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27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
27 Jun 2023, 10:00 pm
The Centers for Medicare & Medicaid Services (CMS) proposed on April 23, 2023 two rules that would affect Medicaid managed care: Ensuring Access to Medicaid Services (CMS 2442-P) and Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-P). [read post]
See(2)(A) You Later: Supreme Court Holds that DOJ Has Broad Dismissal Authority Even After Unsealing
21 Jun 2023, 9:59 am
The Court explained that the Government’s role in qui tam actions, consistent with the statute’s Government-centered purpose, is “seal-agnostic,” because the Government’s interest in the suit remains the same regardless of when it intervenes. [read post]
20 Jun 2023, 5:55 am
COVID-19 Vaccine Mandate Update (June 20, 2023): In response to the recent public health crises, the Centers for Medicare & Medicaid Services (CMS) first implemented a vaccine mandate for healthcare providers in late 2021. [read post]
17 Jun 2023, 3:06 pm
From Health Affairs (online, June 14):New estimates released today from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS) and published online today in Health Affairs project a rate of national health spending growth of 4.3 percent for 2022, with expenditures projected to have reached $4.4 trillion. [read post]
16 Jun 2023, 6:46 am
Economy over Next Decade Healthcare spending will grow faster than the U.S. economy over the next decade, according to actuaries at the Centers for Medicare & Medicaid Services. [read post]
15 Jun 2023, 9:26 pm
Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) over new measures in the Inflation Reduction Act (IRA). [read post]
14 Jun 2023, 7:59 pm
., center-level, OPEQ-level, or division-level. [read post]
14 Jun 2023, 8:02 am
Medicare Operations Division. [read post]
13 Jun 2023, 7:28 am
On May 31, the Department of Justice announced that Vangaurd Health Systems (doing business as The Detroit Medical Center Inc. [read post]
9 Jun 2023, 7:59 am
Strategically centered in Washington, D.C., our Government Investigations & White Collar Litigation Department has been honored as a Law360 Practice Group of the Year and earned the trust of international companies and individuals through our representation in some of the most notable enforcement matters over the past decade. [read post]
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]
