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Biden to slash Medicare advantage & the Republic of China has a massive earthquake-492 Credit: RumblePublished | |
Biden Cracks Down on ‘Junk Insurance Plans’ Credit: Wibbitz Top Stories Duration: 01:31Published | |
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🚨 LIVE: Ukraine's Windfall, Hollywood's Holy Debate, and America's Safety Net Credit: RumblePublished | |
Biden and Trump Clash Over Cuts to Medicare and Social Security Credit: Wibbitz Top Stories Duration: 01:31Published | |
Trump Advocates Reductions in Social Security and Medicare Funding Credit: FanReviews Duration: 00:50Published | |
Five Incoming Calls: Includes Alleged Obamacare And Medicare, March 7, 2024 Credit: Rumble Duration: 04:38Published | |
Business for Therapist Nerds News: Medicare, Taxes, Change Healthcare Credit: Rumble Duration: 06:56Published | |
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United States: CMS Changes Medicare Advantage And Part D Plans' Agent/Broker/TPMO Compensation Landscape - Foley & LardnerIn its November 2023 Proposed Rule and in its recently issued Final Rule that was published in the Federal Register on April 23, 2024, the Centers for Medicare & Medicaid Services (CMS)...Mondaq - Published | |
Best blue chip healthcare stocks to buy and hold in 2024The healthcare industry is one of the biggest in the United States and other countries. In the US, the total Medicare expenditure stood at over $927 billion in 2022 and the trend is continuing as the..Invezz - Published | |
United States: CMS Finalizes CY 2025 Medicare Advantage Rule, Confirming Continued Focus On Marketing Practices And Health Equity - Bass, Berry & SimsOn April 4, the Centers for Medicare & Medicaid Services (CMS) issued the Contract Year (CY) 2025 Medicare Advantage (MA) Final Rule (Final Rule)...Mondaq - Published | |
United States: CMS Updates Guidance On The Medicare Prescription Payment Plan: What Part D Plans Should Be Doing Now - Wiley ReinThe Centers for Medicare & Medicaid Services updated its guidance on the Inflation Reduction Act of 2022's Medicare Prescription Payment Plan with its release of the Final Part One Guidance on February..Mondaq - Published | |
United States: CMS Announces New MSSP Model Aimed At Improving Primary Care - Bass, Berry & SimsThe Centers for Medicare & Medicaid Services (CMS) recently announced the ACO Primary Care Flex Model (ACO PC Flex Model or Model), a new voluntary payment model for primary care furnished...Mondaq - Published | |
United States: An Overview Of The States Advancing All-Payer Health Equity Approaches And Development (AHEAD) Model - Crowell & Moring LLPIn September 2023, the Centers for Medicare & Medicaid Services released a new state total cost of care model called the States Advancing All-Payer Health Equity Approaches and Development Model.Mondaq - Published | |
United States: Federal Agencies Issue Final Rules On Federal IDR Process Administrative Fee And Certified Entity IDR Fee Ranges - Hall Benefits LawThe Internal Revenue Service, Employee Benefits Security Administration, and the Centers for Medicare & Medicaid Services (collectively, "the Departments")...Mondaq - Published | |
United States: What's Been Missing: District Court Orders The Government To Produce Complete Universe Of Claims In Provider's Due Process Challenge To Extrapolated Overpayment - K&L GatesOn 5 March 2024, in an issue of first impression in the District of South Carolina, a district court judge overseeing judicial review of a final agency decision in a Medicare claims appeal ordered...Mondaq - Published | |
United States: NY Doctor Indicted For Medicare Fraud Related To Genetic Testing And Equipment - Dickinson Wright PLLCThe government is continuing to take a close look at laboratory testing in the wake of the COVID-19 pandemic.Mondaq - Published | |
United States: Physician Reimbursement - Will Medicare Cuts Continue? - Ankura Consulting Group LLCOn November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the 2024 Physician Fee Schedule Final Rule (Final Rule), which finalized changes to payment...Mondaq - Published | |
United States: CMS Releases Part Two Of Guidance For The Inflation Reduction Act's Medicare Prescription Payment Plan - MintzOn February 15, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Prescription Payment Plan Draft Part Two Guidance (Part Two Guidance)...Mondaq - Published | |
United States: Mintz IRA Update — Demystifying The IRA's Small Biotech Exception - MintzOn August 29, 2023, CMS selected the first 10 high-expenditure, single source, Medicare Part D drugs subject to negotiation under the IRA's Medicare Drug Price Negotiation Program...Mondaq - Published | |
United States: Mintz IRA Update — Legal Challenges To The Medicare Drug Price Negotiation Program Continue - MintzThe IRA's Medicare Drug Price Negotiation Program (the "Negotiation Program" or "Program"), which aims to lower drug prices by enabling the federal government to negotiate prices...Mondaq - Published | Mexico: New Mexico Latest State To Expand Medicaid Behavioral Health Program, Add Mobile Crisis Intervention Program - MintzNew Mexico recently became the latest state to receive Centers for Medicare & Medicaid Services (CMS) approval to expand the state's behavioral health service offerings through mobile crisis..Mondaq - Published |
United States: CMS Clarifies Boundaries On AI In Coverage Determination For Medicare Advantage Organizations - Katten Muchin Rosenman LLPOn February 6, the Centers for Medicare and Medicaid (CMS) published an important FAQ for Medicare Advantage Organizations...Mondaq - Published | United States: CMS Previews Changes To Medicare Advantage Capitation Rates, Parts C And D Payment Policies - Holland & KnightThe Centers for Medicare & Medicaid Services (CMS) released its Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D..Mondaq - Published |
United States: Behavioral Health: CMS Innovation Model Outlines Changes For The Delivery Of Integrated Behavioral And Physical Health Care - Foley & LardnerOn January 18, 2024, CMS announced a new innovation model designed to improve quality of care and behavioral and physical health outcomes for Medicaid and Medicare patients with moderate to severe..Mondaq - Published | United States: Medicare Advantage Risk Adjustment Data Validation Final Rule - Riker Danzig LLPThe U.S. Department of Health and Human Services ("HHS"), through the Centers for Medicare & Medicaid Services ("CMS"), issued a final rule early last year which...Mondaq - Published |
United States: EMTALA Patient Education Initiative Launched By HHS And CMS - Holland & KnightThe U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) have started a new effort to educate the public about the Emergency Medical Treatment..Mondaq - Published | United States: CMS Finalizes CY 2024 Medicare Physician Fee Schedule Rule - Crowell & Moring LLPOn November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the calendar year ("CY") 2024 Physician Fee Schedule (PFS) Final Rule ("CY 2024 PFS Final Rule").Mondaq - Published |
United States: A Renewed Focus On Primary Care – CMS Releases A Request For Applications For The Making Care Primary Model - Smith AndersonIn its latest initiative to address inefficiencies in primary care, the Centers for Medicare & Medicaid Services (CMS) has announced the Making Care Primary (MCP) model, ...Mondaq - Published | United States: CMS Finalizes New Electronic Prior Authorization Requirements For Payers And Providers - Ropes & Gray LLPOn January 17, 2024, the Centers for Medicare & Medicaid Services ("CMS") issued the CMS Interoperability and Prior Authorization final rule (the "CMS Final Rule").Mondaq - Published |
United States: HHS Issues Proposed Rule Outlining Provider Disincentives For Information Blocking - Crowell & Moring LLPOn November 1, 2023, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology...Mondaq - Published | United States: CMS Finalizes CY 2024 Outpatient Prospective Payment And Ambulatory Surgical Center Payment Systems Rule - Crowell & Moring LLPOn November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the calendar year ("CY") 2024 Hospital Outpatient Prospective...Mondaq - Published |
United States: CMS Approves Groundbreaking And Innovative 1115 Waiver Amendment For New York State Medicaid Program - Ropes & Gray LLPOn January 9, 2024, the Centers for Medicare & Medicaid Services ("CMS") announced its approval of the New York Health Equity Reform ("NYHER") waiver amendment under Section 1115(a)...Mondaq - Published | United States: HHS-OIG Declines Sanctions On Medical Device Manufacturer For Medicare Cost-Sharing Subsidies In Clinical Trial - Barnes & ThornburgThe U.S. Department of Health and Human Services' Office of Inspector General (HHS-OIG) released Advisory Opinion No. 23-11, a favorable opinion regarding a proposed arrangement...Mondaq - Published |
United States: HHS-OIG Declines Sanctions On Medicare Supplemental Insurance Incentives For Use Of Network Hospitals - Barnes & ThornburgHHS-OIG released a favorable opinion on a Medicare Supplemental Insurance Plan's desire to incentivize patients' use of network...Mondaq - Published | United States: Medicare Continues Its Updates To Provider Enrollment Policies As Part Of Efforts To Enhance Program Integrity And Transparency - Polsinelli LLPThe Centers for Medicare & Medicaid Services ("CMS") continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations...Mondaq - Published |
United States: Behavioral Health Law Ledger | December 2023 - Greenberg Traurig, LLPThe December 2023 issue of Greenberg Traurig's quarterly Behavioral Health Law Ledger discusses the expansion of Medicare reimbursement to cover Behavioral Health Intensive Outpatient...Mondaq - Published | United States: New Federal Guidance On Services Addressing 'Health-Related Social Needs' Under Medicaid - Manatt, Phelps & Phillips LLPIn recognition of the impact of health-related social needs (HRSNs),1,2 the Centers for Medicare & Medicaid Services (CMS) issued a new Informational Bulletin and accompanying framework...Mondaq - Published |
United States: CMS Enhances Scrutiny Of Nursing Home Ownership And Control Via New Disclosure Rule - Barnes & ThornburgAs part of a push to spotlight the ever-growing role of private equity in the healthcare industry, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare...Mondaq - Published | United States: Court Allows Medicare Drug Price Negotiations To Continue - Riker Danzig LLPA federal court recently denied the U.S. Chamber of Commerce (the "Chamber") and their state and local chapters' request for a preliminary injunction to block Medicare from negotiating...Mondaq - Published |
United States: Are Drugmakers Gaming The Patent System? - Axinn Veltrop & HarkriderWe all know that policymakers are increasingly focused on lowering drug costs. From the Inflation Reductions Act's Medicare price negotiations (aka price controls) to the recent proposals directed...Mondaq - Published |