Uncategorized Archives

Tag: Uncategorized

HHS Reorganization Raises Questions for Claims Appeals Process

Jeffrey Davis provided comments on the potential meaning of the HHS leadership change, in Modern Healthcare. READ MORE...

Telehealth’s Role in Preserving Access for Medicare Beneficiaries During and After the Public Health Emergency

This paper by Devin A. Stone, Jennifer A. Ohn, Luis Arzaluz and Mara B. McDermott analyzes the impact of the COVID-19 pandemic on telehealth utilization among Medicare beneficiaries and the telehealth policy implications. During the pandemic, tele...

The Policy and Politics of Long-Term Care: Latest Views on Reform

Rodney Whitlock provided comments to Penn LDI. READ MORE...

Trump-era Medicare program under increased scrutiny

Mara McDermott provided comments to POLITICO.

...

What could Direct Contracting changes look like?

Mara McDermott provided comments to Modern Healthcare.

...

AACOM Engages M+ to Strengthen Osteopathic Voice on Capitol Hill

To further advance the association's advocacy goals and policy priorities, the American Association of Colleges of Osteopathic Medicine (AACOM) has engaged the services of McDermott+Consulting LLC (McDermottPlus). McDermottPlus serves health industry...

At last minute, CMS gives clarity on No Surprises estimates, convening terms

Mara McDermott provided comments to Part B News.

...

Broadband internet proves a hurdle as telehealth services continue to rise in popularity

Mara McDermott provided comments to MetroWest Daily News.

...

Seeking Reimbursement for AI Tech? Five Things to Remember

Deb Godes provided comments to Market Pathways.

...

HEALTH CARE BRIEFING: At-Home Covid Test Makers Want More Access

Eric Zimmerman provided comments to Bloomberg Government.

...

Hospitals grapple with Omicron — and legal brawl over vaccinating staff

Mara McDermott provided comments to POLITICO.

...

What's Next for the Value Based Care Coalition

Mara McDermott was featured on the The American Journal of Managed Care Managed Care Podcast.

<h2> Hospitals just dodged a bullet in Democrats' major spending package. Can they sidestep a bigger one? </h2> </a> <p> <p>Rodney Whitlock provided comments to <em>STAT+</em>. <p>Read the full article.</p>... </p> <a href="https://www.mcdermottplus.com/2000-pages-and-pronto-budget-scorekeepers-are-under-pressure/"> <h2> 2,000 PAGES AND PRONTO! BUDGET SCOREKEEPERS ARE UNDER PRESSURE </h2> </a> <p> Rodney Whitlock provided comments to The New York Times. <b>Read more</b>... </p> <a href="https://www.mcdermottplus.com/additional-medicare-medicaid-may-be-whittled-or-cut-as-democrats-woo-moderates/"> <h2> ADDITIONAL MEDICARE, MEDICAID MAY BE WHITTLED OR CUT AS DEMOCRATS WOO MODERATES </h2> </a> <p> Rodney Whitlock provided comments to the Washington Post. <br> <br> Read more.... </p> <a href="https://www.mcdermottplus.com/rodney-whitlock-comments-on-campaign-health-care-policy-perspectives/"> <h2> Rodney Whitlock Comments on Campaign Health Care Policy Perspectives </h2> </a> <p> McDermottPlus Vice President Rodney Whitlock provides an analysis of the 2020 presidential campaigns and the candidates' health agenda. Read more>... </p> <a href="https://www.mcdermottplus.com/youre-invited-stark-law-and-anti-kickback-luncheon-and-discussion/"> <h2> You’re Invited: Stark Law and Anti-Kickback Luncheon and Discussion </h2> </a> <p> McDermott+Consulting (McDermottPlus) and McDermott Will & Emery, LLP invite you to join us for a discussion around the October 8, 2019 release of the U.S. Department of Health and Human Services’ proposed changes to the Stark Law and Anti-Kickb... </p> <a href="https://www.mcdermottplus.com/rodney-whitlock-provides-analysis-on-drug-pricing-proposals-in-wapo/"> <h2> Rodney Whitlock Provides Analysis on Drug Pricing Proposals in WAPO </h2> </a> <p> McDermottPlus Vice President Rodney Whitlock weighs on competing Administration and Congressional drug pricing proposals. Read more>... </p> <a href="https://www.mcdermottplus.com/rodney-whitlock-weighs-in-on-aca-future-drug-pricing/"> <h2> Rodney Whitlock Weighs in on ACA Future, Drug Pricing </h2> </a> <p> McDermottPlus Vice President Rodney Whitlock discusses drug pricing proposals as well as the fate of the Affordable Care Act in this MedPage today article.   Read more>... </p> <a href="https://www.mcdermottplus.com/rodney-whitlock-comments-on-potential-repeal-of-cadillac-tax/"> <h2> Rodney Whitlock Comments on Potential Repeal of "Cadillac Tax" </h2> </a> <p> McDermottPlus Vice President Rodney Whitlock discusses the popularity of the “cadillac tax” and its future on NPR.   Read more>... </p> <a href="https://www.mcdermottplus.com/rodney-whitlock-comments-on-bidens-health-plan-proposal/"> <h2> Rodney Whitlock Comments on Biden's Health Plan Proposal </h2> </a> <p> McDermottPlus Vice President Rodney Whitlock provides analysis of democratic presidential hopeful Joe Biden’s proposed healthcare plan.   Read more>... </p> <a href="https://www.mcdermottplus.com/webinar-understanding-the-recently-released-guidance-on-hospital-co-location-arrangements/"> <h2> Webinar | Understanding the Recently Released Guidance on Hospital Co-Location Arrangements </h2> </a> <p>  <p>CMS has issued long-awaited draft guidance addressing the use of shared space, staff and services by hospitals and other enrolled providers. Join us for our upcoming webinar.</p>  <p>McDermott+Consulting and McDermott Will & Emery, LLP invite you to join us on Thursday, June 27, 2019, for a breakfast discussion on hot topics in Medicare Advantage.</p>  ... </p> <a href="https://www.mcdermottplus.com/mcdermottpluss-adaeze-enekwechi-goes-back-to-school/"> <h2> M+’s Adaeze Enekwechi Brings Health Policy to Medical Students </h2> </a> <p> Dr. Enekwechi will give doctoral students an overview of federal health policymaking at Meharry Medical College. McDermottPlus Vice President Adaeze Enekwechi will lend her expertise to medical, dental and doctoral students this semester at Meharry ... </p> <a href="https://www.mcdermottplus.com/court-issues-permanent-injunction-blocking-medicare-340b-payment-cuts/"> <h2> Court Issues Permanent Injunction Blocking Medicare 340B Payment Cuts </h2> </a> <p> <section class="global-site-wrapper"> <div class="footer-wrap"><section class="global-interior-content thought-leadership"><section class="section content-grid content-grid-alt is-fixed-tabs"> <div class="content-grid-main-col"> <div class="content-g... </p> <a href="https://www.mcdermottplus.com/federal-district-court-invalidates-affordable-care-act/"> <h2> Federal District Court Invalidates Affordable Care Act </h2> </a> <p> Mara McDermott, Rachel Stauffer and Eric Zimmerman examine the December 14, 2018 ruling that struck down the Affordable Care Act (ACA) in its entirety. The district court did not, however, issue an injunction requiring immediate compliance. The decis... </p> <a href="https://www.mcdermottplus.com/administration-offers-up-new-proposals-to-cut-drug-costs/"> <h2> Administration Offers Up New Proposals to Cut Drug Costs </h2> </a> <p> Mara McDermott, Rachel Stauffer, and John Warren co-author a report on CMS's notice of proposed rulemaking, “Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses,” which includes provisions that aim to ... </p> <a href="https://www.mcdermottplus.com/adaeze-enekwechi-discusses-social-determinants-and-the-opportunity-for-healthcare-systems/"> <h2> Adaeze Enekwechi Discusses Social Determinants and the Opportunity for Healthcare Systems </h2> </a> <p> Dr. Adaeze Enekwechi joins Intermountain for a discussion on the importance of social determinants of health and the opportunities that exist for healthcare systems. Dr. Adaeze Enekwechi joins Intermountain for a discussion on the importance of soci... </p> <a href="https://www.mcdermottplus.com/adaeze-enekwechi-contributes-to-new-nam-special-report-underscoring-the-importance-of-health-services-research/"> <h2> Adaeze Enekwechi Contributes to New NAM Special Report Underscoring the Importance of Health Services Research </h2> </a> <p> In this special report the National Academy of Medicine outlines significant opportunity and challenges facing health care in the United State. The Academy says that health services research can assist in solving these challenges, but the field requ... </p> <a href="https://www.mcdermottplus.com/adaeze-enekwechi-to-participate-in-health-affairs-program-health-reform-from-the-midterms-to-2020/"> <h2> Adaeze Enekwechi to Participate in Health Affairs Program | Health Reform: From the Midterms to 2020 </h2> </a> <p> McDermottPlus Vice President Adaeze Enekwechi will sit participate in a panel discussion examining the impact of health care on the 2018 midterm elections and what it will mean for the upcoming 2020 elections. The program is on Friday, November 16. ... </p> <a href="https://www.mcdermottplus.com/rachel-stauffer-talks-election-impact-with-fiercehealthcare/"> <h2> Rachel Stauffer Talks Election Impact with FierceHealthcare </h2> </a> <p> McDermottPlus Director Rachel Stauffer discusses what Democrats may focus on with committee power in the House while party power dynamics may shift the Senate agenda. McDermottPlus’ Rachel Stauffer discussed election fallout with FierceHealthc... </p> <a href="https://www.mcdermottplus.com/warren-cms-ipi-drug-pricing-model/"> <h2> John Warren Examines CMS's Proposed IPI Drug Pricing Model </h2> </a> <p> Together with McDermott Will & Emery, the first in a series exploring CMS's proposal to implement an international pricing index model for Medicare Part B drugs and biologicals. On October 25, 2018, the Centers for Medicare and Medicaid Service... </p> <a href="https://www.mcdermottplus.com/webinar-2019-qpp-final-rule/"> <h2> WEBINAR | 2019 QPP Final Rule: Understanding CMS’s Quality Payment Program </h2> </a> <p> An on-demand recording of this program is available. McDermottPlus discusses the QPP Final Rule and highlighting major proposals in the MPFS and OPPS final rules. This program previously aired live on November 13, 2018. You can view an on-demand ... </p> <a href="https://www.mcdermottplus.com/enekwechi-social-determinants-fad/"> <h2> Industry Voices—Why Are We Treating Social Determinants of Health as Another Healthcare Fad? </h2> </a> <p> Adaeze Enekwechi writes about the importance of weighing the impact of social determinants on individuals' healthcare, and the positive step forward insurers and providers are taking in examining what they can do to address the persistent social gaps... </p> <a href="https://www.mcdermottplus.com/youre-invited-the-anti-kickback-statute-rfi-breakfast-and-discussion/"> <h2> You're Invited: The Anti-Kickback Statute RFI Breakfast and Discussion </h2> </a> <p> McDermottPlus and McDermott Will & Emery, LLP invite you to join us for a breakfast discussion around the August 24 release of the Office of Inspector General's Request for Information seeking stakeholder input on potential new safe harbors to th... </p> <a href="https://www.mcdermottplus.com/2019-qpp-proposed-rule-webinar/"> <h2> LIVE WEBINAR | Year Three of the QPP: Understanding Medicare’s Proposals for the 2019 Quality Payment Program </h2> </a> <p> Now that the Centers for Medicare & Medicaid Services (CMS) has released proposals for the CY2019 Quality Payment Program (QPP) as part of the 2019 Medicare Physician Fee Schedule (PFS) Proposed Rule, join McDermott+Consulting as we analyze major... </p> <a href="https://www.mcdermottplus.com/sgr-negotiations-ongoing-as-details-emerge-on-partial-offsets/"> <h2> SGR Negotiations Ongoing As Details Emerge on Partial Offsets </h2> </a> <p> <strong>Eric Zimmerman</strong>, an attorney with McDermott Will & Emery in Washington, told Bloomberg BNA he thinks fiscal conservatives in the House and Senate will view the proposal as unacceptable. He said they will argue the bill shou... </p> <a href="https://www.mcdermottplus.com/zimmerman-on-health-cases-to-watch-in-2015/"> <h2> Zimmerman on Health Cases to Watch in 2015 </h2> </a> <p> In Shands v. Burwell, hundreds of hospitals are fighting in D.C. federal court to overturn a 0.2 percent rate cut that the Centers for Medicare & Medicaid Services introduced to offset an expected spending increase related its “two-mid... </p> <a href="https://www.mcdermottplus.com/clinical-decision-support-mandate/"> <h2> Clinical Decision Support Mandate </h2> </a> <p> A July article in the Radiology Business Journal quotes a McDermottPlus +insight authored by Deborah Godes and Eric Zimmerman discussing the concerns surrounding a Clinical Decision-Support Mandate in the Protecting Access to Medicare Act of... </p> <a href="https://www.mcdermottplus.com/fda-sets-hierarchy-for-biosimilars-evidence/"> <h2> FDA Sets Hierarchy for Biosimilars Evidence </h2> </a> <p> With the FDA issuing a draft guidance – years in the making – on biosimilars, Paul Radensky discusses the categorization of clinical pharmacological data a company will have to submit as evidence of biosimilarity and how the data expecte... </p> <a href="https://www.mcdermottplus.com/doc-fix-bill-elicits-grumbling-but-swift-passage-likely/"> <h2> ‘Doc Fix’ Bill Elicits Grumbling, But Swift Passage Likely </h2> </a> <p> <strong>Eric Zimmerman</strong> said it was significant that Congress is poised to approve a one-year patch to Medicare’s sustainable growth rate (SGR) formula for physician payments, because it extends beyond November’s elections and could lead ... </p> </div> </div> </div> <footer class="footer"> <div class="container"> <div class="row"> <div class="col-12 logo-footer-container"> <span class="logo-footer">McDermott+</span> </div> </div> <div class="row"> <div class="col-12 text-center footer-menu-copyright">  <button id="ot-sdk-btn" class="ot-sdk-show-settings">Cookie Settings</button>  </div> </div> <div class="row default-margin-top footer-content"> <div class="col-cont"> <div class="footer-social-media"> <a class="footer-social-media-linkedin" href="https://www.linkedin.com/company/mcdermott-consulting/" target="_blank"></a> <a class="footer-social-media-twitter" href="https://twitter.com/McDermottPlus" target="_blank"> <svg xmlns="http://www.w3.org/2000/svg" height="16" width="16" viewBox="0 0 512 512"> <path fill="#6c6c6c" d="M389.2 48h70.6L305.6 224.2 487 464H345L233.7 318.6 106.5 464H35.8L200.7 275.5 26.8 48H172.4L272.9 180.9 389.2 48zM364.4 421.8h39.1L151.1 88h-42L364.4 421.8z"/> </svg> </a> </div> <div id="sidebar-footer-1" class="sidebar-footer-1"> <li id="text-2" class="widget widget_text"> <div class="textwidget"><p>500 North Capitol Street, N.W.<br /> Washington, DC 20001</p> <p class="contact-footer-links"><a href="tel:+1 202 204 1450">+1 202 204 1450</a><a href="mailto:info@mcdermottplus.com"><br /> info@mcdermottplus.com</a></p> </div> </li></div> </div> <div class="col-cont"> <div id="sidebar-footer-2" class="sidebar-footer-2"> <li id="nav_menu-3" class="widget widget_nav_menu"><div class="menu-footer-menu-1-container"><ul id="menu-footer-menu-1" class="menu"><li id="menu-item-124499" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124499"><a href="https://www.mcdermottplus.com/services/">Services</a></li> <li id="menu-item-131523" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-131523"><a href="https://www.mcdermottplus.com/industries/">Industries</a></li> </ul></div></li></div> </div> <div class="col-cont"> <div id="sidebar-footer-3" class="sidebar-footer-3"> <li id="nav_menu-4" class="widget widget_nav_menu"><div class="menu-footer-menu-2-container"><ul id="menu-footer-menu-2" class="menu"><li id="menu-item-131529" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-131529"><a href="https://www.mcdermottplus.com/insights/">+Insights</a></li> <li id="menu-item-135977" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-135977"><a href="https://www.mcdermottplus.com/podcasts/">Podcasts</a></li> <li id="menu-item-146914" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-146914"><a href="https://www.mcdermottplus.com/professionals/">Professionals</a></li> <li id="menu-item-149622" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-149622"><a href="https://www.mcdermottplus.com/subscribe/">Subscribe</a></li> </ul></div></li></div> </div> <div class="col-cont"> <div id="sidebar-footer-4" class="sidebar-footer-4"> <li id="nav_menu-5" class="widget widget_nav_menu"><div class="menu-footer-menu-3-container"><ul id="menu-footer-menu-3" class="menu"><li id="menu-item-131531" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-131531"><a href="https://www.mcdermottplus.com/about/">About Us</a></li> <li id="menu-item-124508" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124508"><a href="https://www.mcdermottplus.com/careers/">Careers</a></li> <li id="menu-item-124509" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124509"><a href="https://www.mcdermottplus.com/contact/">Contact Us</a></li> <li id="menu-item-124510" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124510"><a href="https://www.mcdermottplus.com/events/">Events</a></li> <li id="menu-item-124507" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124507"><a href="https://www.mcdermottplus.com/in-the-news/">News Updates</a></li> </ul></div></li></div> </div> </div> <div class="row default-margin-footer"> <div class="col-10 offset-1"> <hr> </div> </div> <div class="row default-margin d-block d-md-none"> <div class="col-4 offset-4"> <hr> </div> </div> <div class="row"> <div class="col-12 text-center footer-menu-copyright"> <label>© 2025 All Rights Reserved</label> <div id="all-rights-menu" class="all-rights-menu"> <li id="nav_menu-7" class="widget widget_nav_menu"><div class="menu-all-rights-reserved-menu-container"><ul id="menu-all-rights-reserved-menu" class="menu"><li id="menu-item-124639" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124639"><a href="https://www.mcdermottplus.com/terms/">Terms</a></li> <li id="menu-item-124638" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124638"><a href="https://www.mcdermottplus.com/privacy-policy/">Privacy Policy</a></li> <li id="menu-item-124514" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-124514"><a href="https://www.mcdermottplus.com/contact/">Contact Us</a></li> </ul></div></li></div> </div> </div> </div> </footer> <script type="speculationrules"> {"prefetch":[{"source":"document","where":{"and":[{"href_matches":"\/*"},{"not":{"href_matches":["\/wp-*.php","\/wp-admin\/*","\/wp-content\/uploads\/*","\/wp-content\/*","\/wp-content\/plugins\/*","\/wp-content\/themes\/mwe\/*","\/*\\?(.+)"]}},{"not":{"selector_matches":"a[rel~=\"nofollow\"]"}},{"not":{"selector_matches":".no-prefetch, .no-prefetch a"}}]},"eagerness":"conservative"}]} </script> <script type="text/javascript" id="betterlinks-app-js-extra"> /* <![CDATA[ */ var betterLinksApp = {"betterlinks_nonce":"ede4aee13f","ajaxurl":"https:\/\/www.mcdermottplus.com\/wp-admin\/admin-ajax.php","site_url":"https:\/\/www.mcdermottplus.com"}; /* ]]> */ </script> <script type="text/javascript" src="https://www.mcdermottplus.com/wp-content/plugins/betterlinks/assets/js/betterlinks.app.core.min.js?ver=79fa258903cbd892da1f" id="betterlinks-app-js"></script> <script type="text/javascript" src="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js?ver=4.0.0" id="bootstrap-js"></script> <script type="text/javascript" id="ajax-load-more-js-extra"> /* <![CDATA[ */ var alm_localize = {"pluginurl":"https:\/\/www.mcdermottplus.com\/wp-content\/plugins\/ajax-load-more","version":"7.6.0","adminurl":"https:\/\/www.mcdermottplus.com\/wp-admin\/","ajaxurl":"https:\/\/www.mcdermottplus.com\/wp-admin\/admin-ajax.php","alm_nonce":"db3427ab49","rest_api_url":"","rest_api":"https:\/\/www.mcdermottplus.com\/wp-json\/","rest_nonce":"5238fa73cc","trailing_slash":"true","is_front_page":"false","retain_querystring":"1","speed":"250","results_text":"Viewing {post_count} of {total_posts} results.","no_results_text":"No results found.","alm_debug":"","a11y_focus":"1","site_title":"McDermott+","site_tagline":"","button_label":"Load More"}; /* ]]> */ </script> <script type="text/javascript" src="https://www.mcdermottplus.com/wp-content/plugins/ajax-load-more/build/frontend/ajax-load-more.min.js?ver=7.6.0" id="ajax-load-more-js"></script> <script type="text/javascript">window.NREUM||(NREUM={});NREUM.info={"beacon":"bam.nr-data.net","licenseKey":"NRJS-921b3bfe79ac99dae63","applicationID":"1561999357","transactionName":"b1EBNkFQWxVSVBdZX1YbIgFHWFoIHFYRU1hRQgY=","queueTime":0,"applicationTime":565,"atts":"QxYCQAlKSBs=","errorBeacon":"bam.nr-data.net","agent":""}</script><script type="text/javascript" src="/_Incapsula_Resource?SWJIYLWA=719d34d31c8e3a6e6fffd425f7e032f3&ns=5&cb=1874087480" async></script></body> </html>