Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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8 Sep 2021, 6:10 am
Sutter Health contracted with multiple MA Plans to provide health care services to the plans’ California members. [read post]
11 Sep 2023, 9:05 pm
Department of Defense—and one of a project by the General Services Administration (GSA) in collaboration with the Centers for Medicare and Medicaid Services (CMS). [read post]
14 Dec 2011, 2:47 pm
The Departments of Labor, Health & Human Services, Education, Justice, Housing & Urban Development, and others all have both increased enforcement, audits and public outreach, as well as have sought or are proposing tighter regulations. [read post]
15 Feb 2018, 4:41 pm
Health plans and insurers, their service providers that act as business associates within the meaning of the Health Insurance Portability & Accountability Act (HIPAA) and employer and other health plan sponsors, fiduciaries, and other management leaders should heed the warnings contained in the new Resolution Agreement (FileFax Resolution Agreement) with former HIPAA business associate FileFax, Inc. announced by the Department of Health & Human Services (HHS)… [read post]
24 Oct 2011, 11:48 am
Medicare Advantage plans can change their benefit package and as well as their provider network.According to the federal Centers for Medicare and Medicaid Services (CMS), Medicare Advantage premiums are expected to decrease by an average of 4 percent next year from this year, while Part D plan premiums will likely increase about 2 percent to $30 a month, on average. [read post]
6 May 2013, 4:04 am
“Sedgwick CMS, acting as claims administrator for the Kroger Co. [read post]
10 Feb 2014, 4:16 pm
Stamer is recognized, internationally, nationally and locally for her more than 25 years of work, advocacy, education and publications on cutting edge health and managed care, employee benefit, human resources and related workforce, insurance and financial services, and health care matters. [read post]
19 Oct 2008, 7:56 am
” Allen & Overy, CMS Cameron McKenna, and Latham & Watkins also feature in the article Structural engineering reviews recent significant improvements in law firm management. [read post]
6 May 2011, 6:00 am
Prior positions include: Director of Procurement and Contracting for the city of Palm Springs, California and materials management related positions at New York University Medical Center. [read post]
25 Oct 2015, 11:12 am
Scribe responsible for leading the American Bar Association (ABA) Joint Committee on Employee Benefits (JCEB) annual agency meeting with the Department of Health & Human Services Office of Civil Rights,Scribe responsible for leading the American Bar Association (ABA) Joint Committee on Employee Benefits (JCEB) annual agency meeting with the Department of Health & Human Services Cynthia Marcotte Stamer’s practice has focused on advising and representing government… [read post]
19 Oct 2021, 2:06 am
The new vaccine mandate will apply to the following types of contracts: Procurement contracts for services, construction, or a leasehold interest in real property; Contracts for services covered by the Service Contract Act; Contracts for concessions; and Contracts entered into with the federal government in connection with federal property or lands and related to offering services for federal employees, their… [read post]
3 Apr 2009, 7:55 am
Acute-care hospitals would be required to manage costs for all post-acute care services. [read post]
26 Mar 2019, 1:32 pm
[Budget impact not available] Make permanent a CMS demonstration under which CMS contracts with a single plan to provide Part D coverage to low-income beneficiaries while their eligibility is processed. [$300 million] The budget also discusses CMS’s proposed Part D Payment Modernization Model to test whether increased plan sponsor liability for Part D catastrophic spending, coupled with greater program flexibilities and formulary… [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]
3 Jun 2020, 1:07 pm
Government investigators claimed that the provider was improperly reimbursed for Medicaid after-hours services, in contravention to the billing requirements set out in the provider’s Medicaid managed care contract and HHSC program policy.[5] That same month, the government regulators reached a similar settlement with a physician practice in Mission, Texas in the amount of $61,310. [6] Notably, Texas has recently upped-the-ante, so to speak, by issuing a… [read post]
2 Feb 2016, 1:15 pm
It is emerging that, at least under the OECD's framework Guidelines for Multinational Enterprises, financial institutions assume at least some minimal level of responsibility for the human rights detrimental conduct of clients (Should Financial Institutions Have Obligations to Manage the Human Rights Impacts of their Clients? [read post]
4 Aug 2021, 6:23 am
Department of Health and Human Services (“HHS”). [read post]
15 Sep 2023, 2:02 pm
Hegarty of the Defense Criminal Investigative Service (“DCIS”), Northeast Field Office, investigating allegations of cost mischarging on Department of Defense (DoD) contracts is a top priority for the DCIS, the law enforcement arm of the DoD Office of Inspector General. [read post]
6 Apr 2020, 1:36 pm
The new Executive Director will be a caring manager who excels at supporting, mentoring, and motivating staff; developing structures and processes that ensure services are customer and community centered; and supporting teams that work closely with individuals experiencing trauma. [read post]
25 Apr 2017, 3:21 pm
Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS or the Department… [read post]
