Policy and Legislation
The bill would double the federal investment in rural health care while reversing future changes to Medicaid hospital funding.
The agency is also proposing to phase out the Inpatient Only list (IPO) over a three-year period.
CMS will negotiate outcomes-based agreements with CGT manufacturers on behalf of state Medicaid agencies.
CMS says it also wants to calculate more accurate payment rates for certain services.
PBM provision, silver loading left out of final version of One Big Beautiful Bill Act due to Byrd Rule.
AHA: "The number of individuals who will lose health coverage - cannot be simply dismissed as waste, fraud, and abuse."
The policy would have prevented PBMs from having their compensation linked to the list price of medications.
Fund will fall short of addressing other bill provisions such as provider tax cuts, says National Rural Health Association.
Medicare expects to pay $6.9 billion to about 7,600 end-stage renal disease facilities, the agency says.
A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, says ATA.