Centers for Medicare and Medicaid Services (CMS) News 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Correction
Notice from the Centers for Medicare and Medicaid Services (CMS) making technical corrections to theNovember 16, 2021, final rule. These corrections are effective January 13, 2022, and is applicable January 1, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 13, 2022 Category: Rural Health Source Type: news
CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comment on a pilot program to collect race and ethnicity data on Medicare Part C and Part D enrollment forms. The data will be used to explore the response rate to race and ethnicity questions as a whole and how it intersects with beneficiary income and other demographics, conduct focus groups to understand how people who elect to not respond to the race and ethnicity questions perceive the addition of those questions on the form, continue to test CMS' race and ethnicity imputation model, and determine the data necessary for sufficient samples sizes to conduct...
Source: Federal Register updates via the Rural Assistance Center - January 12, 2022 Category: Rural Health Source Type: news
CMS: Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
Notice of proposed rule from the Centers for Medicare and Medicaid Services revising regulations for Medicare Advantage (Part C) and the Medicare Prescription Drug Benefit (Part D) to implement changes related to Star Ratings, network adequacy, special requirements during disasters or public emergencies, and pharmacy price concessions, among other things. This proposed rule would also revise regulations related to dual-eligible special needs plans (D-SNPs), other special needs plans, and cost contract plans. Comments are due by March 7, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 12, 2022 Category: Rural Health Source Type: news
Medicare Proposes to Sharply Limit Coverage of the Alzheimer ’s Drug Aduhelm
If the preliminary decision is finalized this spring, it would restrict coverage to patients in randomized clinical trials. (Source: NYT Health)
Source: NYT Health - January 12, 2022 Category: Consumer Health News Authors: Pam Belluck Tags: Drugs (Pharmaceuticals) Aduhelm (Drug) Elderly Alzheimer ' s Disease Medicare Centers for Medicare and Medicaid Services Biogen Inc your-feed-healthcare Source Type: news
Medicare Will Not Fully Cover Aduhelm, the Controversial —and Costly—Alzheimer’s Disease Drug
Medicare said Tuesday it will limit coverage of a $28,000-a-year Alzheimer’s drug whose benefits have been widely questioned, a major development in the nation’s tug-of-war over the fair value of new medicines that offer tantalizing possibilities but come with prohibitive prices.
The initial determination from the Centers for Medicare and Medicaid Services means that patients taking Biogen’s Aduhelm medication will have to be part of research efforts to assess the drug’s effectiveness in slowing the progression of dementia. Medicare’s national coverage determination would become final this spr...
Source: TIME: Science - January 11, 2022 Category: Science Authors: RICARDO ALONSO-ZALDIVAR / AP Tags: Uncategorized Drugs healthscienceclimate wire Source Type: news
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on an information collection request regarding the distribution of additional Medicare-funded medical residency positions in rural and underserved areas in accordance with Section 126 of the Consolidated Appropriations Act, 2020. Information collected will provide CMS with the information necessary to process and score applications in compliance with policies finalized in the upcoming final rule. Comments are due by February 10, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 11, 2022 Category: Rural Health Source Type: news
Public Inspection: CMS: Medicare Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Policy Issues, and Level II of the Healthcare Common Procedure Coding System; etc.
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) making a correction to theDecember 28, 2021, final rule. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 3, 2022 Category: Rural Health Source Type: news
Alzheimer's Drug Aduhelm Faces Crucial Medicare Decision
Medicare officials are trying to determine whether to cover Aduhelm, which the F.D.A. approved despite unclear evidence that it helps patients. (Source: NYT Health)
Source: NYT Health - December 31, 2021 Category: Consumer Health News Authors: Pam Belluck Tags: your-feed-science Drugs (Pharmaceuticals) Aduhelm (Drug) Alzheimer ' s Disease Elderly Medicare Biogen Inc Centers for Medicare and Medicaid Services your-feed-healthcare Source Type: news
Public Inspection: HHS: Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2023
Pre-publication notice of proposed rule from the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) proposing payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform, among other things. This proposed rule also seeks comments on how HHS can advance health equity through qualified health plan certification standards and in the individual and group health insurance markets, and how HHS might address plan choice overload in...
Source: Federal Register updates via the Rural Assistance Center - December 29, 2021 Category: Rural Health Source Type: news
CMS: Most Favored Nation Model
Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) rescinding theNovember 27, 2020, interim final rule, "Most Favored Nation Model," which was designed to test alternative ways for Medicare to pay for certain Medicare Part B single-source drugs and biologicals. This final rule is effective February 28, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 29, 2021 Category: Rural Health Source Type: news
Public Inspection: CMS: Most Favored Nation Model
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) rescinding theNovember 27, 2020, interim final rule, "Most Favored Nation Model," which was designed to test alternative ways for Medicare to pay for certain Medicare Part B single-source drugs and biologicals. This final rule is effective 60 days after the publication of this notice, which is scheduled for December 29, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 28, 2021 Category: Rural Health Source Type: news
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment on the reinstatement of the Independent Rural Health Clinic Cost Report. Comments are due by January 27, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 28, 2021 Category: Rural Health Source Type: news
CMS: Medicare Program; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Policy Issues, and Level II of the Healthcare Common Procedure Coding System (HCPCS); DME Interim Pricing in the CARES Act; Durable Medical Equipment Fee Schedule Adjustments To Resume the Transitional 50/50 Blended Rates To Provide Relief in Rural Areas and Non-Contiguous Areas
Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) establishing methodologies for adjusting the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) fee schedule amounts using information from the Medicare DMEPOS competitive bidding program, among other things. Includes impacts on rural throughout. These regulations are effective February 28, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 28, 2021 Category: Rural Health Source Type: news
CMS: Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-Payment Medical Review Requirements; Correction
Notice from the Centers for Medicare and Medicaid Services making technical corrections to theNovember 19, 2021, final rule. Corrections are effective January 1, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 27, 2021 Category: Rural Health Source Type: news
CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; Changes to Medicare Graduate Medical Education Payments for Teaching Hospitals; Changes to Organ Acquisition Payment Policies
Notice of final rule with comment period from the Centers for Medicare and Medicaid Services (CMS) finalizing provisions of the fiscal year 2022 Inpatient Prospective Payment System (IPPS) final rule related to Medicare graduate medical education (GME) for teaching hospitals and Medicare organ acquisition payment policies. This rule includes policies to distribute 1,000 new Medicare-funded physician residency slots to qualifying hospitals. This rule is effective February 25, 2022. Comments are due by February 25, 2022. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 27, 2021 Category: Rural Health Source Type: news
