Providers Ramp Up Lobbying To Avert 2023 Pay Cuts

Providers are asking for lawmakers’ help in heading off Medicare pay cuts going into 2023 as congressional staff discussions on a year-end package reportedly kick off. Physicians and others are urging Congress to grant them relief from various Medicare physician fee schedule cuts while home health providers hope to avoid a pay cut in 2023 and physical therapists want a bill that would mitigate cuts to therapy assistants is included in a year-end package. CMS’ proposed pay rules for 2023...
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Labs Pleased CMS Opening Process For Revising Medicare Pay Rates

Laboratories are pleased that CMS is opening the process of setting reimbursement for laboratory services, just as it is doing for physician services, which will give labs more say over pay rates. The change, which is part of the annual Physician Fee Schedule rule unveiled late last week, adds to the run of positive developments for labs that started when Congress replaced CMS' plan to change clinical lab fees based on technological changes in the patch to the Sustainable Growth...
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Vol. 17, No. 28
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Inside CMS - 07/10/2014
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Moran Report: Outpatient Chemo Costs Higher Than Clinics

Patients who receive chemotherapy in hospital outpatient departments cost Medicare more than those who receive the same care in cancer clinics, according to a Moran Company report for the US Oncology Network and Community Oncology Alliance. The oncologists are using the report to fight CMS' proposal to pay the same rates for cancer care in physician offices and outpatient departments. The Moran report finds that outpatient chemotherapy spending per beneficiary was 25 percent to 47 percent higher than physician clinic...
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Govt. COVID Contracts Authorized Private Entities To Use IP, KEI Finds

Federal agencies signed numerous contracts with private entities that granted those entities broad authorization to use protected intellectual property without asking for permission from rights holders, Knowledge Economy International found in a what it called an “eye-opening” review of contracts with companies involved in the COVID-19 pandemic response. The U.S. government assumed responsibility for compensating any rights holders who objected to the use of their patented inventions. Among the entities given permissions are major pharmaceutical companies like Moderna, Eli Lilly,...
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AHA Presses Congress To Raise Cap For Immigrant Physician Visas

The American Hospital Association and 62 other health care organizations are urging the House and Senate Judiciary committees to pass a bipartisan bill before the end of the 117th Congress that would raise the cap on the number of foreign providers who can work in the United States, a solution the sector eyes with increasing enthusiasm as the heath care workforce crisis rages on. The organizations wrote to Reps. Jim Jordan (R-OH) and Jerrold Nadler (D-NY), and Sens. Dick Durbin...
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Diabetes Patients Upset Insulin Cap For Private Plans Axed From IRA

Patient groups are upset that Republicans garnered enough votes to remove a reconciliation provision that would have capped the out-of-pocket cost for a month’s supply of insulin at $35 for individuals with private insurance and are urging Congress to either reinsert the provision or pass standalone legislation aimed at making insulin more affordable for all Americans. Democrats included the provision that applied the $35 insulin cap to both private and Medicare plans in the reconciliation bill they took to the...
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