ICYMI: Event spotlights how we can make Medicare work better for patients
Last month, PhRMA sponsored “Making Medicare Work Better for Patients, ” an event hosted byThe Hill. During the event, policymakers, patient advocates and biopharmaceutical leaders spoke about how we can modernize Medicare Part D to help improve patient access and affordability. (Source: The Catalyst)
Source: The Catalyst - August 4, 2021 Category: Pharmaceuticals Authors: Katie Koziara Tags: Part D Medicare Out-of-Pocket Costs Source Type: news

CMS renews reimbursements for Viz.ai stroke AI software
The U.S. Centers for Medicare and Medicaid Services (CMS) has renewed a reimbursemen...Read more on AuntMinnie.comRelated Reading: Viz.ai to add Avicenna.ai software to platform Viz.ai gets CE Mark for AI-powered stroke software Viz.ai touts research at stroke conference Viz.ai raises $71M in funding Viz.ai launches image software for clinical trials (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - August 4, 2021 Category: Radiology Source Type: news

Race, age associated with canceled mammography exams
Race, ethnicity, Medicare insurance, and advanced age were linked to increase...Read more on AuntMinnie.comRelated Reading: U.S. Senate committee passes VA mammography legislation Annual mammography catches more interval cancer in dense breasts COVID screening delays may lead to more breast cancer deaths Inpatient mammography feasible for women overdue for screening Breast imaging capacity impacted by pandemic (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - August 3, 2021 Category: Radiology Source Type: news

DOJ Joins Cases Alleging False Diagnoses by Kaiser MA Plans DOJ Joins Cases Alleging False Diagnoses by Kaiser MA Plans
The federal government has joined in a legal battle over claims that Kaiser plans pressured physicians to report diagnoses that patients did not have in order to increase Medicare reimbursement.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 3, 2021 Category: Consumer Health News Tags: Family Medicine/Primary Care News 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 Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Changes to Medicaid Provider Enrollment; and Changes to the Medicare Shared Savings Program
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2022, and implements changes for the Medicare Promoting Interoperability, Hospital Value-Based Purchasing, Hospital Readmissions Reduction, Hospital Inpatient Quality Reporting, Hospital- Acquired Condition Reduction, the PPS-Exempt Cancer Hospital Reporting, and the Long-Term Care Hospital Quality Reporting programs. Also finalizes the May 10, 2021 interim final r...
Source: Federal Register updates via the Rural Assistance Center - August 3, 2021 Category: Rural Health Source Type: news

CMS: Medicaid Program; Reassignment of Medicaid Provider Claims
Notice of proposed rule from the Centers for Medicare and Medicaid Services reinterpreting the scope of the general requirement that state payments for Medicaid services must be paid directly to the practitioner providing the service. Under the new proposal, payments to third parties that provide benefits to the workforce such as health insurance, skills training, and other similar employee benefits will be allowed if the practitioner consents to such payments on their behalf. Comments on this rule are due by September 28, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 3, 2021 Category: Rural Health Source Type: news

For practice success, brush up on your coding
In the busy day to day of radiology practice, it can be difficult to keep trac...Read more on AuntMinnie.comRelated Reading: CT lung cancer screening guidelines are changing Prepare now for Medicare's AUC/CDS rules for imaging orders SNMMI offers letter to contest SPECT/CT denials E/M coding and billing for interventional radiology New diagnosis codes related to COVID-19 take effect in 2021 (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - August 2, 2021 Category: Radiology Source Type: news

LVO stroke patients benefit from going directly to angiography suite
Patients with suspected large vessel occlusion (LVO) stroke can have bette...Read more on AuntMinnie.comRelated Reading: Can radiology AI win with a bad hand? Machine learning helps find vessel occlusions on CTA Algorithm detects LVO stroke on multiphase CTA Will Medicare reimbursement propel radiology AI market? COVID-19 associated with large vessel strokes (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - August 2, 2021 Category: Radiology Source Type: news

The future of the rebate rule: Will policymakers stand with patients?
Policymakers will soon decide whether to stand by new Medicare changes that will help lower costs for beneficiaries at the pharmacy counter or abandon these changes to fund government programs unrelated to patients and health care. (Source: The Catalyst)
Source: The Catalyst - August 2, 2021 Category: Pharmaceuticals Tags: Part D Out-of-Pocket Costs Source Type: news

Public Inspection: CMS: Medicaid Program; Reassignment of Medicaid Provider Claims
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services reinterpreting the scope of the general requirement that state payments for Medicaid services must be paid directly to the practitioner providing the service. Under the new proposal, payments to third parties that provide benefits to the workforce such as health insurance, skills training, and other similar employee benefits will be allowed if the practitioner consents to such payments on their behalf. Comments on this rule are due by September 28, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - August 2, 2021 Category: Rural Health Source Type: news

Spotlight on Policy: CMS to Improve Home Health Services for Older Adults and People with Disabilities
The Centers for Medicare& Medicaid Services (CMS) has issued a proposed rule that accelerates the shift from paying for home health services based on volume, to a system that incentivizes value and quality. The rule also seeks feedback on ways to attain health equity for all patients through policy solutions, including enhancing reports on Medicare/Medicaid dual eligibility, disability status, people who are LGBTQ+, religious minorities, people who live in rural areas, and people otherwise adversely affected by persistent poverty or inequality. (Source: Caring for the Ages)
Source: Caring for the Ages - August 1, 2021 Category: Health Management Source Type: news

US sues Kaiser Permanente over alleged Medicare fraud
The federal government has sued Kaiser Permanente, alleging the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records in order to receive higher reimbursements (Source: ABC News: Health)
Source: ABC News: Health - July 31, 2021 Category: Consumer Health News Tags: Health Source Type: news

Diabetes Drug's New Weight Loss Formula Fuels Cost-Benefit Debate Diabetes Drug's New Weight Loss Formula Fuels Cost-Benefit Debate
Diabetes drugs are being reformulated and renamed as new obesity treatments. Medicare currently doesn't cover the latter, and private insurers will have to decide if the cost is worth the benefit.Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 30, 2021 Category: Consumer Health News Tags: Diabetes & Endocrinology News Source Type: news

Largest Nursing Homes in Greater Baltimore
Information for this List was obtained from Maryland Department of Health and Mental Hygiene Office of Health Care Quality and Medicare.gov Nursing Homes Compare; Centers for Medicare and Medicaid Services (CMS) creates the overall star rating for nursing homes from three parts: health inspections, quality of resident care measures and staffing; Star ratings for each part and for the overall rating range from 1 to 5 stars, with more stars indicating better quality. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - July 30, 2021 Category: Biotechnology Source Type: news

Celebrating Medicare ’s 56th anniversary
For 56 years, Medicare has helped pay for medical care for Americans over the age of 65, as well as younger Americans with certain medical needs. Today marksMedicare ’s anniversary and to celebrate, we are reflecting on the history of the program that benefits more than60 million Americans. (Source: The Catalyst)
Source: The Catalyst - July 30, 2021 Category: Pharmaceuticals Authors: Gabby Migliara Tags: Part D Medicare Out-of-Pocket Costs Source Type: news

Medicare And Medicaid Turn 56 Today. That's Not Exactly Cause For Celebration.
The legacy of Medicare and Medicaid after 56 years is one of relentless growth — in enrollees and in spending. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - July 30, 2021 Category: Pharmaceuticals Authors: Sally Pipes, Contributor Tags: Policy /policy Business /business Innovation /innovation Healthcare /healthcare Decision Maker Content decisionmaker sallypipesblog Source Type: news

Proposed Medicare rule would likely bring radiology reimbursement cuts
Sandy Coffta of Healthcare Administrative Partners reviews the proposed change...Read more on AuntMinnie.comRelated Reading: CT lung cancer screening guidelines are changing Provider Relief Fund reporting rules are released Prepare now for Medicare's AUC/CDS rules for imaging orders How benchmarking helps radiology practices evaluate performance Radiology groups can prepare now to implement the No Surprises Act (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 30, 2021 Category: Radiology Source Type: news

Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022; and Technical Correction to Long-Term Care Facilities Physical Environment Requirements
Pre-publication notice of final rule Centers for Medicare and Medicaid Services (CMS) updating the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year 2022. Among other things, this rule rebases and revises the SNF market basket, updates the diagnosis code mappings used under the Patient-Driven Payment Model (PDPM), and finalizes a technical correction to the physical environment requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs. This rule also includes updates the SNF Quality Reporting Program (QRP). Includes rural considerations t...
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program; Payment for Complex Rehabilitative Wheelchairs and Related Accessories (Including Seating Systems) and Seat and Back Cushions Furnished in Connection with Such Wheelchairs
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2022. Among other things, this rule updates the cost-to-charge ratio (CCR) ceiling and urban/rural average CCRs for FY 2022 and updates quality measures and reporting requirements under the IRF quality reporting program. These regulations are effective on October 1, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022)
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2022 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. This rule also updates and clarifies the IPF teaching policy with respect to IPF hospital closures and displaced residents, finalizes a technical change to the 2016-based IPF market basket price proxies, and updates quality measures and repor...
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements
Pre-publication notice of final rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and cap amount for fiscal year 2022. Includes changes to the labor shares of hospice payment rates, updates to the Hospice Quality Reporting Program, and finalizes clarifying changes to the election statement addendum that was implemented on October 1, 2020. Among other things, this rule also makes permanent selected regulatory blanket waivers issued to Medicare-participating hospice agencies during the COVID-19 public health emergency public and finalizes changes to public reportin...
Source: Federal Register updates via the Rural Assistance Center - July 30, 2021 Category: Rural Health Source Type: news

Lowering Medicare Age Could Help Close Racial Gaps in Health Care: Study
THURSDAY, July 29, 2021 -- Could reducing racial disparities in health care be as simple as lowering the age at which Americans qualify for Medicare? Yes, claims a new study that suggests lowering eligibility from age 65 to age 60 could go a long... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - July 29, 2021 Category: General Medicine Source Type: news

'Redundant imaging' for TIA workup increases in the ED
The increased compliance of emergency departments (ED) with specific imagin...Read more on AuntMinnie.comRelated Reading: Decision support could improve ED pediatric appendicitis imaging Electronic consults may avoid unnecessary imaging CT, MRI for lower back pain still prevalent in ED Could cold, hard cash reduce unnecessary head CT scans? Trump administration hits brakes on law to curb unneeded Medicare CT scans, MRIs (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 29, 2021 Category: Radiology 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 following information collections: 1) Medicare Beneficiary Experiences with Care Survey (MBECS) System and 2) CLIA Collection of Information Requirements Related to SARS-CoV-2 Test Results Reporting. Comments are due by August 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 29, 2021 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services (CMS) is seeking comments on a revision to the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey. Data collected from OAS CAHPS can enable consumers to make more informed decisions when choosing an outpatient surgery facility, aid facilities in their quality improvement efforts, and help CMS monitor and report on the performance of outpatient surgery facilities. Comments are due by August 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 29, 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 following information collections: 1) Outcome and Assessment Information Set (OASIS) OASIS-D and 2) Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory Programs. Comments are due by August 30, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 29, 2021 Category: Rural Health Source Type: news

CMS gives nod to Rayus Radiology's CDI Quality Institute
The U.S. Centers for Medicare and Medicaid Imaging (CMS) has again qualifie...Read more on AuntMinnie.comRelated Reading: Rayus buys Foundation Radiology of Pa. Rayus acquires 3 InHealth centers in Wash. Rayus buys Fla. centers, research institute CDI relaunches as Rayus Radiology (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 28, 2021 Category: Radiology Source Type: news

Humana Profits On Medicare Growth Despite Covid ‘Uncertainties’
Humana profits eclipsed $700 million on strong Medicare Advantage enrollment while navigating the uncertain Covid-19 pandemic. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - July 28, 2021 Category: Pharmaceuticals Authors: Bruce Japsen, Senior Contributor Tags: Healthcare /healthcare Innovation /innovation Enterprise Tech /enterprise-tech business pharma Source Type: news

Direct Oral Anticoagulants: Competition Brought No Cost Relief Direct Oral Anticoagulants: Competition Brought No Cost Relief
Medicare Part D spending for oral anticoagulants has risen by almost 1,600% since 2011, while the number of users has increased by just 95%, according to a new study.Medscape Medical News (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - July 27, 2021 Category: Cardiology Tags: Cardiology News Source Type: news

CT lung cancer screening guidelines are changing
Commercial insurance companies are already beginning to expand their paymen...Read more on AuntMinnie.comRelated Reading: Provider Relief Fund reporting rules are released Prepare now for Medicare's AUC/CDS rules for imaging orders How benchmarking helps radiology practices evaluate performance Benchmarking can help radiology practices evaluate performance Radiology groups can prepare now to implement the No Surprises Act (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 27, 2021 Category: Radiology Source Type: news

ASTRO members exhort Congress to block proposed Medicare cuts
Members of the American Society for Radiation Oncology (ASTRO) met with congressiona...Read more on AuntMinnie.comRelated Reading: CMS changes to RO Model draw ASTRO's ire ASTRO commits to October in-person annual meeting in Chicago ASTRO survey finds rise in advanced-stage cancer ASTRO lauds Biden's CMS administrator nomination ASTRO endorses COVID-19 vaccine for cancer patients (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 26, 2021 Category: Radiology Source Type: news

Expanding Medicare would reduce racial and ethnic health disparities
YSPH-led research shows that lowering the eligibility age will magnify the positive impact of the program on healthcare access for racial and ethnic minorities. (Source: Yale Science and Health News)
Source: Yale Science and Health News - July 26, 2021 Category: Universities & Medical Training Source Type: news

Government “negotiation” could have devastating consequences for Medicare enrollees
Some members of Congress are considering significant changes to Medicare that could have adevastating effect on millions of Americans. Proponents call these changes government “negotiation,” but what they are actually proposing is anything but that. These politicians want to repeal a key provision of the Medicare Part D program that protects robust coverage and access to medicines for seniors and people with disabilities. (Source: The Catalyst)
Source: The Catalyst - July 23, 2021 Category: Pharmaceuticals Authors: Gabby Migliara Tags: Part D Medicare Proactive Agenda Source Type: news

CMS: Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment Meeting
The Centers for Medicare and Medicaid Services (CMS) will hold a virtual meeting of the Advisory Panel on Hospital Outpatient Payment for 2021 on August 23, 2021. 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 agenda and information on how to join the meeting will be posted on thePanel's website one week before the meeting. Comment and presentation submissions to...
Source: Federal Register updates via the Rural Assistance Center - July 23, 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
Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) making changes to the following: 1) Physician Fee Schedule and Medicare Part B payment policies; 2) Medicare Shared Savings Program requirements; 3) updates to the Quality Payment Program; 4) Medicare coverage of opioid use disorder services furnished by opioid treatment programs; 5) updates to certain Medicare provider enrollment policies; 6) requirements for prepayment and post-payment medical review activities; 7) requirements for electronic prescribing for controlled substances for a covered Part D drug under a prescription dru...
Source: Federal Register updates via the Rural Assistance Center - July 23, 2021 Category: Rural Health Source Type: news

Strabismus surgery decreases the risk of injuries in pediatric patients in the OptumLabs Data Warehouse - Pineles SL, Repka MX, Yu F, Velez FG, Perez C, Sim D, Coleman AL.
PURPOSE: Previous studies have shown an association between injury risk and strabismus in Medicare-aged beneficiaries and children. The injury prevalence in strabismic children was 30% in a study of>10 million patients in the OptumLabs ® Data Warehouse (O... (Source: SafetyLit)
Source: SafetyLit - July 22, 2021 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Meet Ensurem, a 2021 Fast 50 honoree
Ensurem is a Clearwater-based insurance marketplace offering Medicare health and supplemental insurance products like Medicare Advantage, Medicare Supplement and prescription drug plans. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - July 22, 2021 Category: American Health Authors: Chris Erickson Source Type: news

Medicare Struggles to Expand Diabetes Prevention Program Medicare Struggles to Expand Diabetes Prevention Program
Critics say participation is low because of the way Medicare set up the program. Now, CMS has proposed to address some of those problems in a rule change. Will it be enough to increase participation?Kaiser Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 22, 2021 Category: Consumer Health News Tags: Diabetes & Endocrinology News Source Type: news

Public Inspection: CMS: Meetings: Medicare Program: Advisory Panel on Hospital Outpatient Payment
Pre-publication notice from the Centers for Medicare and Medicaid Services (CMS) announcing a virtual meeting of the Advisory Panel on Hospital Outpatient Payment for 2021 on August 23, 2021. 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 agenda and information on how to join the meeting will be posted on thePanel's website one week before the meeting. Comment an...
Source: Federal Register updates via the Rural Assistance Center - July 22, 2021 Category: Rural Health Source Type: news

Insurers must now cover cost of PrEP pill that prevents HIV-negative people from getting virus
In new guidance released on Monday, the Centers for Medicare and Medicaid Services said health insurers must cover the cost of daily PrEP pills, including copays and deductibles. (Source: the Mail online | Health)
Source: the Mail online | Health - July 21, 2021 Category: Consumer Health News Source Type: news

Protecting Medicare from government interference
For more than a decade,Medicare Part D has provided seniors and people with disabilities with affordable and comprehensive prescription medicine coverage. Several surveys show that more than 9 in 10 Part D enrollees are satisfied with their coverage, helping tens of millions of patients manage a number of chronic and life-threatening conditions, including diabetes, mental illness, cancer and heart disease. (Source: The Catalyst)
Source: The Catalyst - July 21, 2021 Category: Pharmaceuticals Authors: Gabby Migliara Tags: Part D Medicare Proactive Agenda Source Type: news

Highmark Health to add new Medicare Advantage program in Delaware
Highmark Blue Cross Blue Shield is adding a new Medicare Advantage plan in Delaware in a collaboration with two providers in the state. It’s an additional step in a partnership announced earlier this year with ChristianaCare, which will participate in the Medicare Advantage plan along with Bayhealth. Medicare Advantage plans are for people over 67 who sign up annually for the plans that provide some of the health services covere d under the federal Medicare program but are provided by private entities. “ChristianaCare… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - July 21, 2021 Category: Biotechnology Authors: Paul J. Gough Source Type: news

ChristianaCare, BayHealth and Highmark BCBS unite to offer Medicare Advantage plan
The Medicare Advantage plan will need the approval of the Centers for Medicare& Medicaid Services. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - July 21, 2021 Category: Biotechnology Authors: John George Source Type: news

Feds Recover Nearly $2B From Various Healthcare Fraud Cases Feds Recover Nearly $2B From Various Healthcare Fraud Cases
A new report from the Health Care Fraud and Abuse Control Program outlines various instances of fraud, including against Medicare and Medicaid.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 21, 2021 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Increasing Physical Activity After ICD Implantation May Cut Deaths
WEDNESDAY, July 21, 2021 -- For Medicare beneficiaries with implantable cardioverter defibrillators (ICDs), physical activity (PA) is associated with a reduction in all-cause mortality, according to a study published online July 21 in Circulation:... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - July 21, 2021 Category: Pharmaceuticals Source Type: news

CMS changes to RO Model draw ASTRO's ire
A proposal by the U.S. Centers for Medicare and Medicaid Services (CMS) to mak...Read more on AuntMinnie.comRelated Reading: ASTRO commits to October in-person annual meeting in Chicago ASTRO survey finds rise in advanced-stage cancer ASTRO lauds Biden's CMS administrator nomination CMS to delay start of RO Model for radiation therapy CMS releases new payment model for radiation oncology (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - July 21, 2021 Category: Radiology 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 following information collections: 1) The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS); 2) Transitional Pass-through payments related to Drugs, Biologicals, and Radiopharmaceuticals to determine eligibility under the Outpatient Prospective Payment System; and 3) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for Merit-based Incentive Payment Systems (MIPS). Comments are due by August 20, 2021. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - July 21, 2021 Category: Rural Health Source Type: news

How COVID-19 Long Haulers Could Change the U.S. Disability Benefits System
When COVID-19 began spreading in the U.S. in March 2020, McKale Santin was working at a nursing home in Burlington, Vermont. She and her coworkers didn’t yet know how deadly the virus would become, but she remembers feeling nervous as the first patients got sick and she was asked to examine them with only a surgical mask, not the more protective N95 mask that she wore to test for conditions like tuberculosis. One day, a patient pulled down her own mask to sneeze while Santin was conducting a respiratory assessment. Soon after, the woman became one of Vermont’s first people to die from COVID-19—and Santin...
Source: TIME: Health - July 20, 2021 Category: Consumer Health News Authors: Abigail Abrams Tags: Uncategorized COVID-19 feature Source Type: news

Medicare Collection Agency Sets Sights on Asbestos Trusts
A prominent Medicare services collection agency is taking aim at an estimated 60 viable asbestos trust funds, citing a failure to divulge settlement payments and deliver reimbursement to providers for health care services. Asbestos trusts are designed to compensate victims of diseases caused by exposure to asbestos, most notably malignant mesothelioma, a rare cancer with no definitive cure. MSP Recovery LLC, a leading Medicare/Medicaid recovery specialist, filed the first lawsuit last week against the J.T. Thorpe Settlement Trust, according to a report in The Wall Street Journal. J.T. Thorpe Inc. is a former indus...
Source: Asbestos and Mesothelioma News - July 20, 2021 Category: Environmental Health Authors: Fran Mannino Source Type: news

Public Inspection: CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; etc.
Pre-publication notice of proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022, updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program, update Hospital Price Transparency requirements, and update and refine the design of the Radiation Oncology Model. This proposed rule also includes a request for information on the health and safety standards, quality measures and reporting requirements, and payment policies for Rural...
Source: Federal Register updates via the Rural Assistance Center - July 20, 2021 Category: Rural Health Source Type: news