Boston Scientific has been granted a new technology add-on payment (NTPA) for its Eluvia drug-eluting vascular stent system from the Centers for Medicare & Medicaid Services. Under the Inpatient Prospective Payment System (IPPS), CMS pays for a patient’s inpatient hospital stay under one bundled payment, which covers all costs for

By Phil Galewitz Seema Verma, the Trump administration’s top Medicaid official, Nov. 12  sharply attacked critics of her plan to force some Medicaid enrollees to work, a policy that led to thousands of people losing coverage in Arkansas. “We cannot allow those who prefer the status quo to weaponize the legal

The Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid agencies June 21 that outlines the necessary assurances that states should make to ensure that program resources are reserved for those who meet eligibility requirements. This guidance follows a series of steps that CMS has taken since

New patient relationship categories and codes are one of the most important provisions of the Medicare Access and CHIP Reauthorization Act (MACRA), according to a piece in the New England Journal of Medicine. In January 2018, the billing-code modifiers, which allow clinicians to report their relationship to a patient at a

The Centers for Medicare & Medicaid Services (CMS) released the final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule Nov. 1. According to CMS officials, the final rule modernizes Medicare payment policies to promote access to virtual care, saving Medicare beneficiaries time and money while improving

The Centers for Medicare and Medicaid Services has proven that “final rules” are not always final. In response to complaints from physicians, CMS has delayed major changes to E/M codes until 2021. While CMS moved ahead with parts of its plan to consolidate codes for Medicare patient visits, it made

The Centers for Medicare & Medicaid Services (CMS)  approved a waiver to implement work requirements in Wisconsin’s Medicaid program Oct. 31, making it the fourth state to enact such an approach.   Under the waiver, beneficiaries in the state’s BadgerCare program would have to engage in 80 hours a month of “community

    By: Dan Best SEE RELATED ARTICLE: https://www.veintherapynews.com/wp-admin/post.php?post=1557&action=edit   Last week, as part of fulfilling President Trump’s promise to lower drug prices and cut down on foreign governments’ freeriding, HHS put forth a new way of paying for physician-administered drugs within Medicare, the International Price Index (IPI) Model. The model aims to:

The Centers for Medicare & Medicaid Services intends to test whether phasing down the Medicare payment amount for selected Part B drugs to more closely align with international prices will meet President Trump’s blueprint to lower drug costs and reduce out-of-pocket costs for patients. CMS is soliciting public comments by

  On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) announced that 1,299 entities have signed agreements with the agency to participate in the Administration’s Bundled Payments for Care Improvement – Advanced (BPCI Advanced) Model.  The participating entities will receive bundled payments for certain episodes of care as