Billy Wynne

Revamped Overall Hospital Quality Star Ratings Implemented in 2021

By Billy Wynne / August 19, 2019 / 0 Comments

Revamped Overall Hospital Quality Star Ratings Implemented in 2021 CMS announced it will update the Overall Hospital Quality Star Ratings (“Overall Star Ratings”) on Hospital Compare in early 2021 to incorporate enhancements to the existing methodology that hospital stakeholders and others have long-deemed flawed.   In the meantime, CMS intends to use the current methodology…

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Information Bulletin Outlines Requirements for Exchange Health Plans to Display Star Ratings

By Billy Wynne / August 15, 2019 / 0 Comments

Information Bulletin Outlines Requirements for Exchange Health Plans to Display Star Ratings The Centers for Medicare and Medicaid Services (CMS) issued a Quality Rating Information Bulletin regarding new requirements for the public display of 2019 quality ratings (or star ratings) of health plans on all Exchanges, beginning plan year (PY) 2020, which starts on November…

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Agency Seeks Nominations for the Interagency Pain Research Coordinating Committee; Nominations Due Sept. 23

By Billy Wynne / August 15, 2019 / 0 Comments

Agency Seeks Nominations for the Interagency Pain Research Coordinating Committee; Nominations Due Sept. 23 The National Institute of Health (NIH) issued a notice for committee membership nominations for the National Institute of Neurological Disorders and Stroke, Interagency Pain Research Coordinating Committee. The Committee will be responsible for the following: Developing a summary of advances in…

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Democrats Press Drug Manufacturers on Generic Drug Pricing and Obstruction of Congressional Investigation

By Billy Wynne / August 14, 2019 / 0 Comments

Democrats Press Drug Manufacturers on Generic Drug Pricing and Obstruction of Congressional Investigation House Oversight and Reform Committee Chairman Elijah Cummings (D-MD) and Senate Budget Committee Ranking Member Bernie Sanders (I-VT) reopened a congressional probe into three drug manufacturers alleged to have engaged in anti-competitive practices and obstructed a congressional investigation in 2014. The Democrats…

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Department of Homeland Security Finalizes Public Charge Rule on Inadmissibility; Rule Takes Effect Oct. 15, 2019

By Billy Wynne / August 12, 2019 / 0 Comments

Department of Homeland Security Finalizes Public Charge Rule on Inadmissibility; Rule Takes Effect Oct. 15, 2019 The Department of Homeland Security issued a final rule (press release) on determining inadmissibility on public charge grounds. What it is:  Public charge is the determination that evaluates whether an immigrant is likely to become reliant on public benefits,…

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Joint Informational Bulletin: Opportunities for State Medicaid Programs in the Emergency Triage, Treat, and Transport (ET3) Model

By Billy Wynne / August 9, 2019 / 0 Comments

Joint Informational Bulletin: Opportunities for State Medicaid Programs in the Emergency Triage, Treat, and Transport (ET3) Model The Center for Medicaid and CHIP Services (CMCS) and the Center for Medicare & Medicaid Innovation (CMMI) issued a joint informational bulletin on ways in which state Medicaid agencies can support the implementation of the recently announced Emergency…

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Agency Request for Information on Chronic Condition Special Needs Plans (C-SNPs) in Medicare Advantage (Comments Due: Sept. 8)

By Billy Wynne / August 8, 2019 / 0 Comments

Agency Request for Information on Chronic Condition Special Needs Plans (C-SNPs) in Medicare Advantage (Comments Due: Sept. 8) The Centers for Medicare and Medicaid Services (CMS) released a Request for Information (RFI) on Chronic Care Special Needs Plans (C-SNPs), a type of Medicare Advantage SNP that covers individuals with specific severe or disabling chronic conditions…

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FY 2020 Inpatient and Long-Term Care Hospital PPS Final Rule Addresses Rural Wage Index Changes, New Technology Add-On Payments

By Billy Wynne / August 2, 2019 / 0 Comments

FY 2020 Inpatient and Long-Term Care Hospital PPS Final Rule Addresses Rural Wage Index Changes, New Technology Add-On Payments The Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule (press release; fact sheet), which applies…

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Round Two of July Democratic Debates: Medicare for All and Public Option Again Take Center Stage; Biden and Harris Defend Respective Plans

By Billy Wynne / August 1, 2019 / 0 Comments

Round Two of July Democratic Debates: Medicare for All and Public Option Again Take Center Stage; Biden and Harris Defend Respective Plans Yesterday featured the second installment of the July 2019 Democratic Presidential primary debates. Ten additional candidates took the stage in Detroit, MI for a multi-hour affair, trading blows back and forth on a…

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Inpatient Rehabilitation Facility, Hospice Final Rules Issued for FY 2020

By Billy Wynne / July 31, 2019 / 0 Comments

Inpatient Rehabilitation Facility, Hospice Final Rules Issued for FY 2020 The Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient rehabilitation facility (IRF) prospective payment system (PPS) final rule (fact sheet) and the FY 2020 hospice wage index and payment rate update final rule (fact sheet). Highlights of the IRF…

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