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8 Jun 2023, 8:48 am
The Centers for Medicare & Medicaid Services (“CMS”) announced it will test a new primary care model – the Making Care Primary (MCP) Model – in eight states. [read post]
8 Jun 2023, 4:30 am
[fn3] The panel also directed that the applicant should establish his competency to manage his affairs and to comply with the Center for Medicare and Medicaid Services (CMS) requirements for self-administration. [read post]
7 Jun 2023, 8:15 pm
In SuperValu, whistleblowers accused the two nationally known retail pharmacies of overbilling the Centers for Medicaid and Medicare Services (CMS) for reimbursements for prescription drugs. [read post]
7 Jun 2023, 8:46 am
Almost two years after issuing its Interim Final Rule requiring COVID-19 vaccination for certain health care works, the Centers for Medicare and Medicaid Services (“CMS”) has issued a final rule addressing several regulations regarding COVID-19 vaccination, testing, and education requirements in health care facilities. [read post]
6 Jun 2023, 3:13 pm
In conjunction with the Biden administration’s declaration that the COVID-19 national public health emergency ended effective May 11, 2023, the Centers for Medicare and Medicaid Services (CMS) announced it would “soon end” its mandatory vaccination requirement and that additional guidance would be forthcoming. [read post]
6 Jun 2023, 2:09 pm
Nonetheless, the Centers for Medicare and Medicaid have promulgated regulations that limit reimbursement to the lower of two amounts; one of which, is the provider’s “usual and customary” charge to the general public. [read post]
6 Jun 2023, 11:32 am
Q: You’ve been at a national surgery center management company and an autism platform. [read post]
2 Jun 2023, 8:46 am
According to the government, the Sinai and Harper hospitals provided MD-level healthcare services to 13 physicians at no (or reduced) cost to induce them to refer Medicare patients to Detroit Medical Center facilities. [read post]
1 Jun 2023, 7:53 pm
According to DOJ’s press release: VHS of Michigan Inc., doing business as, The Detroit Medical Center Inc. [read post]
1 Jun 2023, 5:00 pm
Known colloquially as the “gag clause prohibition,” Section 201 of the CAA, codified as Section 724 of the Employee Retirement Income Security Act of 1974 (“ERISA”), prohibits a group health plan from entering into an agreement with a TPA, health care provider, or other vendor offering access to a network of health care providers that would directly or indirectly prevent the plan from accessing certain cost and quality information and providing that information to its… [read post]
29 May 2023, 10:00 am
Medicare Advantage Plans are Aggressively Denying Claims – Administrative Appeals are Growing (May 25, 2023): According to the latest data released by the Centers for Medicare and Medicaid Services (CMS), beneficiaries participating in Medicare Advantage[1] plans now surpass those enrolled in original Medicare plans. [read post]
27 May 2023, 1:01 am
During this time, he cosponsored a host of social welfare bills, including a health insurance plan for the elderly that later became Medicare. [read post]
25 May 2023, 11:48 am
In Myriddian, the Centers for Medicare & Medicaid Services (CMS) awarded a five-year, $11 million contract to Cloud Harbor Economics, LLC (Cloud) for coding support services. [read post]
23 May 2023, 2:10 pm
The brief’s key findings are: Headlines from the 2023 Medicare Trustees’ Report focused on the program’s looming financial concerns. [read post]
23 May 2023, 11:12 am
The CSU|LAW Library Center for Health Law & Policy Guide provides information on, and links to, scores of resources concerning general health law, bioethics, Medicare/Medicaid law, and public health law. [read post]
22 May 2023, 5:00 am
The Centers for Medicare & Medicaid Services (CMS) recently announced that it is planning to launch a new iteration of PECOS in Summer 2023. [read post]
19 May 2023, 2:34 pm
Ideally, this will manifest in increased interoperability capabilities nationwide—the Centers for Medicare & Medicaid Services has committed to transitioning to value-based arrangements by 2030. [read post]
19 May 2023, 2:34 pm
Ideally, this will manifest in increased interoperability capabilities nationwide—the Centers for Medicare & Medicaid Services has committed to transitioning to value-based arrangements by 2030. [read post]
16 May 2023, 10:50 am
This fact sheet, prepared by the Centers for Medicare & Medicaid Services, summarizes this important legislation. [read post]
15 May 2023, 2:23 pm
The news coincides with the end of the federal public health emergency on May 11, along with the anticipated end of the federal COVID-19 vaccination mandate for health care facilities certified by the Centers for Medicare and Medicaid Services (“CMS”). [read post]
