House And Senate Hold Drug, Device, Home Health Hearings As Vote On House Tri-Committee Package Pulled

The House and Senate will be extremely busy this week in the run up to the end of fiscal 2023 with hearings on pharmacy benefit manager reforms, Medicare device coverage, home health, surprise billing and more, though the lower chamber pulled a planned vote on the Lower Costs, More Transparency Act while House GOP factions are at odds over a potential Republican spending deal that, even it gets House support, would face steep odds in the Senate. The House tri-committee...
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E&C To Tackle Remote Monitoring, DTx Payment, TCET In Hearing

The House Energy & Commerce Committee will hash out several bills Tuesday (Sept. 19) that would boost payment opportunities for remote monitoring and coverage of digital therapeutics and other novel software-based technologies that stakeholders say currently lack adequate coverage and reimbursement by CMS. E&C is scheduled to discuss four bills in tomorrow’s legislative hearing; including the Access to Prescription Digital Therapeutics Act and the Expanding Access to Remote Monitoring Act -- both of which were drafted by lawmakers to solve...
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Inside CMS - 09/21/2023
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Vol. 26, No. 38
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E&C To Tackle Remote Monitoring, DTx Payment, TCET In Hearing

The House Energy & Commerce Committee will hash out several bills Tuesday (Sept. 19) that would boost payment opportunities for remote monitoring and coverage of digital therapeutics and other novel software-based technologies that stakeholders say currently lack adequate coverage and reimbursement by CMS. E&C is scheduled to discuss four bills in tomorrow’s legislative hearing; including the Access to Prescription Digital Therapeutics Act and the Expanding Access to Remote Monitoring Act -- both of which were drafted by lawmakers to solve...
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FCC Chief Says Feds, States Improving Broadband Coordination, Touts Telehealth Savings

Federal Communications Commission Commissioner Brenden Carr told Inside TeleHealth state and federal agencies are beginning to do a better job coordinating across over 100 broadband programs, and he pointed stakeholders to data showing use of remote patient technology and virtual doctor visits could save the American health care system $305 billion annually. FCC staffers said the substantial health care cost savings linked to expanded telehealth access will justify President Joe Biden’s tranche of broadband funding included in the Jobs...
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Ohio Judge Gives No Hints Of How He Will Rule On Chamber Request To Halt Drug Negotiation By Oct. 1

On Friday (Sep. 15), Judge Michael Newman, a Trump appointee for the Southern District of Ohio, signaled he will decide by the end of the month whether to grant the U.S. Chamber of Commerce’s motion to stop CMS’ inaugural drug price negotiation, but he asked no questions during oral arguments and provided no hints of which direction he might rule. The U.S. Chamber of Commerce is urgently seeking a court order to halt the Medicare negotiation program before the approaching...
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Inside CMS - 09/21/2023
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Vol. 26, No. 38
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E&C, Oversight GOP Threaten To Subpoena HHS Over COVID Origins Info

Republican leaders of the House Energy & Commerce and Oversight committees are threatening to subpoena HHS officials in an effort to obtain documents about the origins of COVID-19, saying the department has been “stonewalling” their inquiries. In a letter sent to HHS Secretary Xavier Becerra Thursday (Sept. 14), the GOP lawmakers say their previous requests for “potentially incriminating documents and information” on the topic, including communications with the nonprofit EcoHealth Alliance, have gone unanswered. “If HHS does not meet the...
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FDA Issue: 
FDA Week - 09/22/2023
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Vol. 29, No. 38
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White House Lends Support To Senate FDA Bill Despite Pay Concerns

The White House is offering support to House Resolution 4366, an “minibus” combined spending package that would fund agriculture and FDA, Veterans Affairs and military construction, and transportation, housing, and urban development, despite reservations about some provisions including the level of FDA funding. The Senate has adjourned until Monday (Sept. 18) without taking action on the package, and it remains to be seen whether the House and Senate can separately agree on a continuing resolution (CR) to avoid a government...
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FDA Week - 09/22/2023
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Vol. 29, No. 38
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Bipartisan Health Workforce Bill Increases Project ECHO Funds, Prohibits Billing Facility Fees

The Medicare workforce and extenders compromise hammered out Thursday (Sept. 14) by Senate health committee Chair Bernie Sanders (I-VT) and Republican Roger Marshall (KS) would reauthorize and increase funding for the Telehealth Technology-Enabled Learning program through 2026 and prohibit hospitals from billing facility fees for telehealth services. The telehealth measures are part of the lawmakers’ Bipartisan Primary Care and Health Workforce Act, a broader bill to shore up the health care workforce and extend community health center funding. In a...
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Inside CMS - 09/21/2023
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Vol. 26, No. 38
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CMS To Release Results Of Medicaid Ex Parte ‘Glitch’ Review

Details on what states found after CMS demanded they review their automatic Medicaid renewal process for an error that could result in still-eligible beneficiaries, especially children, losing Medicaid or CHIP coverage are forthcoming, an agency spokesperson told Inside Health Policy Thursday (Sept. 14). “CMS is currently reviewing state responses and will make our preliminary analysis public in the coming days,” CMS said when asked if it plans to announce which states have the ex parte glitch or release the...
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Inside CMS - 09/21/2023
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Vol. 26, No. 38
HEA Issue: 
Health Exchange Alert - 09/27/2023
HEA Volume: 
Vol. 11, No. 34

MedPAC Wrangles With Bias, Equity Issues In First Conversation On Hospital At Home

The Medicare Payment Advisory Commission has begun its months-long debate on CMS’ Acute Care at Home waiver and is wrangling over concerns about the need for additional research into selection bias, more randomized controlled trials with specific targets, promoting equity across populations, assessing burden on caregivers, and identifying constraints on the model of care. In its first meeting of the 2023-24 cycle, the Medicare Payment Advisory Commission last Friday (Sept. 8) was generally united in support of the Acute Hospital...
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