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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 | |
Florida Medicare Broker Explains Plan G N and HDG LIVE!! Credit: RumblePublished | |
Illegal Alien receives FREE Rent, Cash, Medicare, Airfare, 3 meals... EVERYTHING. Credit: Rumble Duration: 01:29Published | |
20240314 Thursday PM Quick Daily News Headline Analysis 4 Busy People Snark Comments-Trending News Credit: RumblePublished | |
🚨 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 | |
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United States: PhRMA To Revive Medicare Drug Price Lawsuit Before Fifth Circuit - MintzRachel said, "Despite the case being the first to reach a circuit court among the several lawsuits fighting the program, the issues on appeal are ‘unique' to NICA and will have relatively little..Mondaq - Published | |
United States: Analysis: CY 2025 Revisions To Medicare Advantage And Part D Rules Governing Agent, Broker And Third Party Compensation - Akin Gump Strauss Hauer & Feld LLPOn April 4, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year (CY) 2025 Medicare Advantage (MA) and Medicare Part D Policy and Technical Changes final rule ("Final Rule")...Mondaq - Published | |
United States: CMS Proposes Important Enhancements To The New Technology Add-on Payment Program In The FY 2025 IPPS Proposed Rulemaking - Foley Hoag LLPOn April 10, 2024, CMS published the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) Proposed Rule, which contains several key proposals...Mondaq - Published | |
United States: CMS Restricts Marketing Companies From Sharing Medicare Beneficiary Data - Manatt, Phelps & Phillips LLPHalf of Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans. This extensive growth, which represents a doubling of MA enrollment since 2010...Mondaq - 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 | United States: Behavioral Health: Momentum Continues In The CY 2024 Medicare Physician Fee Schedule - Bass, Berry & SimsOn November 16, the Centers for Medicare & Medicaid Services (CMS) published its Medicare Physician Fee Schedule (PFS) final rule for calendar year 2024 (PFS Final Rule).Mondaq - Published |
United States: Criminal Indictment For Medicare Advantage Fraud - WilmerHaleThe U.S. Department of Justice (DOJ) recently announced a rare criminal indictment involving the Medicare Advantage program—a contrast from DOJ's more typical use of its civil enforcement authority..Mondaq - Published | United States: Final CY 2024 Medicare Physician Fee Schedule Extends Many Telehealth Flexibilities Through 2024 - Manatt, Phelps & Phillips LLPPrior to the COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services (CMS) evaluated changes to the Medicare Telehealth Services List (the List) through an annual..Mondaq - Published |
United States: CMS Promotes Competition, Transparency, Health Equity And More In The CY2025 Medicare Advantage And Part D Proposed Rule - Sheppard Mullin Richter & HamptonOn November 6, 2023, the Centers for Medicare and Medicaid Services ("CMS") released the contract year 2025 proposed rule for Medicare Advantage...Mondaq - Published | Vellore Institute of Technology Student Pragati Bhattad Wins Prestigious IET India Scholarship AwardThe Institution of Engineering and Technology (IET), a global engineering body announces *Pragati Bhattad*, 4th year student of Vellore Institute of Technology as this year's national winner of the..NewsVoir - Published |
United States: Meaningful Disincentives: Proposed Rule Introduces New Consequences For Information Blocking By Health Care Providers - Ropes & Gray LLPOn November 1, 2023, the U.S. Department of Health and Human Services ("HHS") Office of the National Coordinator for Health Information Technology ("ONC") and the Centers for Medicare & Medicaid..Mondaq - Published | United States: HHS Proposes Appropriate Disincentives For Health Care Providers That Commit Information Blocking - MintzIn coordination with the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS) and Office of the National Coordinator for Health Information Technology...Mondaq - Published |
United States: HHS Proposes Information Blocking Disincentives For Healthcare Providers - Holland & KnightTwo divisions of the U.S. Department of Health and Human Services (HHS) – the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator (ONC)...Mondaq - Published |