Election Results Bring Change in Health Priorities

Democrats will take control of the House of Representatives in January. Republicans will retain control of the Senate. Split control of Congress will have important consequences for healthcare policy.  This article examines the elections impact on the agenda.

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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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+Success

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

+Success

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

+Success

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.

Diagnostics
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.

+Insights

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

Nov 19

On-Demand Webinar | The IPI Model

Webinar

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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Nov 13

On-Demand Webinar | 2019 QPP Final Rule

Webinar

CMS released the 2019 QPP Final Rule on November 1, 2018. Watch on-demand as we review changes related to the implementation of MIPS and Advanced APMs, the two tracks of the QPP.

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