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April 26, 2019

Last Updated: 1:00 PM EST

Medicare & Medicaid

  • On Monday, the Medicare Board of Trustees released their annual report for Medicare’s two separate trust funds -- the Hospital Insurance (HI) Trust Fund, which funds Medicare Part A, and the Supplementary Medical Insurance (SMI) Trust Fund, which funds Medicare Part B and D. The report found that the HI Trust Fund will be able to pay full benefits until 2026, the same as last yea...

April 12, 2019

Last Updated: 1:00 PM EST

Litigation

  • Announced on Tuesday, one of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice resulted in charges against 24 defendants, including the CEOs, COOs and others associated with five telemedicine companies, the owners of dozens of durable medic...

April 5, 2019

Last Updated: 1:00 PM EST

Medicare & Medicaid

  • On Monday, the CMS finalized updates that will take significant steps in continuing the Trump administration’s efforts to increase competition among Medicare Advantage and Part D plans so patients get higher quality care at lower costs. These changes will increase plan choices and benefits, and include important actions to address the opioid crisis. Last year, CMS empowered patie...

March 29, 2019

Last Updated: 1:00 PM EST

Medicare & Medicaid

  • On Tuesday, CMS proposed to update its national coverage policy for Transcatheter Aortic Valve Replacement (TAVR), a procedure for a condition known as “aortic stenosis” in which the heart valve that propels blood from the heart to the rest of the body becomes narrowed. The current national coverage determination, effective May 1, 2012, established CMS coverage for TAVR under Cov...

March 22, 2019

Last Updated: 1:00 PM EST

Medicare & Medicaid

  • Today, CMS issued updated guidance to the 2014 Medicaid Home & Community Based Services (HCBS) regulation. In a tweet, CMS Administrator Seema Verma explained: "The guidance will assist states in implementing the rule, while giving families greater certainty about where their loved ones will be cared for." A letter to State Medicaid Directors proceeding the guidance explains: "Th...

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