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  AAOS Advocacy in Action Worked with the American Association of Hip and Knee Surgeons on a congressional letter encouraging the Centers for Medicare & Medicaid Services to value pre-optimization time appropriately in its reimbursement of total knee and hip arthroplasty global codes. Shared our positions on the most pressing health policy issues with the Biden-Harris Administration including health disparities, prior authorization, physician-owned hospitals, telehealth, and value-based payment models. Joined with the Surgical Coalition in sending a letter of support [...]

COVID-19 Antibody Treatment and Enforcement Discretion Reminder CMS Takes Further Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment COVID-19 Vaccines and Monoclonal Antibody Infusion: Enforcement Discretion Relating to SNF Consolidated Billing CMS Takes Further Steps to Ensure Medicare Beneficiaries Have Wide Access to COVID-19 Antibody Treatment The U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the investigational monoclonal antibody therapy, casirivimab and imdevimab, administered together, for the treatment of mild-to-moderate [...]

CCMS Announces New Model to Advance Regional Value-Based Care in Medicare  Geographic Direct Contracting Model Builds on CMS’ Long-Standing Commitment to Improving Quality and Lowering Costs for Medicare Beneficiaries Today, the Centers for Medicare & Medicaid Services announced a new and transformative voluntary payment model that builds on CMS’ focus to deliver Medicare beneficiaries value through better care and improved quality. The Geographic Direct Contracting Model (the “Model”) will test an approach to improving health outcomes and reducing [...]

CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19 Surge Agency outlines flexibilities to maximize Acute Hospital Care at Home, Ambulatory Surgical Centers to decompress hospitals treating COVID-19 patients Today, the Centers for Medicare & Medicaid Services (CMS) outlined unprecedented comprehensive steps to increase the capacity of the American health care system to provide care to patients outside a traditional hospital setting amid a rising number of coronavirus disease 2019 (COVID-19) hospitalizations across the country. These flexibilities [...]

News CMS Announces Historic Changes to Physician Self-Referral Regulations Policy Will Increase Number of Lifesaving Organs by Holding OPAs Accountable through Transparency and Competition Prescription Drug Payment Model to Put American Patients First DMEPOS Competitive Bidding Program: Contract Suppliers for Round 2021 Quality Payment Program APMs: Extended Deadline to Update Billing information — December 13 Clinical Laboratory Fee Schedule: CY 2021 Final Payment Determinations Hospice Quality Reporting Program: November Refresh November is Home Care & Hospice Month World [...]