Diabetes Dialogue: First 10 Prices Announced from CMS Price Negotiations
HCPLive
AUGUST 19, 2024
In this episode, hosts react to the announced CMS list prices for the first 10 drugs chosen for negotiation as part of the Inflation Reduction Act.
CMS Related Topics 
CMS to consider T-TEER coverage: 5 things to know
Becker's Hospital Review - Cardiology
OCTOBER 3, 2024
"Learn about the national coverage analysis by CMS for transcatheter edge-to-edge repair for tricuspid valve regurgitation, including public comment and expecte
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BioCardia Announces CMS Approval of Coverage for CardiAMP Cell Therapy Confirmatory Phase III Heart Failure Study
DAIC
MARCH 13, 2024
CMS has reviewed the CardiAMP Heart Failure II Trial and approved the investigational product, related and routine items and services for purposes of Medicare coverage. CMS has reviewed the CardiAMP Heart Failure II Trial and approved the investigational product, related and routine items and services for purposes of Medicare coverage.
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CMS Updates Medicare Coverage for AI-Coronary Plaque Analysis
DAIC
OCTOBER 16, 2024
Centers for Medicare and Medicaid Services (CMS) – including CGS, National Government Services (NGS), Palmetto GBA and Wisconsin Physicians Service Insurance Corporation (WPS) – provided updated LCDs for current procedural terminology (CPT) codes 0623T - 0626T. tim.hodson Wed, 10/16/2024 - 12:36 Oct. The four contractors for the U.S.
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CMS Seeks Feedback on Cardiac CT Billing and Payment
American College of Cardiology
AUGUST 22, 2024
The Centers for Medicare and Medicaid Services (CMS) summarized a recent billing edit change in the 2025 Hospital Outpatient Prospective Payment System (OPPS) proposed rule, which fixes an issue that previously prevented hospitals from reporting costs for cardiac computed tomography (CT) as cardiology services.
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CMS Releases Proposed 2025 Medicare Physician Fee Schedule and Hospital OPPS Rule
American College of Cardiology
JULY 10, 2024
The Centers for Medicare and Medicaid Services (CMS) has released the proposed 2025 Medicare Physician Fee Schedule (PFS). Of note, the PFS conversion factor has been updated from $33.2875 to $32.3562, a 2.80% cut.
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CMS Releases the FY 2025 IPPS Final Rule, Finalizes TEAM Program
American College of Cardiology
AUGUST 7, 2024
The Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) Final Rule on Aug. 1, including a 2.9% increase in operating payment rates for general acute care hospitals, representing a 3.4% increase in the hospital market basket with a 0.5%
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CMS Pauses AUC Program For Advanced Diagnostic Imaging, Rescinds Current Regulations
American College of Cardiology
DECEMBER 14, 2023
The Centers for Medicare and Medicaid Services (CMS) has paused the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging and rescinded any current regulations, according to the 2024 Medicare Physician Fee Schedule (PFS) final rule.
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CMS Updates Medicare Conversion Factor For Remainder of 2024
American College of Cardiology
MARCH 21, 2024
The Centers for Medicare and Medicaid Services (CMS) has increased the Medicare Physician Fee Schedule (PFS) conversion factor by 1.68% – from $32.74 for services rendered Jan. 1 through March 8 to $33.07 for services rendered March 9 through Dec. 31 – in response to the Consolidated Appropriations Act, 2024 signed into law on March 9.
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CMS Releases FY 2025 IPPS Proposed Rule With Mandatory Hospital Episode-Based Payment Model For CABG
American College of Cardiology
APRIL 12, 2024
The Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule, proposing a 2.6% increase in operating payment rates for applicable hospitals. This represents a 3% projected increase in the hospital market basket update with a projected 0.4%
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Hospitals with highest, lowest 30-day mortality rates for heart attack patients
Becker's Hospital Review - Cardiology
OCTOBER 14, 2024
between July 1, 2020 and June 30, 2023, according to CMS data released July 31. New York City-based NYU Langone hospital had the lowest 30-day mortality rate for heart attack patients in the U.S.
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20 hospitals with highest, lowest heart failure death rates
Becker's Hospital Review - Cardiology
SEPTEMBER 3, 2024
have the lowest death rate for heart failure patients in the country, according to CMS data. Chicago-based Northwestern Memorial Hospital and VA Boston Healthcare System-Jamaica Plain (Mass.)
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20 hospitals with the lowest, highest heart attack death rates
Becker's Hospital Review - Cardiology
AUGUST 29, 2024
Discover the top hospitals with the lowest and highest death rates for heart attack patients, according to CMS data. NYU Langone Hospitals ranks #1
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10 hospitals with highest, lowest readmissions for heart failure patients
Becker's Hospital Review - Cardiology
AUGUST 14, 2024
Luke's Regional Medical Center has the lowest readmission rate for heart failure patients, CMS found. Boise, Idaho-based St.
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Hospitals with the highest, lowest 30-day mortality rates for coronary bypass
Becker's Hospital Review - Cardiology
OCTOBER 24, 2024
between July 1, 2020, and June 30, 2023, according to CMS data released July 31. -based North Shore University Hospital had the lowest 30-day mortality rate for coronary artery bypass graft patients in the U.S.
Hospitals with highest, lowest heart attack readmission rates
Becker's Hospital Review - Cardiology
OCTOBER 1, 2024
between July 1, 2019, and June 30, 2022, according to CMS data released July 31. Two Michigan hospitals had the highest excess readmission ratios for heart attack patients in the U.S.
Hospitals with the highest excess readmission rates for heart failure patients
Becker's Hospital Review - Cardiology
SEPTEMBER 16, 2024
Discover the top 10 hospitals with the highest excess readmission rates for heart failure patients, according to CMS' hospital readmissions reduction program
Stem cell-derived cardiomyocytes expressing a dominant negative pacemaker HCN4 channel do not reduce the risk of graft-related arrhythmias
Frontiers in Cardiovascular Medicine
JULY 8, 2024
BackgroundHuman pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) show tremendous promise for cardiac regeneration following myocardial infarction (MI), but their transplantation gives rise to transient ventricular tachycardia (VT) in large-animal MI models, representing a major hurdle to translation.
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Hospitals with the lowest readmission rates for heart attack patients
Becker's Hospital Review - Cardiology
SEPTEMBER 13, 2024
Discover the hospitals with the highest and lowest hospital return days for heart attack patients, according to CMS data collected from July 2019 to June 2022.
Mapping the landscape of PSC-CM research through bibliometric analysis
Frontiers in Cardiovascular Medicine
OCTOBER 9, 2024
ObjectivesThe discovery of pluripotent stem cell-derived cardiomyocytes (PSC-CMs) has not only deepened our understanding of the pathogenesis and progression of heart disease, but also advanced the development of engineered cardiac tissues, cardiac regenerative therapy, drug discovery and the cardiotoxicity assessment of drugs.
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A vascular procedure some physicians may be abusing
Becker's Hospital Review - Cardiology
DECEMBER 12, 2023
Some physicians may be overusing an invasive vascular procedure for patients with mild disease — making millions in the process, a ProPublica investigation into CMS data found.
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Highlights From the Proposed 2025 Hospital OPPS Rule
American College of Cardiology
JULY 18, 2024
The Centers for Medicare and Medicaid Services (CMS) released the proposed 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System rule on July 10. CMS proposes a 2.6% increase to OPPS payment rates that reflects a market basket update of 3.0%
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10 hospitals with the highest, lowest payments for heart failure
Becker's Hospital Review - Cardiology
AUGUST 20, 2024
Becker's has compiled a list of the hospitals with the highest and lowest payments for heart failure cases, as based on CMS's payment provider database.
ACC Submits Comments on 2025 Hospital OPPS Proposed Rule
American College of Cardiology
SEPTEMBER 5, 2024
The ACC submitted formal comments to the Centers for Medicare and Medicaid Services (CMS) on Sept. 4, providing feedback and raising concerns on several issues of relevance to the cardiovascular community in the 2025 Hospital Outpatient Prospective Payment System (OPPS) proposed rule.
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46 Advanced Medicare Payments Now Available to Clinicians in Response to Cyberattack
American College of Cardiology
MARCH 11, 2024
The Centers for Medicare and Medicaid Services (CMS) announced on March 9 a new opportunity to request advanced Medicare payments for clinicians impacted by the cyberattack and resulting claims disruptions with Change Healthcare.
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Lower Prices For Medicare Drug Negotiation Program’s First 10 Drugs Announced
American College of Cardiology
AUGUST 15, 2024
The Centers for Medicare and Medicaid Services (CMS) on Aug. 15 announced the results of price negotiations for the first 10 drugs selected for the Medicare Drug Negotiation Program, made possible by the passage of the Inflation Reduction Act in 2022.
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Proposed 2025 Medicare Physician Fee Schedule Deep Dive
American College of Cardiology
JULY 16, 2024
The Centers for Medicare and Medicaid Services (CMS) released the proposed 2025 Medicare Physician Fee Schedule (PFS) on July 10, addressing Medicare payment and quality provisions for physicians in the coming year. Under the proposal, physicians will see a decrease to the conversion factor of 2.80% on Jan.
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ONC Releases HTI-2 Proposed Rule to Improve Health IT Interoperability, Update Standards For EHRs, More
American College of Cardiology
JULY 10, 2024
The Office of the National Coordinator for Health Information Technology (ONC) released on July 10 the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability (HTI-2) proposed rule, building on the HTI-1 final rule released in 2023 and additional information blocking rules released (..)
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10 hospitals with highest, lowest heart failure readmission rates
Becker's Hospital Review - Cardiology
SEPTEMBER 27, 2023
General Hospital has the lowest 30-day readmission rate for heart failure in the country, according to CMS data. Lancaster (Pa.)
ACC Grassroots Efforts Usher in Major Prior Auth Win
American College of Cardiology
JANUARY 24, 2024
The final Centers for Medicare and Medicaid Services (CMS) Interoperability and Prior Authorization (PA) Rule released this month marks a major milestone in reforming prior authorization practices and reflects the ongoing work of ACC Advocacy to reduce prior authorization burden on clinicians.
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MP-470543-002 FURTHER EVIDENCE THAT IKS INHIBITION IS NOT THE SOLE MECHANISM UNDERLYING PROLONGED REPOLARIZATION IN TYPE 1 LONG QT SYNDROME (LQT1): ROLE FOR TRANSCRIPTIONALLY UPREGULATED L-TYPE CALCIUM CURRENT
HeartRhythm
APRIL 30, 2024
However, we have recently reported that pharmacologic block of IKs in human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) produces minimal increases in action potential duration (APD), while suppression of KCNQ1 expression by siRNA or editing to generate loss-of-function variants markedly prolongs APD.
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American College of Cardiology
JUNE 6, 2024
The ACC submitted formal comments on June 5 to the Centers for Medicare and Medicaid Services (CMS) regarding the Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule.
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Weight Loss Drugs Land Medicare Coverage for Cardiovascular Events
CardiacWire
MARCH 24, 2024
Less than two weeks after Novo Nordisk’s weight-loss drug Wegovy gained expanded FDA approval for cardiovascular event risk reduction, CMS issued a new Medicare Part D guidance that allows coverage of obesity drugs for senior patients with “an additional medically accepted indication”… like cardiovascular disease.
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Edwards Lifesciences Expands Structural Heart Portfolio With Acquisitions of JenaValve and Endotronix
DAIC
JULY 29, 2024
A CMS national coverage determination is expected in early 2025. This acquisition will expand Edwards’ structural heart portfolio into a new therapeutic area to address the large unmet needs of patients suffering from HF.
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AUC Program Penalty Phase Suspended Indefinitely: We Answer Your Frequently Asked Questions
Cassling
JANUARY 10, 2023
The Centers for Medicare & Medicaid Services (CMS) will use data collected from the program to identify outlier ordering professionals who will then be required to secure prior authorization. Below are some of the most frequently asked questions from you, Cassling’s imaging partners.
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Top Public Policy Experts at HIMSS24 to Address Global AI Landscape and Digital Transformation in Healthcare
DAIC
MARCH 5, 2024
Andrea Fletcher , Chief Digital Strategy Officer and Director of the Digital Service at Centers for Medicare and Medicaid Services ( CMS ) will present, “ Teaching the Elephant to Dance: Digital Transformation in the United States ” on March 13 in an afternoon education session.
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Patient Enrollment Commenced in Pivotal Phase 3 Trial of CardiAMP Cell Therapy for the Treatment of Ischemic Heart Failure
DAIC
JULY 25, 2024
The CardiAMP clinical development for heart failure is supported by the Maryland Stem Cell Research Fund and is reimbursed by Center for Medicare and Medicaid Services (CMS) for both treatment and control procedures. CAUTION - Limited by United States law to investigational use.
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HeartFlow AI Plaque Analysis Achieves Major Milestone Towards Medicare Coverage
DAIC
JUNE 4, 2024
HeartFlow’s accurate and actionable Plaque Analysis aligns with the Centers for Medicare & Medicaid Services (CMS) commitment to supporting technologies that enhance diagnostic accuracy and patient care: HeartFlow Plaque Analysis is the only FDA cleared plaque analysis with a reported 95% agreement prospectively compared to the gold standard, IVUS.¹
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Edwards Acquires JenaValve and Endotronix, Expands into Aortic Regurgitation and Heart Failure
CardiacWire
JULY 28, 2024
The Cordella system could have a major impact, given the success of its PROACTIVE-HF trial , and its anticipated nationwide coverage by CMS in early 2025.
HeartFlow Announces New Reimbursement Code and Increased Payment for FFRCT
DAIC
JANUARY 23, 2024
In the hospital setting, CMS increased payment for the FFRCT service by ~7% for 2024. The new code, designated by The American Medical Association ( AMA ), supports FFRCT as the standard of care in assessing patients with suspected coronary artery disease ( CAD ).
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Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas
Stroke Journal
FEBRUARY 1, 2024
Methods:Data were retrieved from a CMS Qualified Entity housing healthcare utilization data for ≥80% of the Texas state population (100% of Medicare Fee-for-Service). Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020.
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Private Equity’s Cardiovascular Expansion
CardiacWire
JANUARY 17, 2024
Practices with Ambulatory Surgery Centers (ASCs) are becoming particularly attractive, as CMS added 23 ASC cardiac catheterization and PCI codes in just the last two years. The transition to outpatient and value-based care suggests that more of that money could flow to practices with the right strategies and capabilities.
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Abstract NS4: Can a Remote Telehealth-Based Program Support Survivors With Varying Social Needs Post-Stroke?
Stroke Journal
FEBRUARY 1, 2024
As a part of program onboarding, the clinical navigator utilized the CMS Accountable Health Communities Health-Related Social Needs Screening Tool to assess survivor needs in five core domains including housing instability, food insecurity, transportation problems, utility needs, and interpersonal safety.
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Abstract HUP4: Can A Remote Telehealth-based Program Support Survivors With Varying Social Needs Post-stroke?
Stroke Journal
FEBRUARY 1, 2024
As a part of program onboarding, the clinical navigator utilized the CMS Accountable Health Communities Health-Related Social Needs Screening Tool to assess survivor needs in five core domains including housing instability, food insecurity, transportation problems, utility needs, and interpersonal safety.
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