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News by Topic: Medicare

CMS: Medicare and Medicaid Programs; Regulation to Require Drug Pricing Transparency Federal Register
Oct 18, 2018 - Proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would revise Federal Health Insurance Programs for the Aged and Disabled by amending the Medicare Parts A, B, C, and D programs, as well as the Medicaid program, to require direct-to-consumer television advertisements of prescription drugs and biological products for which payment is available through or under Medicare or Medicaid to include the Wholesale Acquisition Cost of the product. This is in an effort to allow beneficiaries to make informed decisions and minimize cost for themselves as well as for the Medicare and Medicaid programs. Comments are due by December 17, 2018.
Source: Federal Register
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CMS: Medicare Program; CY 2019 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts Federal Register
Oct 17, 2018 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the inpatient hospital deductible and the hospital and extended care services coinsurance amounts for services furnished in calendar year 2019 under Medicare's Hospital Insurance Program (Medicare Part A). These rates are effective on January 1, 2019.
Source: Federal Register
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CMS: Medicare Program; CY 2019 Part A Premiums for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement Federal Register
Oct 17, 2018 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing Medicare's Hospital Insurance (Part A) premium for uninsured enrollees in calendar year (CY) 2019. This premium is effective on January 1, 2019.
Source: Federal Register
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CMS: Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rates, and Annual Deductible Beginning January 1, 2019 Federal Register
Oct 17, 2018 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the monthly actuarial rates for beneficiaries enrolled in Part B of the Medicare Supplementary Medical Insurance (SMI) program beginning January 1, 2019. It also announced the monthly premium, the deductible for 2019, and income-related monthly adjustment amounts for beneficiaries with modified adjusted gross income above certain threshold amounts. These rates are effective as of January 1, 2019.
Source: Federal Register
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CMS Proposes to Require Manufacturers to Disclose Drug Prices in Television Ads
Oct 15, 2018 - The Centers for Medicare and Medicaid Services (CMS) have proposed requiring that prescription drugs covered by Medicare and Medicaid include the Wholesale Acquisition Cost of the drugs in direct-to-consumer television advertisements. This proposed rule is intended to increase transparency and to lower drug prices.
Source: Centers for Medicare and Medicaid Services
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CMS Announces 2019 Medicare Parts A & B Premiums and Deductibles
Oct 12, 2018 - The Centers for Medicare and Medicaid Services (CMS) announced the premiums, deductibles, and coinsurance amounts for Medicare Parts A and B for 2019. A fact sheet on these items is available.
Source: Centers for Medicare and Medicaid Services
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CMS Acts to Help with Hurricane Michael Emergency Response
Oct 11, 2018 - The Centers for Medicare and Medicaid Services (CMS) announced efforts to ensure that healthcare facilities and providers in Georgia can continue operations and provide access to care despite the effects of Hurricane Michael by waiving certain Medicare, Medicaid, and Children's Health Insurance Program (CHIP) requirements. CMS has also created special enrollment opportunities for individuals to access healthcare and taken steps to ensure dialysis patients obtain critical life-saving services.
Source: Centers for Medicare and Medicaid Services
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CMS Takes Steps to Help with Hurricane Michael Emergency Response
Oct 10, 2018 - The Centers for Medicare and Medicaid Services (CMS) announced efforts to ensure that healthcare facilities and providers in Florida can continue operations and provide access to care despite the effects of Hurricane Michael by waiving certain Medicare, Medicaid, and Children's Health Insurance Program (CHIP) requirements. CMS has also created special enrollment opportunities for individuals to access healthcare and taken steps to ensure dialysis patients obtain critical life-saving services.
Source: Centers for Medicare and Medicaid Services
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CMS Announces Participants in New Value-Based Bundled Payment Model
Oct 9, 2018 - The Centers for Medicare and Medicaid Services announcement of healthcare organizations that are participating in the Bundled Payments for Care Improvement - Advanced (BPCI Advanced) Model. The model focuses on providing high quality care with less cost and allows participating entities to earn additional payments if all expenses for an individual beneficiary's care are less than a predetermined spending target. If the cost of care exceeds the target, the entity must repay money to Medicare. Also includes the evaluation report for Models 2-4 of the original BPCI model.
Source: Centers for Medicare and Medicaid Services
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CMS: Medicare Program; Town Hall Meeting on the FY 2020 Applications for New Medical Services and Technologies Add-On Payments Federal Register
Oct 5, 2018 - Centers for Medicare and Medicare Services announcement of a town hall meeting to be held on December 4, 2018 to discuss FY 2020 applications for add-on payments for new medical services and technologies under the Medicare Hospital Inpatient Prospective Payment System (IPPS).
Source: Federal Register
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