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Article

Reed Smith LLP | USA | 2 Apr 2020

New COVID-19 “CARES Act”: Funding and Flexibilities to Support Health Care System Response to Coronavirus

President Trump has signed into law the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act or Act),1 sweeping legislation intended to…
Article

Reed Smith LLP | USA | 24 Mar 2020

MedPAC recommends Medicare payment updates for 2021 - but all rate bets are off in light of COVID-19

The Medicare Payment Advisory Commission (MedPAC) released its 2021 Medicare provider rate update recommendations on March 13, 2020 - the same day…
Article

Reed Smith LLP | USA | 15 Mar 2020

CMS Rolls Out New Medicare Part D “Senior Savings Model” Designed to Drive Down Insulin Copayments

The Centers for Medicare and Medicaid Services (CMS) has announced a new voluntary Part D Senior Savings Model (the Model) intended to reduce…
Article

Reed Smith LLP | USA | 5 Mar 2020

CMS Plans to Add Outpatient Hip/Knee Replacements to CJR Model, Seeks Comments on ASC Joint Procedure Bundled Payment Model

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would extend and modify the Comprehensive Care for Joint…
Article

Reed Smith LLP | USA | 25 Feb 2020

Medicare/Medicaid Policy Provisions in Trump Administration’s FY 2021 Budget Proposal

The Trump Administration’s proposed fiscal year (FY) 2021 budget calls for significant cuts to federal health spending, including a 10% decrease in…
Article

Reed Smith LLP | USA | 17 Feb 2020

CMS Releases Proposed Medicare Advantage and Part D Rules for Contract Year 2021 and 2022

CMS has put on display a proposed rule that would update Medicare Advantage (MA) and Medicare Part D prescription drug benefit policies for contract…
Article

Reed Smith LLP | USA | 17 Feb 2020

HHS Adopts New Retail Pharmacy HIPAA Transaction Requirements for Schedule II Drug Prescriptions

The Department of Health and Human Services (HHS) has modified HIPAA retail pharmacy transaction requirements to differentiate between partial fill…
Article

Reed Smith LLP | USA | 17 Feb 2020

CMS Proposes Updates to ACA Exchange Plan Policies for 2021

The Centers for Medicare & Medicaid Services (CMS) has proposed updates to its standards for health plan issuers offering plans through…
Article

Reed Smith LLP | USA | 13 Feb 2020

CMS Updates List of DMEPOS Items Subject to Medicare Prior Authorization

CMS is adding six types of lower limb prosthetics to the list of equipment subject to Medicare prior authorization (PA) requirements, and extending…
Article

Reed Smith LLP | USA | 13 Feb 2020

CMS Proposes 2021 Funding Methodology for ACA Basic Health Program

The Centers for Medicare & Medicaid Services (CMS) has released the methodology and data sources it proposes to use to determine federal payment to…
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