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November 17, 2020
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ACR, medical societies lobby for legislation ensuring 'overdue' E/M rate increases

ACR, medical societies lobby for legislation ensuring 'overdue' E/M rate increases

The American College of Rheumatology and 60 other health care groups have signed a letter in support of legislation that would ensure evaluation and management rate increases under Medicare without payment cuts to providers during the COVID-19 pandemic.

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November 15, 2020
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Proposed 2021 Medicare Physician Fee Schedule includes 6% reduction for ophthalmology

The Surgical Care Coalition plans to oppose the CMS proposal of a 10.6% decrease to its 2021 Medicare Physician Fee Schedule’s conversion factor, which includes a 6% decrease to ophthalmology payments in 2021, according to a speaker.

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November 06, 2020
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CMS finalizes updates to dialysis payments for 2021

CMS finalizes updates to dialysis payments for 2021

CMS has released the final rule updating Medicare payment policies and rates under the Prospective Payment System for renal dialysis services for 2021.

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October 29, 2020
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Proposed CMS change could expand access to diabetes devices

Proposed CMS change could expand access to diabetes devices

CMS announced proposed new changes that could expand Medicare coverage for continuous glucose monitors and insulin pumps, according to an agency press release.

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October 27, 2020
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Use of noninvasive ventilation rapidly increased in Medicare beneficiaries at end of life

Use of noninvasive ventilation rapidly increased in Medicare beneficiaries at end of life

Use of noninvasive ventilation among Medicare beneficiaries who were hospitalized in the last 30 days of life increased from 2000 to 2017, especially among those with cancer and dementia, researchers reported.

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October 26, 2020
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Kidney disease education through Medicare may improve results, but education use declines

Kidney disease education through Medicare may improve results, but education use declines

Data presented at ASN Kidney Week demonstrated that although Medicare-reimbursed kidney disease education led to improved outcomes, “few” eligible patients received it and receipt declined during the study period.

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October 23, 2020
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Rural Medicare beneficiaries with Alzheimer’s disease, dementia have worse outcomes

Rural Medicare beneficiaries with Alzheimer’s disease and related dementia had worse outcomes than their urban counterparts, according to results of a retrospective cohort study published in JAMA Network Open.

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October 14, 2020
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Regional malpractice claims may be associated with increased Medicare imaging utilization

Regional malpractice claims may be associated with increased Medicare imaging utilization

Physicians living in regions with a high incidence of medical malpractice claims may be more susceptible to ordering advanced Medicare imaging as a defensive medicine strategy, according to published results.

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October 06, 2020
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AAOS responds to CMS-proposed Medicare payment policy changes for 2021

AAOS responds to CMS-proposed Medicare payment policy changes for 2021

The American Association of Orthopaedic Surgeons issued two formal letters to CMS regarding the proposed Medicare outpatient prospective payment system, ASC payment system and physician fee schedule for 2021, according to a press release.

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October 05, 2020
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Medicare spending on conventional DMARDs increased fivefold over 5 years

Medicare spending on conventional DMARDs increased fivefold over 5 years

Medicare spending on DMARDs frequently used for rheumatoid arthritis increased from $4.4 billion to more than $10 billion between 2012 and 2017, with biologic DMARDs accounting for 95% of total expenditures each year, according data.

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