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CMS proposes to expand coverage for Next Generation Sequencing tests for certain cancer patients

USA - November 1 2019 On Tuesday, October 29, CMS issued a "Proposed Decision Memo for Next Generation Sequencing (NGS) for Medicare Beneficiaries with Advanced Cancer"...

Ronald L. Wisor, JR., Victoria M. Wallace, Beth L. Roberts, Andrew S. Furlow, Elizabeth (Beth) Halpern, Brooke Bumpers.

HHS tackles barriers to value-based care: Part two - Substantial Stark Law regulatory revisions proposed

USA - October 18 2019 Along with proposed Stark Law exceptions designed to accommodate value-based care models, the Centers for Medicare & Medicaid Services (CMS or the...

David E. Thiess, Thomas Beimers, Ronald L. Wisor, JR., Jonathan Diesenhaus.

HHS tackles barriers to value-based care: Part 1 - new protections for value-based arrangements under Stark and the AKS and other key AKS changes

USA - October 11 2019 Nearly a decade after the Affordable Care Act signaled a transition of the U.S. health care system to value-based care, the Department of Health and...

David E. Thiess, Thomas Beimers, Laura E. Hunter, Ronald L. Wisor, JR., Andrew S. Furlow, Eliza L. Andonova.

A bit more Sunshine: CMS proposes collecting additional information on manufacturer payments under the Open Payments program

USA - August 16 2019 Device and drug manufacturers got a small surprise in the annual Physician Fee Schedule proposed rule1 issued late in July by the Centers for Medicare...

Thomas Beimers, Laura E. Hunter, Ronald L. Wisor, JR., Andrew S. Furlow.

CMS Radiation Oncology Model proposed rule - summary and early insights

USA - July 19 2019 Last week, the Centers for Medicare & Medicaid Services (CMS) announced new details of a proposed bundled payment model for radiation oncology...

David E. Thiess, Samantha D. Marshall, Beth L. Roberts, Andrew S. Furlow, Shereen R. Kanner, Elizabeth (Beth) Halpern, Stuart M. Langbein.