Using the New Request for Hearing Form for Medicare Appeals
The advent of revised regulations for administrative law judge (ALJ) hearings of Medicare appeals includes a new request for ALJ hearing or review of dismissal form. Because the new form …
Register Now: CMS Stakeholder Input Call for DMEPOS Non-CBA
CMS announced a call to discuss the non-CB impact of CURES with stakeholders on Thursday, 3/23 at 2p Eastern. According to the CMN announcement, CURES mandates Stakeholder input on the methodology …
NC Medicaid remake hits benchmark
The effort to privatize North Carolina’s Medicaid program made its first substantive deadline last week, but Department of Health and Human Services officials warned lawmakers that putting the plan in …
Medicaid reform in NC has health care systems juggling best path for services
The state’s largest health care systems have been caught in a logistical tug-of-war after legislators proposed a hybrid strategy for handling the biggest piece of Medicaid reform. Do the systems …
HME News: New bid bill will drop soon
With no time to lose, HME industry stakeholders are ready for another run at the competitive bidding program. Legislation in the works by Sen. John Thune, R-S.D., would delay the …
Telehealth Expansion Proposed in Bipartisan Senate Bill
Earlier this month, a bipartisan group, led by U.S. Senator Brian Schatz (D-Hawaii), introduced a bill in the Senate focused on promoting cost savings and quality care under the Medicare …
Medicare to cut payments to employer-sponsored Advantage plans
A new federal proposal would slash over payments made to Medicare Advantage plans sponsored by employers and unions years after an advisory board recommended the policy. The CMS proposed terminating …
Highmark to cut doctors’ payments for ACA plans
Citing an estimated $500 million loss last year on health insurance plans sold on the Affordable Care Act marketplace, Highmark Inc. said Friday it plans to reduce what it pays …