Dec 14, 2017 | 340B, News and Updates
On December 13, 2017, CMS released guidance on its rate reduction for 340B drugs under Medicare Part B. The guidance confirms that beginning January 2018, Medicare will subtract 22.5% from the adjusted sales price when paying for 340B drugs furnished to a Medicare...
Nov 16, 2017 | Medicaid, News and Updates
On November 16, 2017, CMS issued additional guidance on the required review process when a state proposes to reduce reimbursement rates.The agency clarified that the analysis and monitoring procedures described in the regulations would no longer be required in various...
Nov 7, 2017 | Medicaid, News and Updates, Waivers
On November 6, 2017, CMS released two information bulletins describing changes the agency will implement to streamline the waiver approval process. Changes will include clarification on certain procedural expectations (e.g. budget neutrality) to improve transparency...
Nov 2, 2017 | Medicare, News and Updates
In its Physician Fee Schedule Final Rule for CY 2018, released November 2, 2017, CMS reduced the rates that will be paid for nonexcepted items and services furnished by nonexcepted off-campus provider-based departments (PBDs) for CY 2018. In CY 2017, CMS based...
Nov 2, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates
CMS released additional guidance to states on development and approval of “directed payments”—payments that the state directs its managed care plans to make to identified classes of providers through their managed care contracts. CMS newly defined this concept in its...
