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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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
