Noteworthy CMS announcements, actions in July

Several CMS notifications this month related to payment models and rules.

Here are 11 of them:

  • Approved Baltimore-based Johns Hopkins University School of Medicine to develop diagnostic imaging criteria for emergency departments and ambulatory facilities.
  • Released resources for states seeking to skirt some aspects of the ACA through waivers.
  • Issued a proposal to cover acupuncture for Medicare patients with chronic low back pain in clinical trials supported by the National Institutes of Health or studies approved by CMS.
  • Announced federal officials will try to recoup Medicare Advantage overpayments.
  • Announced that the agency plans to release feedback it received on possible changes to its method of calculating overall hospital quality this summer.
  • Released preliminary second-year participation data for the Quality Payment program.
  • Released its proposed home health payment rule for 2020.
  • Filed a proposal to eliminate a rule that requires state Medicaid plans to record their fee-for-service payments.
  • Proposed a radiation oncology model that it says is designed to improve care quality for cancer patients and allow providers to use a new payment approach.
  • Released new guidance that reaffirms the Born-Alive Infant Protection Act.
  • Granted Minnesota and Nebraska approval to implement Medicaid demonstration projects designed to improve access to treatment for substance use disorders.


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9 things to know about the federal surprise-billing proposals

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