Hospitals are hearing from CMS that the agency will not update its overall hospital star ratings in January as earlier planned in order to buy time to review public comments and finalize proposed changes to the star ratings calculations laid out in the proposed 2021 hospital outpatient pay rule.
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House Minority Leader Kevin McCarthy (R-CA) told reporters Thursday (Nov. 12) he is waiting to see who will become the next House speaker before working across the aisle on another COVID-19 package.
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CMS To Hold Off January Update On Hospitals’ Overall Star Ratings
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The Medical Group Management Association wants CMS to get rid of -- or at the very least push back -- a deadline for providers to claim their 2018 alternative pay model bonuses.
MedPAC Debates Fixes To High MA End-Stage Renal Disease Costs
Medicare Advantage plans’ dialysis payments need to be revamped to reduce costs in a market that’s increasingly dominated by two companies, Medicare Payment Advisory Commission members said Tuesday (Nov. 10).
Blumenauer, Lee Seek Support As Hoyer Plans Vote On Cannabis Bill
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Coalition Seeks To Limit Insurers, PBMs’ Utilization Management Tools
A coalition of health care groups has kicked off a campaign aimed at getting Congress and regulators to put doctors and patients in control of treatment decisions by rolling back utilization management tools widely used by insurers and pharmacy benefit managers.
FDA Advisers: Clearing Alzheimer’s Drug Could Stifle Work On Better Drugs
FDA advisers cautioned FDA that approving Biogen’s Alzheimer’s drug aducanumab based on what the advisers saw as little evidence of effectiveness could stifle research on more effective drugs for years, a view shared by a clinical analyst in FDA’s neurology review division.
Senate Approps Would Give FDA Slightly Less Than House For Fiscal 2021
The Senate Appropriations Committee on Tuesday (Nov. 10) proposed giving FDA more than $3 billion in discretionary funding for fiscal 2021, a $40 million increase in base funding over fiscal 2020 levels.
Stage Set For Fight Over Price If Alzheimer’s Drug Approved
FDA advisers on Friday (Nov. 6) butted heads with agency staff over Biogen’s Alzheimer’s drug candidate, which if approved would likely spark a debate over the price of the first drug for a tragic condition that is expensive to care for.
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