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CMS Finalizes Major Changes to Hospital Price Transparency Rule

Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Hospitals must continue to include the payer-specific negotiated rates, along with the other standard charges.

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Heart Health at #CES2019 – Food and Tech as Medicine

Health Populi

An important example of this self-care approach is the evidence-based Ornish food regimen which is reimbursed by Medicare (as a form of cardiac rehabilitation). So at #CES2019, I’ve identified examples of technologies on the show floor to address heart health in each of these can-do, patient-empowering behavior changes.

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How Patient Movement Benefits from Standardized Acuity Scoring

HIT Consultant

More than a decade ago, CMS established the Continuity Assessment Record and Evaluation (CARE) set to measure the health and functional status of Medicare beneficiaries at the time of discharge and/or admission in post-acute care settings. While the scores these systems generate may well be accurate, they’re not particularly useful.

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Home Health PPS Final Rule for CY 2024: CMS Steps Back from the Brink

Hall Render

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. Hospice Risk-Screening Category. Hospice 36-Month Rule.

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Wasted: $1 of Every $4 Spent on Health Care In America

Health Populi

This category comprised roughly one-third of the total waste in U.S. The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027. patients). medical spending. Political debates in this 2020 U.S.

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White House looks to CMMI to test new ways to lower drug prices

C&M Health Law

The EO comes two months after the president signed the Inflation Reduction Act (IRA) which promises to lower the cost of prescription drugs for many Medicare beneficiaries. This is not the first time that the White House will try to leverage CMMI’s testing authority to create models that would lower drug costs in Medicare.

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TAKE TWO: CMS’s Second Attempt to Streamline Breakthrough Device Coverage Limited to 5 Devices Per Year

Health Law Advisor

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 anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. Food and Drug Administration (FDA) as breakthrough devices. [1]

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