Centers For Medicare and Medicaid Services Creates New Hospital Inpatient Payment for Coronary Intravascular Lithotripsy
Shockwave Medical, Inc. (NASDAQ: SWAV) announced today that as part of the Fiscal Year 2024 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule, the Centers for Medicare and Medicaid Services (CMS) has created new Medicare Severity Diagnosis Related Group (MS-DRG) codes and payments for coronary Intravascular Lithotripsy (IVL) in the hospital inpatient setting. (Source: News from Angioplasty.Org)
Source: News from Angioplasty.Org - August 9, 2023 Category: Cardiology Source Type: news

CMS: Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April Through June 2023
Quarterly listing of Centers for Medicare and Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from April through June 2023, including contact information for general questions or additional information about specific sections. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 4, 2023 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Notice of a final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2024. Includes updates to the Hospice Quality Reporting Program; discusses the Hospice Outcomes and Patient Evaluation tool; provides updates on the Consumer Assessment of Healthcare Providers and Systems, Hospice Survey Mode Experiment; and finalizes conforming regulations text changes related to the expiration of the COVID-19 public health emergency. Among other things, this rule also discusses the comments received regarding information related to the p...
Source: Federal Register updates via the Rural Assistance Center - August 2, 2023 Category: Rural Health Source Type: news

What Happens When Private Equity Buys Your Doctor ’ s Office?
Private equity ownership of American health care facilities has grown massively in the last few decades. A 2021 study of U.S. hospice agencies found private equity ownership more than doubled, to 7%, between 2011 and 2019 while in 2021, 63% of deals in hospice and home care were with private equity. Twice as many companies providing fertility care were bought between 2017 and 2019 than in the previous seven years combined, according to a 2020 study. The trend of accelerating acquistion stretches overseas, as well, with international health care buyouts by private equity firms totaling $240 billion in 2021 and 2022, compare...
Source: TIME: Health - July 31, 2023 Category: Consumer Health News Authors: Haley Weiss Tags: Uncategorized healthscienceclimate Source Type: news

Public Inspection: CMS: Medicare Program: FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Pre-publication notice of a final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2024. Includes updates to the Hospice Quality Reporting Program; discusses the Hospice Outcomes and Patient Evaluation tool; provides updates on the Consumer Assessment of Healthcare Providers and Systems, Hospice Survey Mode Experiment; and finalizes conforming regulations text changes related to the expiration of the COVID-19 public health emergency. Among other things, this rule also discusses the comments received regarding information ...
Source: Federal Register updates via the Rural Assistance Center - July 31, 2023 Category: Rural Health Source Type: news

Health Insurers Deny Medical Care for the Poor at High Rates, Report Says
Investigators found that major companies overseeing Medicaid patients ’ health care frequently rejected doctors’ requests for approval of treatments and procedures. (Source: NYT)
Source: NYT - July 20, 2023 Category: American Health Authors: Reed Abelson Tags: Health Insurance and Managed Care Medicaid States (US) Poverty Centers for Medicare and Medicaid Services Health and Human Services Department Source Type: news

Health Insures Deny Medical Care for the Poor at High Rates, Report Says
Investigators found that major companies overseeing Medicaid patients ’ health care frequently rejected doctors’ requests for approval of treatments and procedures. (Source: NYT)
Source: NYT - July 19, 2023 Category: American Health Authors: Reed Abelson Tags: Health Insurance and Managed Care Medicaid States (US) Poverty Centers for Medicare and Medicaid Services Health and Human Services Department Source Type: news

CMS: Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment Meeting-August 21-22, 2023-and New Panel Members
Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the Advisory Panel on Hospital Outpatient Payment will hold a virtual public meeting on August 21-22, 2023. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of CMS concerning the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, as well as supervision of hospital outpatient therapeutic services. The final meeting agenda and information on how to join the meeting will be posted on thePanel's website approximately 1 week before the m...
Source: Federal Register updates via the Rural Assistance Center - July 19, 2023 Category: Rural Health Source Type: news

CMS proposal covers PET scans for Alzheimer’s disease
The U.S. Centers for Medicare and Medicaid Services (CMS) has proposed coverag...Read more on AuntMinnie.comRelated Reading: FDA grants full approval to Alzheimer's disease drug Leqembi CMS rethinks limit on PET scans for Alzheimer’s disease patients FDA doubles MRI scans needed for Aduhelm patients CMS to limit coverage of new drugs for Alzheimer's disease CMS scrubs rule restricting PET tracer coverage (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 18, 2023 Category: Radiology Source Type: news

CMS: Request for Information; Episode-Based Payment Model
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on the design of a potential new episode-based payment model focused on accountability for quality and cost, health equity, and specialty integration. To further inform the development of a new model, CMS is seeking feedback on a broad set of questions related to care delivery and incentive structure alignment and six foundational components testing a new model design: clinical episodes; participants; health equity; quality measures, interoperability, and multi-payer alignment; payment methodology and structure; and model overlap. CMS expects this epi...
Source: Federal Register updates via the Rural Assistance Center - July 18, 2023 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Meetings; Advisory Panel on Hospital Outpatient Payment, New Panel Members
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing the Advisory Panel on Hospital Outpatient Payment will hold a virtual public meeting on August 21-22, 2023. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of CMS concerning the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, as well as supervision of hospital outpatient therapeutic services. The final meeting agenda and information on how to join the meeting will be posted on thePanel's website approximately 1 w...
Source: Federal Register updates via the Rural Assistance Center - July 17, 2023 Category: Rural Health Source Type: news

Public Inspection: CMS: Request for Information: Episode-based Payment Model
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) seeking comments on the design of a potential new episode-based payment model focused on accountability for quality and cost, health equity, and specialty integration. To further inform the development of a new model, CMS is seeking feedback on a broad set of questions related to care delivery and incentive structure alignment and six foundational components testing a new model design: clinical episodes; participants; health equity; quality measures, interoperability, and multi-payer alignment; payment methodology and structure; and model over...
Source: Federal Register updates via the Rural Assistance Center - July 17, 2023 Category: Rural Health Source Type: news

CMS: Privacy Act of 1974; Matching Program
Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comments on the re-establishment of a matching program between CMS and the Social Security Administration (SSA) titled "Determining Enrollment or Eligibility for Insurance Affordability Programs Under the Patient Protection and Affordable Care Act." The purpose of the matching program is to provide CMS with SSA information to determine individuals' eligibility for initial enrollment in a Qualified Health Plan through an Exchange established under the Patient Protection and Affordable Care Act, for Insurance Affordability Programs (IAPs), and for certi...
Source: Federal Register updates via the Rural Assistance Center - July 17, 2023 Category: Rural Health Source Type: news

Here's The Bad News That Could Keep Shockwave Trapped Under Its 50-Day Line
Shockwave Medical received mixed reimbursement news from the Centers for Medicare and Medicaid Services, and SWAV stock tumbled Friday. The post Here's The Bad News That Could Keep Shockwave Trapped Under Its 50-Day Line appeared first on Investor's Business Daily.#centersformedicare #medicaidservices #badnews (Source: Reuters: Health)
Source: Reuters: Health - July 14, 2023 Category: Consumer Health News 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) Clinical Laboratory Improvement Amendments (CLIA) Application Form and Supporting Regulations and 2) End Stage Renal Disease Death Notification. Comments are due by September 12, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 14, 2023 Category: Rural Health Source Type: news