CMS

Medicare Part B Sees Premium Hike, CMS Faces Vaccine Mandate Lawsuits

by Hayden Schmidt

The FCC and HHS both announced funding initiatives in the past week. The FCC will spend $700 million to expand rural broadband access and result in better telehealth opportunities for dispersed...

CMS Codifies Value-Based Care Strategy, $800M for Abuse Victims

by Hayden Schmidt

In a white paper released last week, CMS Administrator Chiquita Brooks-LaSure reiterated the agency’s plan to support health equity and expand value-based care for Medicare and Medicaid...

CMS Increases Call Center Wages, ONC Shifts SVAP Timeline

by Hayden Schmidt

The Biden-Harris Administration greenlit transgender care to be included as a part of Colorado’s Essential Health Benefits. Days later, CMS has boosted their hourly wages for call center workers...

States Expand CMS Operations, NIH Director Resigns

by Hayden Schmidt

Funds from the American Rescue Plan were used in several states to initiate healthcare marketplaces. Kentucky, Maine, and New Mexico joined 14 other states that had already established their...

CMS Funds Telehealth for Medical Centers, OIG Audits Medicare Advantage

by Hayden Schmidt

An influx of funding from the American Rescue Plan is earmarked by HRSA for medical centers in underserved communities. Additionally, the ONC is receiving funding from the plan for IT workforce...

Administration Tackles Access to Care, FTC Expands Breach Rule

by Hayden Schmidt

The Biden-Harris administration continues its focus on expanding healthcare access as CMS and HHS announce three new initiatives that increase access to Medicare, Medicaid, and maternal care across the...

CMS, HHS Further Provider Relief Funds, Surprise Billing, Insurance Access

by Emily Sokol, MPH

After a relatively quiet summer, HHS and CMS dove back into rulemaking, guideline issuing, and funding awards. Following vaccine mandates for all federal employees and healthcare settings, CMS issued...

Administration Boosts Funding to Increase Access to Care, Cybersecurity

by Emily Sokol, MPH

As the holiday weekend comes to a close, the Biden Administration did not slow its commitment to increasing access to care for patients. Through American Rescue Plan funding, CMS allocates funding to...

New Funding Supports Pediatric Mental Health, Climate Change, Health Equity

by Emily Sokol, MPH

The Office of Climate Change and Health Equity opens under HHS, and several organizations including SAMHSA boost funding for pediatric mental healthcare. This week’s policy recap also highlights...

Pfizer’s COVID-19 Vaccine Granted Full FDA Approval As CMS Ups Its Reimbursement

by Emily Sokol, MPH

COVID-19 remains in the spotlight of this week’s policy recap as Pfizer-BioNTech’s COVID-19 vaccine is granted full FDA approval. And CMS boosts reimbursement rates for COVID-19 vaccines...

Third COVID Vaccine Dose Available as Grants Try to Boost Vaccination Efforts

by Emily Sokol, MPH

COVID-19 continues to take the spotlight as this week’s policy update highlights the CDC’s recent recommendation for a booster shot. Several government organizations, including HHS and the...

CMS Increases Rates Across the Board for FY2022; Part D Premiums Climb

by Emily Sokol, MPH

CMS final rules will increase rates for hospitals, skilled nursing facilities, and several other care settings while CMS also reports Part D premiums are expected to rise. Meanwhile, newly introduced...

CDC Updates Masking Guidelines as Long COVID Added to ADA

by Emily Sokol, MPH

This week’s policy update highlights the CDC’s new masking guidelines, triggered by the spread of the Delta variant. Meanwhile, long COVID was added to the list of qualifying disabilities...

CMS Announces Rate Changes; Physician Fee Schedule to Include RPM

by Emily Sokol, MPH

In this week’s policy update, proposed CMS rate changes would alter hospital outpatient and ambulatory surgical center payments and the 2022 Physician Fee Schedule aims to include reimbursement...

Controversial Alzheimer’s Drug Under CMS, FDA Watch; EO Looks to Prescription Drug Spending

by Emily Sokol, MPH

CMS announced it will begin coverage determination investigations for the controversial Alzheimer’s drug, Aduhelm, while the drug’s approval process is also being investigated by the FDA....

CMS Proposes ESRD Value-Based Payment, Surprise Billing Final Rule

by Emily Sokol, MPH

CMS proposed a value-based payment model for the treatment of end-stage renal disease and released a final ruling to combat surprise billing. Meanwhile, Congress introduced a bill to expand broadband...

CMS Proposes Better Home Health, Access; Telehealth Bills Target Rural Health, Diabetes

by Emily Sokol, MPH

CMS issued two proposed bills that would expand home healthcare and access to health insurance exchanges. Meanwhile, Congress continues to push for telehealth bills that would increase rural access to...

ACA Withstands Another Court Challenge, HHS Boosts Public Health IT Workforce

by Emily Sokol, MPH

The Supreme Court once again upholds the ACA, but experts are worried some may still challenge the law. Meanwhile, HHS funding aims to bolster the public health IT workforce and intra-agency...

FDA, CMS, HHS Improve COVID-19 Testing, Vaccination; Provider Relief Fund Deadlines Extended

by Emily Sokol, MPH

To improve access to COVID-19 testing and vaccination, FDA, CMS, and HHS are increasing vaccine supplies, vaccination sites, and funding. Meanwhile, HHS extended key reporting deadlines for the...

How Payers Can Keep the Big Vision of Interoperability in Sight

by Kelsey Waddill

As payers prepare to comply with specific CMS interoperability deadlines, it is critical that they keep in mind the overarching goals of interoperability, not just the compliance details. Listen to...

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