinical Trials
Officials cited data showing the new Alzheimer ’s drug has serious safety risks and may not help patients. (Source: NYT Health)
Source: NYT Health - April 7, 2022 Category: Consumer Health News Authors: Pam Belluck Tags: Drugs (Pharmaceuticals) Clinical Trials Aduhelm (Drug) Medicare Alzheimer ' s Disease Health Insurance and Managed Care s Assn Biogen Inc Centers for Medicare and Medicaid Services Food and Drug Administration Source Type: news

Inside a Campaign to Get Medicare Coverage for a New Alzheimer ’s Drug
The Alzheimer ’s Association has pushed relentlessly to get broad access to Aduhelm, despite safety risks and uncertain evidence that it helps patients. (Source: NYT Health)
Source: NYT Health - April 6, 2022 Category: Consumer Health News Authors: Pam Belluck Tags: your-feed-science Alzheimer ' s Disease Aduhelm (Drug) Drugs (Pharmaceuticals) Elderly Health Insurance and Managed Care Medicare Antibodies s Assn Biogen Inc Centers for Medicare and Medicaid Services United States your-feed-h Source Type: news

CMS: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Among other things, this proposed rule would update the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2023 and make revisions and updates to quality measures and reporting requirements under the IRF quality reporting program. Comments are due by May 31, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 6, 2022 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 on the following information collections: 1) Medicare Current Beneficiary Survey (MCBS) and 2) Application and Triennial Re-application to Be a Qualified Entity to Receive Medicare Data for Performance Measurement. Comments are due by May 4, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 4, 2022 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2023 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update and Quality Reporting-Request for Information
Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2023 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule would also establish a permanent mitigation policy to smooth the impact of year-to-year changes in IPF payments related to decreases in the IPF wage index. In addition, this proposed rule includes a request for comment on the results of ...
Source: Federal Register updates via the Rural Assistance Center - April 4, 2022 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2023 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2023. Includes updates to the Hospice Quality Reporting Program, an update on Quality Measures (QMs) that will be in effect in FY 2023 for the HQRP and future QMs; updates on the Consumer Assessment of Healthcare Providers and Systems, Hospice Survey Mode Experiment; and discusses a request for information (RFI) on health equity. Among other things, this rule also proposes to establish a permanent mitigation policy to smooth the impact of year-to-year ...
Source: Federal Register updates via the Rural Assistance Center - April 4, 2022 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the Inpatient Rehabilitation Facility Quality Reporting Program
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Among other things, this proposed rule would update the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2023 and make revisions and updates to quality measures and reporting requirements under the IRF quality reporting program. Comments are due by May 31, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 1, 2022 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Fiscal Year 2023 Inpatient Psychiatric Facilities Prospective Payment System--Rate Update and Quality Reporting
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2023 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule would also establish a permanent mitigation policy to smooth the impact of year-to-year changes in IPF payments related to decreases in the IPF wage index. In addition, this proposed rule includes a request for comment on...
Source: Federal Register updates via the Rural Assistance Center - April 1, 2022 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2023 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements
Pre-publication of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2023. Includes updates to the Hospice Quality Reporting Program, an update on Quality Measures (QMs) that will be in effect in FY 2023 for the HQRP and future QMs; updates on the Consumer Assessment of Healthcare Providers and Systems, Hospice Survey Mode Experiment; and discusses a request for information (RFI) on health equity. Among other things, this rule also proposes to establish a permanent mitigation policy to smooth the impact of year...
Source: Federal Register updates via the Rural Assistance Center - March 31, 2022 Category: Rural Health Source Type: news

CMS: Announcement of the Advisory Panel on Outreach and Education (APOE) April 7, 2022 Virtual Meeting
The Centers for Medicare and Medicaid Services (CMS) Advisory Panel on Outreach and Education (APOE) will hold a virtual public meeting on April 7, 2022, from 12:00 p.m. – 5:00 p.m. Eastern. Presentations and written comments much be submitted to thedesignated federal official by March 31, 2022. Agenda items include a listening session with CMS leadership; recap of the February 2022 meeting; discussion of CMS programs, initiatives, and priorities; and more.Registration is required by March 31, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 22, 2022 Category: Rural Health Source Type: news

CMS: Announcement of the Re-Approval of the American Association for Laboratory Accreditation (A2LA) as an Accreditation Organization Under the Clinical Laboratory Improvement Amendments of 1988
Notice from the Centers for Medicare and Medicaid Services (CMS) approving the American Association for Laboratory Accreditation (A2LA) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program. The approval is effective March 23, 2022, until March 22, 2028. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 22, 2022 Category: Rural Health Source Type: news

CMS: Medicare and Medicaid Programs; Continued Approval of the American Association for Accreditation of Ambulatory Surgery Facilities' Rural Health Clinic Accreditation Program
Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) approving American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) for continued recognition as a national accrediting organization for Rural Health Clinics that wish to participate in the Medicare or Medicaid programs. This approval is effective March 23, 2022, through March 23, 2026. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 21, 2022 Category: Rural Health Source Type: news

CMS: Medicaid Program; Final FY 2018, Final FY 2019, Preliminary FY 2020, and Preliminary FY 2021 Disproportionate Share Hospital Allotments, and Final FY 2018, Final FY 2019, Preliminary FY 2020, and Preliminary FY 2021 Institutions for Mental Diseases Disproportionate Share Hospital Limits
Notice from the Centers for Medicare and Medicaid Services announcing the final federal share Disproportionate Share Hospital (DSH) allotments for federal fiscal year (FY) 2018 and 2019, and the preliminary federal share DSH allotments for FY 2020 and 2021. Also includes final FY 2018 and 2019 and preliminary FY 2020 and 2021 limitations on aggregate DSH payments that States may make to institutions for mental disease and other mental health facilities. This notice is effective on April 15, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - March 16, 2022 Category: Rural Health Source Type: news