Search for: "Administrator for the Centers for Medicare and Medicaid Services" Results 61 - 80 of 2,114
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15 Jan 2024, 6:00 am by beng
But similar to the PHI administrative simplification rules, the HHS also delegated transaction rule enforcement to the Centers for Medicare and Medicaid Services (CMS). [read post]
10 Jan 2024, 11:11 am by Roger Bate
Notably, the Centers for Medicare & Medicaid Services (CMS) and some U.S. states (notably, Oregon) want to limit payment for some accelerated-approval medications, or remove such medications from key formularies until they pass regular FDA approval. [read post]
10 Jan 2024, 5:18 am by Robert Kraft
Additional Resources The Legal Services Corporation: https://www.lsc.gov/ The National Center for Law and Economic Justice: https://www.nclej.org/ The Administration for Community Living: https://acl.gov/ The post Legal Services for Older Adults: Accessing Legal Assistance for Various Matters first appeared on Kraft Elder Law. [read post]
2 Jan 2024, 12:19 pm
If you are a senior who participates in a Medicare Advantage plan, you have the option to leave your health care network if your doctor does and if the network change is “considered significant based on the [effect] or potential to affect current plan enrollees” according to the Centers for Medicare and Medicaid Services guidebook. [read post]
As of 2023, group health plans are required to submit a gag clause prohibition compliance attestation (GCPCA) through the Centers for Medicare and Medicaid Services’ (CMS) Health Insurance Oversight System (HIOS) to attest they have complied with the prohibition on gag clauses. [read post]
19 Dec 2023, 8:43 am by Julia Kourpas
The Centers for Medicare & Medicaid Service (CMS) has created a new rule that requires nursing homes to report more information and details to their owners. [read post]
15 Dec 2023, 6:28 am by Julia Kourpas
Oakwood was later cited and fined almost $100k by The Centers for Medicare and Medicaid Services. [read post]
14 Dec 2023, 9:00 am
In this episode of the Diagnosing Health Care Podcast: Under the Biden administration, the Centers for Medicare & Medicaid Services published a health equity framework that drastically changed the playing field for health plans and other risk-bearing entities. [read post]
7 Dec 2023, 8:32 am by Alan Brackett
It is good practice to have the Centers for Medicare & Medicaid Services (“CMS”) review and approve the MSA prior to the parties’ finalizing settlement. [read post]
30 Nov 2023, 9:05 pm by Josephine A. Phillips
The Centers for Medicare and Medicaid issued a final rule updating payment systems and reporting requirements for several Medicare programs, including the Medicare Hospital Outpatient Prospective Payment System. [read post]
29 Nov 2023, 5:04 pm by Robert Hill and Matthew Loughran
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 or their… [read post]
22 Nov 2023, 3:16 pm by karplawfirm
That has led them to assisted living centers run by for-profit companies and pri [read post]
The Centers for Medicare & Medicaid Services (CMS) has published its final rule that requires nursing homes enrolled in Medicare and Medicaid to disclose additional ownership and management information to CMS and state Medicaid agencies. [read post]
15 Nov 2023, 12:01 pm by jeffreynewmanadmin
The Center for Medicare and Medicaid has issued new rules requiring the disclosure of ownership of nursing homes and skilled nursing facilIties, including ownership by private equity firms. [read post]
15 Nov 2023, 7:56 am by Irene
” Healthcare is among the biggest expenses with Medicaid costs for “emergency services for undocumented aliens” exceeding $12.4 billion in the last two years, according to figures provided to committee members by the Centers for Medicare and Medicaid Services. [read post]
10 Nov 2023, 1:35 pm by Cynthia Marcotte Stamer
  The Internal Revenue Service announced the 2024 HFSA, MSA and other a multitude of other adjustments likely to impact 2024 benefit elections, withholding and other tax planning for workers in Rev. [read post]
9 Nov 2023, 9:05 pm by Brian Connor
The Centers for Medicare and Medicaid Services (CMS) proposed a new rule that would revise the Medicare Advantage Program and the Medicare Prescription Drug Benefit Program. [read post]
9 Nov 2023, 1:48 pm by Cynthia Marcotte Stamer
  This  involvement encompasses helping health care systems and organizations, group and individual health care providers, health plans and insurers, health IT, life sciences and other health industry clients prevent, investigate, manage and resolve  sexual assault, abuse, harassment and other organizational, provider and employee misconduct and other performance and behavior; manage Section 1557, Civil Rights Act and other discrimination and accommodation, and other regulatory,… [read post]
9 Nov 2023, 1:07 pm by Cynthia Marcotte Stamer
  The Internal Revenue Service announced the 2024 HFSA, MSA and other a multitude of other adjustments likely to impact 2024 benefit elections, withholding and other tax planning for workers in Rev. [read post]