Industry News

8/10/20

3 Important Practices to Comply with CMS’ New Data Accessibility Regulation

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8/10/20

Medicare Coverage Breakthrough Delayed

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8/10/20

CMS Reverses Trump-Era Limits On Drugs Covered By Medicare Part D

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8/10/20

CMS to Revamp the Medicaid Drug Rebate Program: To Encompass Value Based Pricing

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8/5/20

WellCare Offers SDOH Support for Seniors Through End of 2020

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Kelsey Waddill
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8/5/20

Humana Tackles CKD Through Home Healthcare, Care Coordination

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Kelsey Waddill
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8/3/20

CMS announces two payment initiatives for COVID-19 drug treatment and counseling

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8/3/20

CMS finalizes 3 payment rules for 2021: 5 things to know

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7/30/20

CMS releases data showing COVID-19's impact on Medicare population

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7/30/20

Part D premiums likely to increase slightly in 2021: CMS

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7/13/20

CMS Proposes Medicare Payment Changes to Support Innovation and Increased Access for Dialysis in the Home Setting

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7/13/20

CMS issues guidance for new telehealth eCQM reporting in 2020 and 2021

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7/13/20

Medigap 'Letter Plans' That Offer More Physician Choices Gain Share: AHIP

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7/13/20

Medicare Advantage Plans Increase, Improve Quality Over FFS Plans

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7/6/20

CMS Appoints New Chief Medical Officer

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7/6/20

Senators call for CMS to provide plan for telehealth changes

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7/6/20

Industry Voices—New Medicare plan helps make insulin affordable at last

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7/6/20

CMS Shoots for Home Health Industry Stability in Proposed Payment Rule for 2021

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7/6/20

Humana Announces In-Home COVID-19 Testing Program, Walmart Collaboration

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Robert Holly
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6/29/20

CMS: Upcoming Medicare payment rule to include permanent telehealth expansions

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6/29/20

CMS Unveils Major Organizational Change to Reduce Provider and Clinician Burden and Improve Patient Outcomes

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6/29/20

CMS: Value-Based Reimbursement Key to Addressing Health Disparities

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6/29/20

Medicare Advantage, Part D ERSD Rules Could Boost Costs

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6/29/20

Highmark, Kaiser, Humana rank highest for satisfaction in study of Medicare Advantage plans

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Susan Morse
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6/29/20

Gateway Health Plan Debuts It's Wholecare Brand Platform, Plans to Donate More Than $1 Million to Address Social Determinants of Health

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Gateway Health Plan
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6/29/20

AmeriHealth Caritas Hires New Chief Data Officer and Chief Analytics Officer to Transform Care Management with Data Intelligence

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Business Wire
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6/22/20

CMS Issues Proposed Rule to Empower Commercial Plans and States to Negotiate Payment for Innovative New Therapies Based on Patient Outcomes

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6/22/20

CMS’s Proposed Rule On Value-Based Purchasing For Prescription Drugs: New Tools For Negotiating Prices For The Next Generation of Therapies

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6/22/20

CMS Extends Deadline for Direct Contracting Letters of Intent

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6/22/20

CMS Orders Medicare Advantage Plans, MACs to Cover COVID-19 Tests Under New Nursing Home Guidance

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6/22/20

Blues Plans Highmark, HealthNow New York Announce New Affiliation

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Jacqueline LaPointe
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6/22/20

Humana: ‘Unhealthy Days’ For Medicare Population Fall As Social Determinants Screened

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Bruce Japsen
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6/22/20

Excellus BlueCross says COVID-19 requires community driven response

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WHCU
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6/15/20

Trump Administration Encourages Reopening of Healthcare Facilities

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6/15/20

‘I can’t imagine going back’: Medicare leader calls for expanded telehealth access after Covid-19

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6/15/20

Medicare Advantage plans face 'double whammy' of pent-up care demand and risk scores: experts

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6/15/20

Insulin Costs and Coverage in Medicare Part D

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6/15/20

Anthem offering $2.5B in financial assistance to members, providers impacted by COVID-19

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Paige Minemyer
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6/15/20

Health Partners Plans and Children's Hospital of Philadelphia Announce Agreement

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Children's Hospital of Philadelphia;Health Partners Plans
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6/8/20

Calls mount for CMS to extend telehealth waivers

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6/8/20

CMS Suspends Advance Payment Program

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6/8/20

Insurers concerned over how CMS will calculate Medicare Advantage star ratings in next 2 years

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6/8/20

CMS Extends Next Generation ACO Model, Offers APM Flexibilities

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6/8/20

Beyond COVID-19: Telehealth, Partnerships, Member Engagement

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Kelsey Waddill
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6/8/20

Univera Healthcare waives COVID-19 cost sharing

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Staff Reports
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6/1/20

CMS Relaxes Rules Around COVID-19 Testing

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6/1/20

CMS: 88 Part D, Medicare Advantage insurers sign up for insulin copay model

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6/1/20

CMS Lowers Medicare Insulin Copays

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6/1/20

Cigna Expands and Extends Its COVID-19 Relief Efforts for Medicare Advantage and Individual and Family Plans

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Cigna
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6/1/20

UPMC Health Plan extends members’ no-cost access to telehealth services

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The Bradford Era
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5/26/20

Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries

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5/26/20

Health insurers need to restart care management: AHIP

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5/26/20

Ohio launches Medicare webinar events

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5/26/20

President Trump Announces Lower Out of Pocket Insulin Costs for Medicare’s Seniors

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5/26/20

CMS Announcement May Create More Medicare Advantage Opportunities for Home Care Providers

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Robert Holly
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5/26/20

Centene to Waive Primary Care, Behavioral Health, and Telehealth Costs for Medicare Advantage Members for Remainder of 2020

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Centene Corporation
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5/26/20

Kaiser Permanente honored for medication safety excellence

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Kaiser Permanente
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5/22/20

Contract Year 2021 Medicare Advantage and Part D Final Rule (CMS-4190-F1) Fact Sheet

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5/18/20

CMS Announces Additional Blanket Waivers for Healthcare Facilities

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5/18/20

Providers press CMS to extend deadline on whether an ACO can quit to Oct. 31

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5/18/20

AHIP wants payers to offer a grace period for any surgeries canceled or postponed due to COVID-19

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5/18/20

AHIP Makes Recommendations On Reopening Health Care System

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5/18/20

BlueCross BlueShield provides app to support mental health, wellness

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Lancaster Bee
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5/18/20

Capital BlueCross Waives Additional Costs During COVID-19 Pandemic

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Capital BlueCross
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5/18/20

Oncology Analytics Partners With Gateway Health to Provide Data-Driven Solution for Medical Oncology

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AIT News Desk
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5/11/20

CMS Continues to Increase Flexibility in Quality Reporting Requirements

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5/11/20

CMS Expands COVID-19 Telehealth Reimbursement to Therapists, Phone Services

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5/11/20

CMS Releases Final 2021 Payment Notice, Extends QHP Timeline

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5/11/20

Aetna and PA Clinical Network agree to value-based contract to provide high-quality care, expanded provider network

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The PA Clinical Network
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5/11/20

UnitedHealthcare, Cigna, and Humana offer discounts to customers

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Bloomberg
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5/11/20

Humana picks up the tab for Medicare Advantage doctor visits

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Associated Press
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5/6/20

CMS Announces Nationwide SEP for Beneficiaries Affected by COVID-19

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5/4/20

CMS makes 2nd round of sweeping regulatory changes in response to COVID-19: 12 notes

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5/4/20

Trump Administration Issues Second Round of Sweeping Changes to Support U.S. Healthcare System During COVID-19 Pandemic

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5/4/20

CMS Announces Pay Parity for Audio-only Telephone Visits

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5/4/20

Chief Medical Officers Release Principles for Clinical Care in Continuing the Fight Against the COVID-19 Crisis

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5/4/20

Gateway Health to Make Medical Care More Affordable for Members Impacted by COVID-19

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Gateway Health
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5/4/20

Humana Medicare Plans Grow As Coronavirus Tests Social Determinants Network

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Bruce Japsen
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5/4/20

Highmark expands virtual opioid treatment into Pennsylvania

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Williamsport Sun-gazette
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4/27/20

CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program

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4/27/20

Trump Administration Releases COVID-19 Telehealth Toolkit to Accelerate State Use of Telehealth in Medicaid and CHIP

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4/27/20

CMS Issues Guidance Allowing Independent Freestanding Emergency Departments to Provide Care to Medicare and Medicaid Beneficiaries during the COVID-19 Public Health Emergency

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4/27/20

UnitedHealthcare working to re-make care model at Ohio’s community pharmacies amid coronavirus

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Marty Schladen
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4/27/20

Cigna launches pilot program to address loneliness during COVID-19

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Susan Morse
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4/20/20

Tech Healthcare leaders urge CMS, ONC to incentivize telehealth adoption as part of the 'new normal'

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4/20/20

Medicare Authorizes Coverage of Telehealth Services to Curb Coronavirus Spread

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4/20/20

Industry Voices—Medicare takes key steps to treat more patients at home amid COVID-19 crisis

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4/20/20

ACHP Suggests Regulatory Steps To Extend Coronavirus Coverage

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4/20/20

Humana Announces Health Care Provider Initiative to Help Ease Financial and Administrative Stress During Coronavirus Pandemic

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Business Wire
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4/20/20

Study: Medicare Advantage members could face higher COVID-19 hospitalization costs

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Kris Mamula
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4/13/20

Coronavirus Has Caused A Boom In Telehealth, But Will It Last?

GSN News
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4/13/20

CMS Releases Allocation Details, Conditions of Participation for Emergency Payments to Home Health Providers

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4/13/20

CMS to allow providers to practice at top of license, across states

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4/13/20

AHIP calls for CMS to delay mandatory new Medicare Advantage requirements due to COVID-19

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4/13/20

Kaiser Permanente Announces Additional Changes Amid COVID-19 Pandemic

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CBS Baltimore
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4/13/20

Excellus BlueCross BlueShield waives COVID-19 cost sharing

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Finger Lakes Times
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4/6/20

More Telehealth, Less Red Tape: What Agencies Should Know About CMS’s Home Health Changes

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4/6/20

CMS Expands Flexibilities in Response to COVID-19

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4/6/20

Medicare beneficiaries who get coronavirus may face a price shock

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4/6/20

CMS Provides Guidance to Ambulatory Surgical Centers Temporarily Enrolling in Medicare as Hospitals During the COVID-19 Pandemic

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