Search for: "CMS CONTRACT MANAGEMENT SERVICES" Results 361 - 380 of 439
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5 Dec 2011, 4:17 am by David Harlow
  So you’ve had some firsthand experience practicing in the early days at one of the country’s leading HMOs - in fact, working with our soon-to-be-former CMS administrator Don Berwick. [read post]
17 Nov 2011, 9:11 am by Steven Boutwell
The CCN-P is a risk-bearing managed care organization model, which contracts with primary care physicians, as well as specialists, to participate in its managed care organization. [read post]
15 Nov 2011, 9:05 am by Greg Blankinship
Casco Communications/Peak Internet Cavalier Broadband, LLC CenturyTel, Inc.; CenturyTel Broadband Services, LLC; CenturyTel Service Group, LLC CMS Internet LLC Eastern Oregon Network, Inc. [read post]
14 Nov 2011, 2:31 pm by Sheppard Mullin
Contracting with ACO participants on an exclusive basis. 4. [read post]
2 Nov 2011, 10:09 am
In the public cloud, for example, a law firm could contract with a hosted Microsoft Exchange provider that offers email, contact and calendar management, instead of installing applications to manage same on a dedicated server. [read post]
2 Nov 2011, 7:13 am by Jerri Lynn Ward, J.D.
–  HHSC is expanding the STAR+PLUS Medicaid managed care delivery system into the Lubbock, El Paso, and Hidalgo service areas and will discontinue enrolling providers for HCSSA, CDS, AL/RC, AFC, and ERS (all for CBA) contracts. [read post]
2 Nov 2011, 4:53 am by David Harlow
  CMS would have ACOs, by virtue of participating in the MSSP, diffuse all the ACO goodness of care management, quality and cost control, etc., into the broader Medicare population. [read post]
24 Oct 2011, 11:48 am by Daniel S. Swinton, Esq.
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]
10 Oct 2011, 12:15 pm by Law Lady
Farmers Group, An insurance carrier did not act in bad faith when it denied coverage based on policy exclusions to an insured who contracted "chronic valley fever" after being exposed to dust in her home, a California appeals court has ruled. [read post]
4 Oct 2011, 6:03 am by Jerri Lynn Ward, J.D.
The following information was obtained from the September 30 issue of the Texas Register: Public Hearing and Notices HHSC intends to renew the consultant contract for Information Technology Negotiation Support Services to continue services to provide information, advice, and assistance in various proposals IT negotiations. [read post]
3 Oct 2011, 7:10 am by Cynthia Marcotte Stamer
  In addition to her experience advising governments and others internationally about these matters, she  regularly advises and represents employers, employee benefit plans, insurers, health care and managed care providers and others about evolving laws and regulations and assists them in dealing with Congress, the Internal Revenue Service, the Department of Labor, Immigration and Customs, OCR, OIG, CMS and other HHS agenices, the FTC, the Justice … [read post]
28 Sep 2011, 8:47 pm by admin
Now there is also an effective case management system to reduce delay in the decision making process. [read post]
28 Sep 2011, 7:36 am by Jerri Lynn Ward, J.D.
–  MDS 3.0 FY 2012 RUG Tips –  HHSC will host a series of provider trainings in the Managed Care Expansion service delivery areas, which will allow HHSC to present information to ensure a successful expansion of the STAR and STAR+PLUS Medicaid managed care programs, managed care pharmacy benefits, and Medicaid and CHIP dental managed care. [read post]
30 Aug 2011, 12:33 pm by Christie Britt, MBA MSCC AIC
  The type of service (e.g., inpatient hospital care and physician visits) and other applicable statutory provisions must always be considered when managing funds. [read post]
16 Aug 2011, 5:16 am by John Miano
About the Author: John Miano is the Manager of Reporting Services for Gould & Lamb, LLC. [read post]
15 Aug 2011, 6:42 am by admin
Now there is also an effective case management system to reduce delay in the decision making process. [read post]
4 Aug 2011, 4:25 pm by Rebecca Shafer, J.D.
     Alberto Salgado, an MPN coordinator and lead client services liaison at GENEX Services, Inc., in Orange County, California, asks: “Medicare Conditional Payments and WC – Can reimbursements to CMS be re-calculated at states' WC fee schedules (FS)? [read post]
7 Jul 2011, 10:42 pm by Ben Vernia
The Court found relevant the fact that CMS had mechanisms for managing and correcting these violations other than withholding payment due. [read post]