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CMS
CMS 2020 Proposed Physician Fee Schedule Includes Changes to the Open…
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update…
CMS Proposed Rule Would Expedite Part D Prior Authorization Requirements
The Centers for Medicare and Medicaid Services (“CMS”) recently published a proposed rule entitled Secure Electronic Prior…
CMS Primary Care First Model to Launch Early 2020
Primary Care First is a set of voluntary five-year payment model options that reward value and quality by offering payment model…
CMS Seeks Patient Input Over Paperwork Initiative
The United States Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) seeking new ideas on how…
Three Pharma Companies Sue HHS, Judge Rules in Their Favor
In June 2019, several drug manufacturers filed a lawsuit against the United States Department of Health and Human Services (HHS)…
CMS Signals the Use of Mandatory Payment Models if Voluntary Models Don’t…
CMS recently said it will only use mandatory payment models when the agency feels it cannot get enough participation or have an…
2018 Open Payments Data Released
On Friday, June 28, 2019 the Centers for Medicare & Medicaid Services (CMS) released the 2018 Open Payments Data which covers…
CMS Announces Medicare Part D Final Rule Maintaining Current Policy on Six…
The Centers for Medicare and Medicaid Services (“CMS”) announced a final rule maintaining the existing policy on coverage of drugs…
CMS Announces Medicare Part B Final Rule Permitting Step Therapy on New…
The Centers for Medicare and Medicaid Services (“CMS”) announced a final rule permitting Medicare Part B plans, including those…
Increased Oversight and Penalties for Drug Misclassifications under the…
On April 18, 2019, President Trump signed H.R. 1839—Medicaid Services Investment and Accountability Act of 2019—into law. The new…