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.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
CMS: Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements
Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2024. This rule also proposes rebasing and revising the home health market basket; revising the labor-related share proposes changes to the Home Health Quality Reporting Program (HH QRP) requirements; changing the expanded Home Health Value-Based Purchasing (HHVBP) Model; and adding an informal dispute resolution (IDR) and special focus program (SPF) for hospice, among other things. Also provides information on home health utilization trends and seeks comments regarding access to h...
Source: Federal Register updates via the Rural Assistance Center - July 10, 2023 Category: Rural Health Source Type: news
FDA Makes Alzheimer ’s Drug Leqembi Widely Accessible
The F.D.A. gave full approval to the drug, but added a black-box warning about safety risks. Medicare said it would cover most of the high cost. (Source: NYT Health)
Source: NYT Health - July 7, 2023 Category: Consumer Health News Authors: Pam Belluck Tags: Drugs (Pharmaceuticals) Alzheimer ' s Disease Medicare Clinical Trials Decisions and Verdicts Memory Biogen Inc Eisai Co Ltd Centers for Medicare and Medicaid Services Food and Drug Administration United States Source Type: news
There ’ s Finally a Fully Approved Alzheimer ’ s Drug —But Getting It Won’t Be Easy
It’s a decision that millions of people affected by Alzheimer’s disease and their families have been waiting for—the first fully approved drug that treats the disease, rather than its symptoms. On July 6, the U.S. Food and Drug Administration (FDA) granted full approval for lecanemab, or Leqembi, to treat Alzheimer’s in people in the early, mild stages of the neurodegenerative condition.
Doctors can already prescribe lecanemab, which is made by Eisai Inc. and Biogen, since it has been available under accelerated approval from the FDA since January, but that conditional approval has limited access. T...
Source: TIME: Health - July 6, 2023 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized healthscienceclimate Neuroscience Source Type: news
There ’ s Finally a Fully Approved Alzheimer ’ s Drug —But Getting It Won ’ t Be Easy
It’s a decision that millions of people affected by Alzheimer’s disease and their families have been waiting for—the first fully approved drug that treats the disease, rather than its symptoms. On July 6, the U.S. Food and Drug Administration (FDA) granted full approval for lecanemab, or Leqembi, to treat Alzheimer’s in people in the early, mild stages of the neurodegenerative condition.
Doctors can already prescribe lecanemab, which is made by Eisai Inc. and Biogen, since it has been available under accelerated approval from the FDA since January, but that conditional approval has limited access. T...
Source: TIME: Health - July 6, 2023 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized healthscienceclimate Neuroscience Source Type: news
Public Inspection: CMS: CMS: Medicare Program: Calendar Year 2024 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; etc.
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2024. This rule also proposes rebasing and revising the home health market basket; revising the labor-related share proposes changes to the Home Health Quality Reporting Program (HH QRP) requirements; changing the expanded Home Health Value-Based Purchasing (HHVBP) Model; and adding an informal dispute resolution (IDR) and special focus program (SPF) for hospice, among other things. Also provides information on home health utilization trends and seeks comments regar...
Source: Federal Register updates via the Rural Assistance Center - June 30, 2023 Category: Rural Health Source Type: news
