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Medicare
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…
Pfizer Pays Millions to Resolve Co-Pay Allegations – Settlement and…
On Thursday, May 24, 2018, Pfizer, Inc., agreed to pay $23.85 million to resolve claims that it used a foundation as a conduit to…
CMS Launching New Pay Model
In an announcement made Monday, April 23, 2018, the Centers for Medicare and Medicaid Services (CMS) stated it is planning to…
CMS Announces Medicare Data Roll-Out
On Thursday, April 26, 2018, Centers for Medicare and Medicaid Services Administrator Seema Verma announced the Agency’s new Data…
Data Analytics & Detecting Medicare Fraud – A Promising Idea Still…
For analyzing so-called “Big Data” sets, data analytics is an invaluable set of tools and techniques. Now the HHS OIG plans to…
White House White Paper on Pharma Pricing Released
In February 2018, the White House Council of Economic Advisers released a white paper, “Reforming Biopharmaceutical Pricing at…
CMS Posts CY 2019 Notice and Call Letter
The Centers for Medicare and Medicaid Services (CMS) has posted the calendar year (CY) 2019 Advance Notice and Call Letter …
MedPAC Proposes Changes to Medicare Part D for Biosimilars
In mid-January 2018, the Medicare Payment Advisory Commission (MedPAC) met to discuss Medicare payment adequacy and vote on 2019…
Medical Societies Ask Congress to Preserve Patient Access to Critical Part…
Eleven medical societies – including the American College of Rheumatology, American Academy of Ophthalmology, American Society of…
CMS RFI Issued Regarding CMMI and Payment Models
In September, CMS issued a "request for information" (RFI) to solicit new ideas that will revamp CMS' Center for Medicare and…