Eli Lilly expects Medicare about-face on Alzheimer’s drugs coverage
By
Alicia Lasek
Apr 23, 2023
New data on Lilly’s experimental drug donanemab may influence CMS’s restrictive stance on coverage of this and other amyloid-busting Alzheimer’s treatments, a company executive says.
Senior care scores some wins in congressional budget deal
By
Alicia Lasek
Dec 21, 2022
A Congressional spending package for fiscal year 2023 supports key healthcare policy requests important to long-term care industry stakeholders, saving some clinicians and services from feared cuts.
Aduhelm’s costs: Medicare recipients won’t get premium reduction until 2023
By
Alicia Lasek (f3)
Jun 01, 2022
A cost overestimate that bumped up Medicare premiums for seniors in 2022 will not be corrected until the following year. The spike is tied to coverage for Alzheimer’s drug Aduhelm.
‘Not a shock:’ MedPAC considering 5% pay cut for SNFs
By
Danielle Brown
Dec 14, 2021
The Medicare Payment Advisory Commission is leaning toward recommending a 5% pay cut for skilled nursing facilities in fiscal 2021 after a new report found that Medicare margins may indicate SNF pay rates...
Senators approve Medicare provider relief
By
Danielle Brown
Dec 10, 2021
Long-term care providers are closer to avoiding Medicare cuts that would reduce reimbursements by nearly 10% after a Senate vote Thursday evening.
‘Very good deal’ in House would give providers big relief from Medicare cuts
By
Danielle Brown
Dec 09, 2021
Industry stakeholders are pushing Congressional leaders to finish the job after lawmakers took their first steps toward averting three separate Medicare cuts that would reduce payments to providers by...
Lawmakers aiming for yearlong relief from 2% Medicare sequester cut
By
Danielle Brown
Mar 16, 2021
The moratorium on the 2% Medicare sequester cuts would be extended through the end of the year under a new proposal from federal lawmakers.
Providers get relief from Medicare cuts, but no liability protections in year-end legislative packages
By
Danielle Brown
Dec 22, 2020
Providers are set to receive extended relief from the 2% Medicare sequester cuts under a year-end legislative relief deal that was finalized by federal lawmakers on Monday. However, they will have to wait...
AHCA and other groups pushing for extension of 2% Medicare sequester cut; Congress reaches deal on third...
By
Danielle Brown
Dec 21, 2020
Healthcare providers, including nursing homes, are demanding continued relief from the 2% Medicare sequester cuts through the duration of the COVID-19 pandemic. The relief would help improve the “relatively...
Providers seek extension of 2% Medicare sequester cut relief through 2021
By
Danielle Brown
Oct 23, 2020
Four of the nation’s top provider groups representing long-term care, home health and hospitals are calling on Congress to extend a moratorium on the 2% Medicare sequester cuts into 2021 and for the...