MSSP Final Rule Seeks to Accelerate Move to Performance-Based Risk in Traditional Me

CMS published a final rule on December 31, 2018, that overhauls the Medicare Shared Savings Program (MSSP) and takes a new approach to transitioning providers to performance-based risk arrangements in traditional Medicare.

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WEBINAR | The IPI Model: Breaking Down CMS’s Proposed Drug Pricing Model

CMS’s announcement of an Advanced Notice of Proposed Rulemaking with Comment proposes to implement an international pricing index model for Medicare Part B drugs and biologicals. This model has the potential to make changes to the entire pharma ecosystem.

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Top 10 Takeaways: 2019 Medicare Physician Fee Schedule

McDermottPlus breaks down the MPFS Final Rule, providing the top 10 takeaways for your reading pleasure.

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McDermottPlus persuaded the Centers for Medicare and Medicaid Services (CMS) to revise Medicare laboratory “Date of Service” regulations.

Codes currently eligible for exception to DOS rule


McDermottPlus assessed the policy pathway and operational feasibility to scale up group prenatal care, and designed alternative payment models to facilitate implementation.

States that already have the CenteringPregnancy model of Group Prenatal Care


On behalf of a coalition of leading global manufacturers of blood glucose monitoring systems, McDermottPlus successfully advanced legislation intended to improve market access and patient choice under the Medicare Competitive Bidding Program.

Reduction in Medicare payment amount for diabetes test strips since 2012

Resource Centers

Dedicated resource libraries for clients and partner organizations.

Payment Innovation
Resource Center

A library of content about Medicare payment transformation initiatives. Includes original analysis, major regulations, agency guidance, program announcements and other primary source documents.

Resource Center

A collection of primary source materials about laboratory diagnostics regulation and payment, including original analysis, Medicare rates, rulemakings, final determinations and other items of interest.

Health Reform 2.0
Resource Center

A collection of primary source content about the Affordable Care Act and efforts to repeal and replace the law.


Meet our Consultants

Albert Kusi-Appiah

Analyzes quantitative data and evaluates economic impact.

Deborah R. Godes

Advises clients on reimbursement and policy strategy.

Sheila Madhani

Advises clients on reimbursement policy strategy.

Paul Radensky, M.D.

A board certified internal medicine physician and lawyer who is recognized as a Medicare law and policy authority.

Adaeze Enekwechi, Ph.D.

Extensive contacts and deep understanding of federal health policies.

Eric Zimmerman

A recognized Medicare law and policy authority and registered lobbyist.

Christine Song

Analyzes quantitative data and evaluates the economic impact.

John Warren

A highly experienced Medicare veteran and former CMS director.

Mara McDermott

An accomplished health care executive with a deep understanding of federal health care law and policy.

Rachel Stauffer

A highly experienced government relations and legislative affairs strategist and advocate.

Upcoming Events

Jan 17

You’re Invited: The HIPAA RFI Breakfast and Discussion

Washington, DC

McDermott invites you to join us for a breakfast discussion on the December 12, 2018 release of the Office of Civil Rights’ Request for Information seeking to modify HIPAA rules to improve coordinated care.

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Nov 19

On-Demand Webinar | The IPI Model


Watch the McDermott team discuss changes to the pharma ecosystem. Our team will breakdown CMS’s recently proposed international pricing index model for Medicare Part B drugs and biologicals.

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