Tag: chronic disease management
CMS final rule modernizes payment accuracy, cuts spending waste
November 3, 2025HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) says its calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) final rule reduces waste and unnecessary use of skin substitutes and introduces a new payment model focused on improving care for chronic disease management.
“CMS is working to strengthen and transform Medicare for the current and future generations while cracking down on waste and abuse that drives up costs,” said CMS Administrator Dr....
Digital Health: Anticipate problems
October 8, 2025Robin Randolph
Q. What digital health tools and strategies will give DME providers a competitive edge in the next 3-5 years?
A. Many DME providers are still using telehealth as a way to react to patient problems – troubleshooting when there’s already an issue. But the biggest gains in the next few years will come from tools that allow you to anticipate problems before they affect compliance, outcomes, or reimbursement. Think of it like equipment maintenance: You wouldn’t wait for a concentrator...
HHS, CMS seek to ‘unite best minds in health care’
August 25, 2025HME News Staff
WASHINGTON – The U.S. Department of Health and Human Services (HHS) and CMS are establishing the Healthcare Advisory Committee, a group of experts charged with delivering strategic recommendations directly to HHS Secretary Robert F. Kennedy and CMS Administrator Dr. Mehmet Oz. The overall goal: To improve how care is financed and delivered across Medicare, Medicaid and the Children’s Health Insurance Program (CHIP), as well as the Health Insurance Marketplace.
"Every American...
In brief: CMS’s diabetes proposal, plus people news from AAH, ADS, Henry Schein
July 16, 2025HME News Staff
WASHINGTON – CMS is proposing changing the Medicare Diabetes Prevention Program to allow more people to access coaching and peer support, as well as practical training in dietary change, physical activity and behavior change strategies, to delay or prevent the onset of Type 2 diabetes for those with prediabetes.
In a new proposed rule, the agency also seeks to remove 10 quality measures that it says did not improve health outcomes and add five new measures that focus on the prevention...
CMS targets chronic disease management
July 15, 2025HME News Staff
WASHINGTON – CMS is proposing changing the Medicare Diabetes Prevention Program to allow more people to access coaching and peer support, as well as practical training in dietary change, physical activity and behavior change strategies, to delay or prevent the onset of Type 2 diabetes for those with prediabetes.
In a new proposed rule, the agency also seeks to remove 10 quality measures that it says did not improve health outcomes and add five new measures that focus on the prevention...