Sheree Kanner on Health Care Providers

Expanded access to telehealth services during the COVID-19 pandemic

In response to the COVID-19 pandemic, the U.S. Congress, the Centers for Medicare and Medicaid Services (CMS), many state legislatures and state Medicaid programs, and private payers have implemented significant changes to...more

4/2/2020 / Coronavirus/COVID-19 , Health Care Providers , Relief Measures , Telehealth , Telemedicine

CMS Radiation Oncology Model proposed rule – summary and early insights

Last week, the Centers for Medicare & Medicaid Services (CMS) announced new details of a proposed bundled payment model for radiation oncology services (RO Model), which would make fundamental (but temporary) changes to the...more

7/19/2019 / Bundled Payments , Cancer , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Health Insurance , Life Sciences , Medicare , Physician Medicare Reimbursements , Proposed Rules , Rulemaking Process

CMS proposes changes to new-technology add-on payment amounts and criteria in the inpatient prospective payment system proposed...

On 23 April 2019 the Centers for Medicare & Medicaid Services (CMS) issued the inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system proposed rule for fiscal year (FY) 2020...more

4/29/2019 / Add-ons , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Inpatient Prospective Payment System (IPPS) , Life Sciences , Long Term Care Facilities , Medical Devices , Payment Systems , Regulatory Agenda , Request For Information , Rulemaking Process

Medicare further expands payment for and coverage of telehealth and similar services

Through several recently published rules, the Centers for Medicare & Medicaid Services (CMS) is making it possible for Medicare beneficiaries to have greater access to health care services provided remotely through telehealth...more

11/8/2018 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Health Information Technologies , Medical Reimbursement , Medicare , Medicare Advantage , Physician Fee Schedule , Telehealth , Telemedicine

HHS watchdog eyes anti kickback safe harbors for care coordination beneficiary incentives and cost sharing

On Monday, the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) published a wide-ranging request for information (RFI) seeking ideas on how it might add or modify safe harbors to the...more

8/29/2018 / Anti-Kickback Statute , Civil Monetary Penalty , CMMI , Comment Period , Cost-Sharing , Department of Health and Human Services (HHS) , Fraud and Abuse , Health Care Providers , Medicare Shared Savings Program , OIG , Request For Information , Safe Harbors , Stark Law

Expanded coverage of telehealth

The recently enacted Bipartisan Budget Act of 2018 expands Medicare’s coverage for telehealth services in several ways. Inclusion of these provisions, which had been part of a Senate bill called the CHRONIC Care Act, is...more

3/2/2018 / ACOs , Bipartisan Budget Act , Health Care Providers , Health Information Technologies , Home Health Care , Medicare Advantage , New Legislation , Telehealth , Telemedicine

Bundle Up: CMS Releases Request for Applications for New Version of Bundled Payments for Care Improvement Model

This week, the Centers for Medicare & Medicaid Services (CMS) released details on the much-anticipated new version of the Bundled Payments for Care Improvement (BPCI) payment model, which will be known as BPCI Advanced. Like...more

1/12/2018 / BPCI , Bundled Payments , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Provider Payments

A Path Forward: Corporate Integrity Agreement Sheds Light on Manufacturer Interactions With Independent Charitable Foundations

Manufacturers of pharmaceuticals and biologics have been closely watching the industry-wide investigation by the Boston U.S. Attorney's Office into manufacturer support of independent charitable foundations that assist...more

10/2/2017 / Anti-Kickback Statute , Biologics , Charitable Organizations , Corporate Integrity Agreement , False Claims Act (FCA) , Health Care Providers , Manufacturers , Patient Assistance Programs , Pharmaceutical Industry

CMS request for information presents rare opportunity for medicare stakeholder engagement

On 14 April 2017, the Centers for Medicare & Medicaid Services (CMS) published the fiscal year (FY) 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective...more

4/24/2017 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Health Care Providers , Inpatient Prospective Payment System (IPPS) , Long Term Care Facilities , Medicaid , Medicare , Request For Information , Stakeholder Engagement

Calling for Ideas—CMS Releases Final 2018 Medicare Advantage and Part D Rate Announcement and Call Letter

On 3 April 2017, the Centers for Medicare & Medicaid Services (CMS) released its final Medicare Advantage (MA) and Part D Rate Announcement and Call Letter (Call Letter) for calendar year 2018. The Call Letter is part of...more

4/7/2017 / Call Letter , Centers for Medicare & Medicaid Services (CMS) , Cost-Sharing , Health Care Providers , Medicare , Medicare Advantage , Medicare Part D , Opioid , Physician Medicare Reimbursements , Substance Abuse

Sheree Kanner

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