Policy-Advocacy

Reminder: CMS 2017 Open Payments data available for review and dispute until December 31

Program Year 2017 Open Payments data is available for review and dispute through December 31, 2018.

CMS Proposes Rule Change to Medicare Part D Exemptions for "Protected" Classes of Drugs

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule yesterday, November 26, 2018, that includes changes to Medicare Advantage and Part D. Medicare says its proposal will give Part D drug plans more power to negotiate with pharmaceutical companies, but some patient and provider groups say that it will reduce access and shift costs onto beneficiaries.

Telehealth Use Up 65 Percent from 2014-16

Please see more information on telehealth in a recent Kidney News Online post by David White, the ASN Policy and Advocacy Specialist.

US Midterm Elections Bring Healthcare Changes in States

Results of state ballot initiatives in this week’s US elections involving healthcare in Idaho, Nebraska, Utah, Alabama, West Virginia, Maine, Massachusetts, and California.

2019 MIPS Payment Information released by Medicare

Today, the Centers for Medicare and Medicaid Services (CMS) released finalized 2017 performance data for the Quality Payment Program (QPP) that will be used to determine clinician reimbursement adjustments for calendar year 2019 – the first year for adjusted payments under the new program.

Medicare Releases FInal Physician Fee Schedule (PFS) Rule, Including Revisions to E&M Codes

Thursday afternoon, November 1, Medicare released the final Physician Fee Schedule (PFS) rule containing some revisions to evaluation and management (E&M) codes in terms of documentation requirements but no changes in reimbursement levels for the next two years – but year three is another matter. 

KidneyX Innovators Showcase at Kidney Week 2018

KidneyX_logo_1.PNGTo inspire creative solutions that will improve the treatment of kidney diseases, the first KidneyX Innovators Showcase was held on Saturday, October 29, 2018 at the American Society of Nephrology’s annual Kidney Week conference.

Seamless Care in ESRD: Early Results from the Comprehensive ESRD Care Model

ESRD Seamless Care Organizations (ESCOs) may be the most flexible and innovative care model in nephrology over the past several decades.  Tom Duvall, co-lead for the Comprehensive ESRD Care (CEC) Model at the Center for Medicare and Medicaid Innovation (CMMI), provided a national overview of ESCOs since their start in 2015.  Dr. Dylan Steer, CEO of Balboa Nephrology Medical Group, then shared his ground-level experience with running an ESCO.

Policy and Advocacy for the Disadvantaged and Vulnerable during Kidney Week

“I wish he had a better death, but more than that, I wish he had a better life.” 

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