Where healthcare challenges find solutions
Gilead applied for hospital add-on payment for remdesivir
The payment could help minimize hospitals' losses for treating complex COVID-19 patients with remdesivir next year.
Colorado passed ballot initiative could lead to provider cuts
Colorado hospitals are worried that the passed ballot initiative that limits the state's ability to raise fees and surcharges could eventually lead to provider pay cuts if the state needs to reduce spending to balance its budget.
Medicare will pay for COVID-19 antibody infusions
Many providers and suppliers will be able to bill Medicare to deliver antibody therapies to treat COVID-19, as the FDA approved emergency use of one treatment.
CMS signs off on new payments to encourage home dialysis
CMS will pay providers more if they use home dialysis machines to treat end-stage renal disease patients. The agency boosted the ESRD prospective payment system rate from $239.33 to $253.13.
CMS to pay labs more for quicker COVID-19 testing
If laboratories deliver results from high throughput COVID-19 tests within two days, CMS will pay $100 rather than $75 per test.
CMS details new provider repayment schedule for COVID-19 Medicare loans
Providers that received COVID-19 relief loans from CMS under the agency's accelerated and advance payment program won't have to start paying back their loan until one year after CMS issued the payment.
Cigna becomes third major payer to restrict MRIs, CT scans at hospitals
In August,Cigna began restricting coverage for most advanced imaging, such as MRIs and CT scans, when performed in a hospital-based department or facility.
Therapists worry reimbursement cuts would harm Medicare beneficiaries
The proposed 2021 physician fee schedule would reduce pay for therapy services by 9%, which may cause some facilities to close, therapists warned.
CMS' plan to end inpatient-only list worries providers
Providers asked CMS to stop or slow its elimination of the inpatient-only list, saying the agency should give them more opportunities to weigh-in on any proposed changes.
CMS approves radiation oncology payment model
The radiation oncology model is supposed to test 90-day bundled payments for radiation therapy. The American Society for Radiation Oncology wants CMS to delay its Jan. 1 start.
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