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A Proposed New Regulatory Environment for Medicare Hospice Providers: Application of the 36-Month Rule, Increasing Enrollment Screening Processes, Informal Dispute Resolution, and Special Focus Designations | Venable LLP

On July 10, 2023, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (Proposed Rule) that would (i) include hospices in the 36-month rule ownership transfer...
Service Agency Home Health Prospective Payment System Centers For Medicare Medicaid Services Program Requirements Home Health Hh Prospective Payment System Rate Hh Quality Reporting Program Requirements

TAKE TWO: CMS's Second Attempt to Streamline Breakthrough Device Coverage Limited to 5 Devices Per Year | Epstein Becker & Green

On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly...
United States Hailey Genaw Joseph Grogan Lee Fleisher Jonathan Blum National Coverage Analysis Evidence Review Breakthrough Devices Program

CMS 2024 Final Rule Includes Surprises, Opportunities for Pharmacies and Payers

Among health care professionals, pharmacists are best suited to serve as trusted partners for patients to help ensure they understand their medication regimen, identify medication-related problems, and work with prescribers to close gaps in care.
United States Medicare Program Medicaid Service Medicare Prescription Drug Benefit Program Medicare Advantage Program Community Pharmacy

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Proposal to Change the Scoring Methodology for the Hospital Medicare Value-Based Purchasing Program to Address Health Equity | K&L Gates LLP

The 1 May 2023 Federal Register contains a proposal from the Centers for Medicare & Medicaid Services (CMS) to revise the scoring methodology under the Hospital Value-Based Purchasing...
Medicare Program Program Hospital Health Equity Health Equity Adjustment Kl Gates Program Prospective Payment System

Proposal to Change Scoring for Hospital Medicare Purchasing Program

Health equity is attainment of the highest level of health for all people, where everyone has a just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language
Program Hospital Health Equity Adjustment Kl Gate Health Care Program Prospective Payment System Centers For Medicare Medicaid Services Medicare Shared Savings Program

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