Washington, D.C. – The American Clinical Laboratory Association (ACLA) today filed a notice of appeal in its lawsuit against the U.S. Department of Health and Human Services (HHS) challenging the agency’s implementation of the Protecting Access to Medicare Act (PAMA), which requires HHS to establish a market-based data collectiContinue Reading »
WASHINGTON, D.C.— In response to the Centers for Medicare and Medicaid Services’ (CMS) Final Decision Memo for Next Generation Sequencing (NGS) for Medicare Beneficiaries with Advanced Cancer (CAG-00450R), ACLA President Julie Khani released the following statement: “We applaud CMS for making important changes to protect Medicare beneficiaContinue Reading »
Bloomberg BNA June 23 — Twelve senators have asked the Centers for Medicare & Medicaid Services to place information on modifications of physician codes in the upcoming proposed Medicare Part B fee schedule, rather than just in the final rule. Placing “the results of CMS's analysis and the rationale for any payment modifications” juContinue Reading »
An upcoming market-based system for pricing services performed by clinical laboratories is a “better alternative” for the industry than the current Medicare payment system, the president of the American Clinical Laboratory Association said April 23. Although many questions remain to be answered, the system to align Medicare payment rates witContinue Reading »
WASHINGTON, D.C. – The American Clinical Laboratory Association (ACLA) -- a not-for-profit association representing the nation's leading national and regional clinical laboratories on key issues of common concern, including federal and state government reimbursement and regulatory policies –issued the following statement regarding the Clinical Continue Reading »
Washington, D.C. – The American Clinical Laboratory Association (ACLA) today opened its 19th Annual Meeting entitled “Navigating the Reimbursement Maze: Challenges and Opportunities Facing Laboratories in the 21st Century,” drawing over 100 clinical laboratory professionals from across the country and featuring health policy experts that wiContinue Reading »
Note: this is not a comprehensive list. For additional reading on this issue, please see the following articles: "DHA operations chief vows some relief from surprise lab fees," Stars and Stripes, Feb. 6, 2014 "Some lab fees soon will be billed to Tricare patients," Stars and Stripes, Jan. 9, 2014 Download PDFContinue Reading »
January 24, 2014 Mr. Marc Hartstein, Director Hospital and Ambulatory Policy Group Center for Medicare Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, Maryland 31344 MoPathGapfillInquiries@cms.hhs.gov RE: Notification of Reconsideration Period – 2013 Gapfill Payment Amounts Dear Marc, Please accContinue Reading »
Jonathan Blum Principal Deputy Administrator Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 Dear Mr. Blum: On behalf of the American Clinical Laboratory Association (“ACLA”), we are writing to express our strong objection to CMS’s recent action establishing a new reduced price for CPT code 81Continue Reading »
