Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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23 Apr 2024, 11:05 am
Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and Medicaid Services (CMS) has submitted for public inspection its Contract Year 2025 Final Rule. [read post]
10 Apr 2024, 3:45 pm
The sustainable fishery and forestry standards used by Carrefour and Ikea were developed more informally by environmental groups and businesses, and are applied to producers through supply-chain contracts, without any government involvement. [read post]
8 Apr 2024, 8:27 am
(“CLI”) and CoreLife Management Services, Inc. [read post]
28 Mar 2024, 11:00 am
Army Corps of Engineers’ contract award for environmental remediation services at a Superfund contamination site. [read post]
17 Mar 2024, 5:42 pm
What Health Plans, Their Fiduciaries, Vendors & Sponsors Should Be Doing Now Health plans, their fiduciaries, health plan sponsors and insurers, and their administrative and other service providers should move quickly to understand and act to mitigate the exposures likely to arise under the Health Insurance Portability and Accountability Act Privacy, Security and Data Breach Rules (HIPAA) Privacy, Security, and Breach Notification Rules, the claims, notice and fiduciary… [read post]
8 Feb 2024, 7:47 am
The federal H-2B visa program permits U.S. employers to temporarily hire nonimmigrants to perform nonagricultural labor or services. [read post]
1 Feb 2024, 6:19 pm
Stamer’s work throughout her career has focused heavily on working with health care and managed care, life sciences, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public… [read post]
23 Jan 2024, 2:04 pm
Stamer’s work throughout her career has focused heavily on working with health care and managed care, life sciences, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public… [read post]
16 Jan 2024, 11:33 am
We believe any digital asset rules should (1) treat classes of digital assets with unique characteristics differently based on their economics, (2) minimize incentives for users to engage in tax-motivated structuring of transactions, and (3) allow the Internal Revenue Service authority to react to and regulate new classes of digital assets as they are created. [read post]
12 Jan 2024, 9:00 am
During the term of the amendment (January 9, 2024 through March 31, 2027), New York aims to fundamentally reform the way health care services are delivered through its Medicaid program by: Investing in Health Related Social Needs (HRSN) via providers working with Social Care Networks (SCNs) which in turn contract with existing Medicaid managed care ... [read post]
8 Jan 2024, 2:10 pm
Health plans, health care providers and health care clearinghouses (“Covered Entities”) treat the Department of Health and Human Service Office of Civil Right (“OCR”) announcement of its 46th enforcement action under the Health Insurance Portability & Accountability Act (“HIPAA”) Right of Access Rule as a warning to confirm their own organization’s timely delivery of records and other compliance with the Rule. [read post]
22 Dec 2023, 9:33 am
Stamer is most widely recognized for her decades of pragmatic, leading-edge work, scholarship and thought leadership on heath benefit and other healthcare and life science, managed care and insurance and other workforce and staffing, employee benefits, safety, contracting, quality assurance, compliance and risk management, and other legal, public policy and operational concerns in the healthcare and life sciences, emp [read post]
11 Dec 2023, 8:33 am
Ms Cannell alleged that in her new role Ms George had undertaken work for a client of LCA, Balgores Property Services. [read post]
29 Nov 2023, 5:04 pm
This measure, together with new pharmacy contracting requirements and related enforcement provisions also included in the bill, would represent an important—albeit limited—modification to pharmacy network contracting rules under Part D, which have been limited by the statutory “non-interference clause” barring the Centers for Medicare and Medicaid Services (CMS) from interfering in contract negotiations between pharmacies and plans… [read post]
28 Nov 2023, 8:10 pm
And then it got into contract management. [read post]
17 Nov 2023, 9:11 am
In the Proposed Rule, CMS seeks to generally prohibit contract terms between MA or [read post]
13 Nov 2023, 5:40 pm
Personal services and management contracts and outcomes-based payment arrangements. [read post]
5 Nov 2023, 3:10 pm
The CMS waiver programs required DADS to collect and report to CMS applicant and enrollee community and institutional service choice, Level of Care, Plan of Care, waiver provider choice and other waiver program performance data for CLASS and DBMD as part of a required evidentiary report on all §1915(c) waiver programs. [read post]
5 Oct 2023, 9:35 am
And the initial statement on accountable care organizations (ACO) had been designed to permit, and study, a certain novel form of non-merger integration; ACOs had changed in the interim, and both FTC and Centers for Medicare & Medicaid Services (CMS) staff had been following the changes. [read post]
2 Oct 2023, 5:00 am
In the first phase, OIG intends to review activities that occur when the Centers for Medicare & Medicaid Services (CMS) or states initially establish or renew managed care contracts. [read post]
