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CMS
HHS Claims Lower Drug Prices Following “American Patients First” Blueprint
On May 11, 2018, the White House announced its American Patients First Blueprint aimed at reducing drug prices. Following the…
CMS Adds Option of Step Therapy for Medicare Plans
On August 7, 2018, the Centers for Medicare & Medicaid Services (CMS) announced it will provide Medicare Advantage plans the…
CMS Instituting Changes to Medicare Part D Formulary Coverage
On August 29, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a memo to Medicare Part D plans, outlining new…
APM Bonuses Given to Vast Majority of Physicians in First Year
According to a Medicare executive, ninety-nine percent of the 100,000 physicians who applied for the advanced alternative payment…
HHS OIG Solicits Input on Changes in Anti-Kickback Safe Harbors for Value…
The Department of Health and Human Services’ Office of Inspector General (OIG) on Friday announced a new request for information…
CMS Proposes Adding More Accountability to ACOs
On August 9, the Centers for Medicare and Medicare Services (CMS) released major changes to Accountable Care Organizations (ACOs).…
HHS OIG Performs Review of Open Payments Data – 99.9% of 2015 Data…
Recently, the United States Department of Health and Human Services Office of Inspector General (HHS OIG) completed a review of…
CMS Reviewing National Coverage Determination for TAVR Programs
Recently, the United States Center for Medicare & Medicaid Services (CMS) announced a review of its national coverage…
CMS Proposed Evaluation and Management E/M Documentation and Payment…
Buried in the proposed 2019 Medicare Physician Fee Schedule, CMS announced potential changes to evaluation and management (E/M)…
2019 CMS Proposed Physician Fee Schedule Includes Serious Cuts to Medicare…
On July 12, the Centers for Medicare & Medicaid (CMS) released its proposed Medicare Physician Fee Schedule for 2019. The…