THE LATEST FROM CMS +++

THE LATEST FROM CMS Modern Healthcare: CMS Proposes Easing Prior Authorizations For Prescription Drugs https://www.modernhealthcare.com/insurance/mh-cms-prior-authorizations-prescription-drugs/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-_PLqlCQjHH2gKj5nmHbGecyvmVWCAoPN8ppHTmAmBembS0c5Z67POp28FJ_MW8QDLsKmcSPW-DlniPmLMtuqd6U--J_Q&_hsmi=413467295&utm_content=413467295&utm_source=hs_email Health insurance companies and states would have to resolve prior authorization requests for drugs more quickly and publicly disclose their denial rates under a proposed rule the Centers for Medicare and Medicaid Services published Friday. The regulation would require Medicaid and Children’s Health Insurance Program insurers, along with state Medicaid and CHIP administrators, to respond to non-urgent prior authorization requests for prescription drugs within 24 hours after receiving a request. (Tepper, 4/10) Modern Healthcare: CMS IPPS Rule Proposal Would Boost Medicare Pay 2.4% For 2027 https://www.modernhealthcare.com/politics-regulation/mh-cms-ipps-rule-medicare-2027-inpatient/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-9vhxvqPOw5QBolaGN8J6n6VoSvv-JRN-n50tUlSQGn9Wm4Nj-Y-YfzZ8Z7QNgj2GbSGSp8Ckyk2trZSFqivtr7e7Sq8Q&_hsmi=413467295&utm_content=413467295&utm_source=hs_email Medicare payments for inpatient hospital services would rise 2.4% in fiscal 2027 under a proposed rule the Centers for Medicare and Medicaid Services issued Friday. CMS also proposed reviving and scaling up its Comprehensive Care for Joint Replacement payment model across the nation beginning in 2027. The revived CJR model, which CMS has dubbed CJR-X, would be the first nationwide mandatory episode-based payment model in fee-for-service Medicare, according to an agency news release. (Early, 4/10) MedPage Today: Medicare Debuts Digital Health Record System For Enrollees https://www.medpagetoday.com/practicemanagement/informationtechnology/120746?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-85WniCIVeJoO-VDTwm_Z7A8VUKIbUvOUv0h3VeXiB-csfJMzwqsBH_xu4lUbi8zfeINKZmWVIrbTjIHcqzAvtuhbwbYA&_hsmi=413467295&utm_content=413467295&utm_source=hs_email Medicare enrollees will soon be able to export their medical records to their doctor or hospital under a program launched Thursday by CMS. "Right now, our health information still feels stuck in the past," Amy Gleason, acting administrator of the Department of Government Efficiency and a senior advisor at HHS, said in a press conference with reporters. (Frieden, 4/10)