Debra McCurdy

Debra McCurdy

Reed Smith

Contact  |  View Bio  |  RSS

Latest Publications

Share:

CMS Releases CY 2016 ESRD PPS Proposed Rule

On June 26, 2015, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2016. CMS...more

6/30/2015 - CMS Medicare Physician Medicare Reimbursements

CMS Proposed 2016 Medicare Payment Rules in the Pipeline

CMS recently sent several major proposed Medicare CY 2016 payment rules to the White House Office of Management and Budget (OMB) for regulatory clearance – the last step before publication in the Federal Register....more

6/30/2015 - CMS Medicare OMB Physician Fee Schedule Physician Medicare Reimbursements

CMS Revises Expands ACO “Investment Model” Opportunities

As previously reported, CMS announced a Medicare Shared Savings Program/Accountable Care Organization (ACO) “Investment Model” last fall to better coordinate care in rural and underserved areas where inadequate access to...more

6/30/2015 - ACOs CMS Medicare Medicare Shared Savings Program

Congressional Health Policy Hearings - June 2015 #2

A House Ways and Means Subcommittee on Oversight hearing recently reviewed the effects of the Affordable Care Act (ACA) on health insurance premiums. In addition, a House Energy and Commerce Health Subcommittee hearing...more

6/30/2015 - Affordable Care Act Health Insurance Premiums Proposed Legislation

MedPAC Report to Congress on Medicare and the Health Care Delivery System

The Medicare Payment Advisory Commission (MedPAC) has released its June 2015 Report to the Congress on Medicare and the Health Care Delivery System. The report includes a series of recommendations on Medicare hospital...more

6/26/2015 - HHS Hospitals Medicare Medicare Advantage Medicare Part B MedPAC Prescription Drugs RACs Recovery Audit Skilled Nursing Facility

Obama Administration Announces Record Medicare Strike Force "Takedown"

On June 18, 2015, HHS Secretary Sylvia M. Burwell and Attorney General Loretta E. Lynch announced that a nationwide Medicare Fraud Strike Force sweep resulted in health fraud charges against 243 individuals involving...more

6/26/2015 - Durable Medical Equipment False Billing Health Care Providers Healthcare Fraud HHS Medicare Medicare Fraud Strike Force Prescription Drugs

House Passes Bills to Repeal ACA Medical Device Tax and IPAB, Revise Medicare Advantage Policy

The House of Representatives has taken action on a number of bills to modify certain Affordable Care Act (ACA) provisions, revise Medicare Advantage policies, and make other health policy changes. On June 23, 2015, the...more

6/26/2015 - Affordable Care Act Healthcare Healthcare Reform IPAB Medicare Medicare Advantage

CMS Independence at Home Demonstration Yields $25 Million in Savings in First Year

The CMS Independence at Home Demonstration saved more than $25 million during its first performance year while delivering high-quality patient care, according to a June 18, 2015 CMS announcement. The Independence at Home...more

6/25/2015 - Affordable Care Act CMS Medicare

CMS Proposes HCPCS Changes for Miscellaneous DME

CMS is proposing to revise the coding used to describe miscellaneous durable medical equipment (DME). The agency notes that HCPCS code E1399, “durable medical equipment, miscellaneous,” is currently used to bill for...more

6/25/2015 - CMS Durable Medical Equipment Medical Devices

Senate Finance Committee to Vote on Bipartisan Health Bills

On June 24, 2015, the Senate Finance Committee is scheduled to vote on the following bipartisan health policy bills, described by Chairman Hatch as “common sense legislation that will improve the healthcare system for...more

6/23/2015 - Healthcare Hospitals Rural Health Care Program Rural Health Care Providers

House Panel to Review Bipartisan Bills to Improve Health Care for Infants/Children

On June 25, 2015, the Energy & Commerce Health Subcommittee will review three bipartisan bills that aim to improve health care for newborns, infants, and children. Specifically, members will discuss: H.R. 2820, the...more

6/23/2015 - Healthcare Proposed Legislation Stem cells

Energy & Commerce Committee Hearing on Administration's Approval of Medicaid Demonstrations

On June 24, 2015, the House Energy and Commerce Health Subcommittee is holding a hearing to examine the Obama Administration’s approval of Medicaid demonstration projects. According to a background memo, the panel will focus...more

6/23/2015 - CMS Demonstration Project Medicaid Obama Administration

Senate Finance Committee Approves Medicare Appeals Reform Proposal

On June 3, 2015, the Senate Finance Committee approved by voice vote a bipartisan proposal to reform the Medicare audit and appeals process in an attempt to help ease the backlog of Medicare appeals and promote efficiency and...more

6/16/2015 - HHS Medicare OMHA Senate Finance Committee

CMS Adopts Changes to Medicare Shared Savings Program/ACO Regulations

On June 9, 2015, CMS published a final rule revising the regulations governing the Medicare Shared Savings Program, which is intended to encourage physicians, hospitals, and certain other types of providers and suppliers to...more

6/16/2015 - ACOs CMS Health Care Providers Hospitals Medicare Shared Savings Program

House Rejects Contentious Trade Bill that Was Vehicle for Extension of Medicare Sequestration

As previously reported, Congress has been considering financing Trade Adjustment Assistance (TAA) reauthorization legislation in part through future Medicare provider cuts. Specifically, as approved by the Senate on May 22,...more

6/16/2015 - Medicare Proposed Legislation Sequestration Trade Adjustment Assistance Trade Preferences Rules

Administration Releases Final ACA Summary of Benefits and Coverage and Uniform Glossary Rule

On June 12, 2015, the Internal Revenue Service, Employee Benefits Security Administration, and Centers for Medicare & Medicaid Services released final regulations regarding the summary of benefits and coverage (SBC) and the...more

6/16/2015 - Affordable Care Act Employer Group Health Plans Health Insurance IRS Medicaid Medicare

OIG Posts Spring Semiannual Report to Congress

The OIG’s latest Semiannual Report to Congress describes significant investigative and enforcement activities relating to HHS programs and operations during the first half of FY 2015 (October 1, 2014 – March 31, 2015). The...more

6/15/2015 - HHS Medicaid Medicare Medicare Fraud Strike Force OIG

GAO Calls for Tighter Medicaid Fraud Controls

A recent GAO review of Medicaid claims in four selected states (Arizona, Florida, Michigan, and New Jersey) discovered that thousands of Medicaid beneficiaries and hundreds of providers were involved in potentially improper...more

6/15/2015 - GAO Health Care Providers Medicaid

HHS Issues Spring 2015 Regulatory Agenda

The Administration has updated its regulatory agenda, which lists major pending or planned regulatory actions and the anticipated timing of rulemaking activity. The agenda lists numerous pending HHS proposed and final rules...more

6/15/2015 - Drug Pricing HHS Medicare Prescription Drugs Section 340B

CMS Finalizes Changes to Deeming Authority Survey, Certification, and Enforcement Rules

CMS has published a final rule that revises survey, certification, and enforcement procedures related to CMS oversight of national accrediting organizations (AOs), effective July 21, 2015. Among other things, the rule:...more

6/15/2015 - Accreditation CMS Health Care Providers Medicare

CMS Issues Guidance to States on Medicaid/CHIP Provider Fingerprint-Based Criminal Background Checks

On June 1, 2015, CMS provided additional guidance to state Medicaid directors on implementation of fingerprint-based criminal background checks (FCBCs) as a component of ACA Medicare, Medicaid, and CHIP provider screening...more

6/15/2015 - CMS Criminal Background Checks Health Care Providers Medicaid

OIG Releases FY 2015 Work Plan Mid-Year Update

The HHS OIG has updated its FY 2015 Work Plan to reflect new and/or completed items since release of its Work Plan in October 2014. Of note, the OIG has announced its plans to conduct several new Medicare reviews addressing:...more

6/15/2015 - HHS Medical Devices Medicare Medicare Part D OIG Work Plans

CMS Proposes Overhaul of Medicaid/CHIP Managed Care Rules

CMS has published a proposed rule that would update Medicaid and Children’s Health Insurance Program (CHIP) managed care regulations to more closely align with Medicare Advantage (MA) and private health plan standards and to...more

6/14/2015 - CHIP CMS Managed Care Contracts Medicaid

CMS Releases Latest Medicare Hospital and Physician Utilization, Payment Data

CMS has released detailed Medicare inpatient hospital, outpatient hospital, and physician utilization and payment data for 2013, including data analysis such as spending breakdowns by specialty and region. The hospital data...more

6/13/2015 - CMS Healthcare Providers Hospitals Manufacturers Medical Devices Medicare Medicare Part B Medicare Payment Reform Physician Payments Physicians Utilization Calculations

CMS Launches New ACA Cardiovascular Risk Reduction Innovation Model

CMS is inviting physician practices to apply to participate in its new “Million Hearts® Cardiovascular Risk Reduction Model," which will test whether encouraging physician practices to calculate risk for eligible Medicare...more

6/12/2015 - Affordable Care Act CMS Innovation Medicare Physicians

158 Results
|
View per page
Page: of 7

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.
×