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Medicare Payment for COVID-19 Vaccines and Antibody Therapy

USA - December 21 2020 Following the recent Emergency Use Authorizations (“EUAs”) issued by the FDA for the Pfizer/BioNTech and Moderna COVID-19 vaccines, the Centers for…

Melissa L. Markey.

CMS Finalizes 2021 MPFS Final Rule - 3 Key Policy Changes Impacting Flexibility for Non-Physician Practitioners

USA - December 16 2020 In early December, the Centers for Medicare & Medicaid Services (“CMS”) issued its Calendar Year (“CY”) 2021 Medicare Physician Fee Schedule (“MPFS”)…

Lisa A. Lucido, Lori A. Wink.

CMS Accepting Waiver Applications to Permit Hospital Care at Home

USA - November 30 2020 On Wednesday, November 25, 2020, CMS announced additional flexibilities in the “Hospitals Without Walls” waiver initiative designed to permit even…

Jennifer F. Skeels, Melissa L. Markey.

CMS Finalizes New Mandatory Payment Model for ESRD Treatments

USA - October 19 2020 The Centers for Medicare & Medicaid Services ("CMS") recently finalized the End-Stage Renal Disease ("ESRD") Treatment Choices Model (the "ETC…

Jennifer F. Skeels, Julie Mitchell, Megan Culp.

CMS Reducing Payment for COVID-19 Lab Testing

USA - October 16 2020 CMS issued a press release on October 15, 2020, announcing a reduction in payment for COVID-19 high throughput lab testing that is not completed…