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 
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 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and Medicaid Services (CMS) has paused the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging and rescinded any current regulations, according to the 2024 Medicare Physician Fee Schedule (PFS) final rule.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 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 2025 Medicare Physician Fee Schedule and Hospital OPPS Final Rules
American College of Cardiology
NOVEMBER 1, 2024
The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (PFS) final rule and the 2025 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) final rule on Nov. Of note, the 2025 PFS conversion factor is $32.3465, a reduction of 2.83% from $33.2875 in 2024.
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CMS proposes implantable pulmonary artery pressure sensor coverage: 5 notes
Becker's Hospital Review - Cardiology
OCTOBER 31, 2024
"CMS has proposed coverage of implantable pulmonary artery pressure sensors for heart failure management. Learn about the criteria and public comment period."
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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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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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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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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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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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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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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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Hospitals with highest, lowest readmission rates for coronary bypass
Becker's Hospital Review - Cardiology
NOVEMBER 14, 2024
between July 1, 2020, and July 30, 2023, according to CMS data released Oct. Tyler, Texas-based Christus Mother Frances Hospital had the lowest unplanned readmission rate for coronary artery bypass graft surgery in the U.S.
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 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.
Abstract 4147625: Cardiometabolic Syndrome and Incident Alzheimer’s Disease: The Predicative Value of Age and CMS Using Cox and Machine Learning Models
Circulation
NOVEMBER 11, 2024
Background:Cardiometabolic syndrome (CMS) poses a significant public health concern. The study aimed to investigate the predictive value of age and CMS for incident Alzheimer’s disease (AD) in women aged≥50.Methods:A per 1000 person-years (PY) in women with CMS, and 7.0 (6.9-7.2) years), 8340 developed incident AD.
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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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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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Medicare’s New Mandatory Bundled-Payment Program — Are We Ready for TEAM?
The New England Journal of Medicine
NOVEMBER 29, 2024
CMS recently announced the newest iteration of bundled payments, the Transforming Episode Accountability Model. Several challenges will need to be monitored and potentially addressed during implementation.
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75 CMS Grants Distinct TPT Device Code and Category to Recor Medical for Ultrasound Renal Denervation
DAIC
NOVEMBER 8, 2024
Centers for Medicare & Medicaid Services (CMS) have granted the company’s Paradise Ultrasound Renal Denervation system a Transitional Pass-through (TPT) payment. tim.hodson Fri, 11/08/2024 - 09:57 Nov. 1, 2024 — Recor Medical, Inc. and its parent company, Otsuka Medical Devices Co. recently announced U.S.
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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
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.
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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.
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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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'We cannot continue doing this': Cardiologists react to 2025 fee schedule
Becker's Hospital Review - Cardiology
DECEMBER 12, 2024
After CMS released its finalized 2025 physician fee schedule, which will reduce reimbursements by 2.83%, some cardiologists are raising concerns over what they call an unstable healthcare system, according to a Dec. 9 TCTMD report.
Hospitals with lowest, highest Medicare payments for heart attack care
Becker's Hospital Review - Cardiology
NOVEMBER 25, 2024
reported the highest Medicare payment of $38,459 for heart attack care between July 1, 2020, and June 30, 2023, according to CMS data published Oct. Memorial Hospital at Gulfport (Miss.)
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5 NYC Health hospitals are hypertension control 'champions'
Becker's Hospital Review - Cardiology
DECEMBER 3, 2024
The CDC and CMS added four NYC Health + Hospitals' facilities to the Million Hearts Hypertension Control Champion list in 2024, which recognizes hospitals who have achieved blood pressure control for at least 80% of adult hypertension patients.
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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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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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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.
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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Heart of Health Policy | 2025 Medicare Physician Fee Schedule Final Rule: What CV Clinicians Need to Know
American College of Cardiology
DECEMBER 2, 2024
The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (PFS) final rule on Nov. Of note, the 2025 PFS conversion factor is $32.3465, a reduction of 2.83% from $33.2875 in 2024.
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Abstract 4144727: In vitro modelling and functional improvement of TNNT2-R141W mutant pediatric dilated cardiomyopathy.
Circulation
NOVEMBER 11, 2024
Here, we describe the characteristics of TNNT2-R141W mutant iPSC-derived cardiomyocytes (iPSC-CMs)in vitro.Methods:Two human iPSC lines were derived from pediatric DCM patient samples, with the TNNT2-R141W mutation (R141W-iPSC), and a R141W-iPSC derived TNNT2 overexpression line (TNNT2-OE iPSC) for comparison.
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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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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 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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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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Biocardia Reports Positive Interim Results from Phase III Cardiamp Cell Therapy Heart Failure Trial, with Compelling Data in Subgroup with Elevated NTproBNP Biomarker for Heart Failure
DAIC
MARCH 7, 2024
The CardiAMP HF trial is supported by the Maryland Stem Cell Research Fund and has reimbursement from the Centers for Medicare and Medicaid Services (CMS) for both treatment and control procedures. The CardiAMP HF II trial is expected to similarly secure CMS reimbursement.
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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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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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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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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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