Biosimilar Action Plan (BAP)

On July 18, 2018, in Documents, Industry News, by AQ-IQ LLC

Read the FDA’s Action Plan here Excerpts from the plan:  Generic drugs, for instance, represent 90 percent of all prescriptions in the U.S.1 Generic competition facilitated by the 1984 Hatch Waxman Act provided savings of more than $1 trillion to the U.S. health care system over a decade and generated $265 billion in savings in […]

Physician Fee Schedule CY2019 Proposed Rule

On July 12, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]

Proposed Rule Medicaid Provider Reassignment

On July 12, 2018, in Documents, Industry News, by AQ-IQ LLC

Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute. This proposed regulatory change is designed to ensure that taxpayer dollars dedicated to providing healthcare services for low-income […]

ESRD PPS FY2019

On July 11, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed innovative changes to the payment rules for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) and the End-Stage Renal Disease (ESRD) program. The DME proposals in the proposed rule released today aim to increase access to items for patients and simplify Medicare’s DMEPOS Competitive Bidding […]

Home Health PPS Proposed Rule CY2019 and CY2020

On July 2, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update […]

Medicaid Program Integrity Initiatives

On June 26, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare and Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. Recent years have seen a rapid increase in Medicaid spending driven by several factors, including Medicaid expansion, from $456 billion in 2013 […]

CMS Data Element Library

On June 21, 2018, in Documents, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) announced the agency’s first Data Element Library (DEL). The DEL is a new CMS database that supports the exchange of electronic health information. Using this free, centralized resource, the public for the first time can view the specific types of data that CMS requires post-acute care […]

Medicaid and CHIP Scorecard

On June 4, 2018, in Documents, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) released the first ever Medicaid and Children’s Health Insurance Program (CHIP) Scorecard, a central component of the Administration’s commitment to modernize the Medicaid and CHIP program through greater transparency and accountability for the program’s outcomes. For the first time, CMS published state Medicaid and CHIP quality […]

CMS Drug Dashboards

On May 15, 2018, in Documents, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) released a redesigned version of the Drug Spending Dashboards. For the first time, the dashboards include year-over-year information on drug pricing and highlight which manufactures have been increasing their prices. The dashboards are interactive online tools that allow patients, clinicians, researchers, and the public to understand […]