McDermottPlus Check-Up: September 21, 2018

This Week’s Diagnosis: The Senate was working in full force this week. The House is back next week for what is rumored to be the last session week until the election.

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Five Key Takeaways: CJR Year 1 Performance Evaluation

A recently released evaluation of the CMS Comprehensive Care for Joint Replacement Model found a statistically significant reduction in spending in both high cost and low cost areas during the first performance year. Here are our five key takeaways

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Top 5 Takeaways: CMS’s Proposed Overhaul of the MSSP ACOs

CMS released a proposed rule that would make sweeping changes to the Medicare Shared Savings Program, a federal program that incentivizes integrated health provider networks to form ACOs. Comments are due October 16. Here our are 5 key takeaways.

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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.


Sep 17

You’re Invited: The Anti-Kickback Statute RFI Breakfast and Discussion

The McDermott Building

McDermott invites you to join us for a breakfast discussion around the August 24 release of the OIG’s RFI seeking stakeholder input on potential new safe harbors to the Anti-Kickback Statute.

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Jul 24

WEBINAR | Year 3 of the QPP


An on-demand recording is available for the webinar that aired live on July 24, 2018 analyzing major aspects of the recently released proposed updates to the CY 2019 Medicare QPP and Physician Fee Schedule.

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