May 29, 2019

UPDATED: MAC Carrier Noridian Healthcare Publishes Carrier Advisory Committee (CAC) Voting Results for Vertebral Augmentation Policy

In April, Medicare Administrator Contractor (MAC) carrier Noridian published Carrier Advisory Committee (CAC) Voting Results for a draft policy on Vertebral Augmentation. The CAC meeting took place in March based on a draft policy that had been previously published. Several providers and specialty societies provided input to Noridian and the CAC members on clinical standards and current literature for Vertebral Augmentation, including ISASS through a letter sent to Noridian. The letter was reviewed by the CAC for the March meeting. The CAC process is used by Medicare Administrator Contractors such as Noridian to review clinical literature on new and emerging technologies under consideration for payment policies for various Medicare jurisdictions. CAC members are drawn from the physician community for each […]
May 29, 2019

Specialty Societies, CMS Convenes a Listening Session on Opioid Use Disorder Treatment

On May 21, CMS held a listening session on Opioid Use Disorder Treatment to solicit feedback from those prescribing opioids and those providing treatment for opioid use disorder. The Center for Medicare and Medicaid Innovation (Innovation Center) hosted the 90-minute virtual Listening Session to inform development of an opioid use disorder (OUD) treatment demonstration program created through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act. The listening session focus included: Obtaining input from providers and other stakeholders into the design of the demonstration program, including performance-based incentive payments. Identifying and understanding what the biggest barriers to increasing access to and utilization of OUD treatment are, in a post-SUPPORT Act era. Assessment and understanding […]
May 29, 2019

Specialty Societies Provide Input on Updates to Medicare Quality Payment Program

A group of national medical specialty societies provided input to federal lawmakers and regulators on steps to improve the Medicare Quality Payment Program (QPP). In a document released to U.S. Members of Congress and to administrators with the U.S. Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS), the societies outlined several areas where lawmakers and regulators could improve the current Medicare QPP. The QPP is intended to provided payment and incentives to healthcare providers for improving quality and value to patients. Among the recommendations were updates to the Merit-based Incentive Payment System (MIPS) under QPP and the Alternative Payment Model (APM) system under QPP. For MIPS, recommendations included: Provide scoring flexibility to CMS to […]
May 29, 2019

CMS Announces Payment and Policy Initiatives to Encourage Greater Adoption of Innovative Medical Technologies

At a meeting on May 2, at the Medical Device Manufacturers Association (MDMA) Annual Meeting, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma publicly announced the agency’s comprehensive strategy to improve patients’ access to emerging technologies. Administrator Verma’s remark build on recently released CMS policies designed to promote innovation in the U.S. healthcare system. The Administration hopes that encouraging a competitive and innovative market will lead to lower overall healthcare costs for patient and the government and to increases in the quality of and access to healthcare for all Americans, including Medicare and Medicaid patients. Verma highlighted two specific actions in the address. First, CMS has recently announced changes to the process of updates and issuing Healthcare Common […]