Home Health & Hospice Week
Drug Price Negotiation Test Kicks Off
Stand by to see the impact on your patients as Medicare undertakes a campaign to lower the cost of 10 drugs — but not for a while yet. Under the Inflation Reduction Act enacted in August 2022, “Medicare is able to negotiate the prices of prescription drugs,” the Department of Health and Human Services notes in a release. Timeline: Negotiations with participating drug companies over the price of 10 selected medications will occur in 2023 and 2024, and any negotiated prices will become effective beginning in 2026, HHS sets out. “Medicare drug price negotiation will result in lower out-of-pocket costs for seniors and will save money for American taxpayers,” the White House says in a release. Drugmakers, meanwhile, are protesting the initiative. It will reduce spending in research and development, leading to fewer breakthroughs for lifesaving treatments, they argue. But patient advocates praise the expected savings for patients’ out-of-pocket costs. More information on the program is at www.cms.gov/ files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf.
Home Health & Hospice Week
- Value-Based Purchasing:
Keep Tabs On These New VBP Developments As First Performance Year Rolls On
Plus: Is there any possibility of 2024 rate reduction relief? If you want to survive [...] - Hospice:
Pay Close Attention To This Hospice Change In The Physician Fee Schedule Proposed Rule
Regulatory provision could add to your burden. A regulatory proposal that looked like it might [...] - Regulations:
HOPE Still A Moving Target
APU appeals, ownership status also addressed in forum. Stay tuned for final Hospice Outcomes & [...] - Fraud & Abuse:
HH Fraudster Caught Up In Nationwide COVID Fraud Sweep
DOJ has recovered $1.4 billion in relief funds so far. The feds are determined to [...] - Health IT:
Get Ready For The Latest Cures Act Rules — And Penalties
Don’t let confusion over the rules land you in hot water. Starting this month, will [...] - Enforcement:
These Priorities Could Sink Or Swim Offenders
Patient care features heavily in factors. Keep in mind that the HHS Office of Inspector [...] - Compliance:
Here’s What Can Save You If You’re Suspected Of Info Blocking
Learn these info blocking exceptions. The 2020 Cures Act Final Rule establishes eight exceptions to [...] - Industry Notes:
OIG Shines Spotlight On Managed Care
Plus: Dirty OIG agent goes down. It’s not always home health and hospice providers enduring [...] - Industry Notes:
Express Your GUIDE Interest Now
Home health and hospice providers hoping to participate in Medicare’s new payment model for dementia [...] - Industry Notes:
Drug Price Negotiation Test Kicks Off
Stand by to see the impact on your patients as Medicare undertakes a campaign to [...] - Industry Notes:
Know These 5 Essential Fraud Laws
With fraud and abuse-fighting at an all time high, now may be a good time [...] - Industry Notes:
Travel To Other Continents Foils Agency Owner's Claims
In a recent case in Missouri, a federal judge sentenced DeAndre Horne to five years [...] - Industry Notes:
Collared Home Health Fraud Fugitive Pleads Guilty
A fugitive in a nearly decade-old home care fraud case has been brought to justice. [...]
