Search for: "Administrator for the Centers for Medicare and Medicaid Services"
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28 Apr 2019, 9:05 pm
For example, the Center for American Progress toted its proposal, Medicare Extra for All, by arguing that health care constitutes a right, as opposed to a privilege. [read post]
28 Apr 2019, 9:02 pm
Defining and Establishing Goals for Medicare for All April 29, 2019 | Carmel Shachar, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics It is increasingly difficult to find a Democratic presidential hopeful who has not paid at least some lip service to “Medicare for all. [read post]
23 Apr 2019, 2:28 pm
The Centers for Medicare & Medicaid Services (CMS) is expanding the types of durable medical equipment (DME), prosthetic, orthotics, supplies (DMEPOS) that are subject to Medicare prior authorization requirements on the basis of being “frequently subject to unnecessary utilization. [read post]
22 Apr 2019, 9:00 am
East Texas Medical Center Regional Health Services, Inc. [read post]
11 Apr 2019, 9:05 pm
” With the support of the Centers for Medicare and Medicaid Services (CMS)—which operates the joint federal-state Medicaid program—Arkansas implemented an 80-hour-per-month work requirement for its non-disabled, non-elderly Medicaid beneficiaries, and Kentucky was ready to do the same. [read post]
11 Apr 2019, 4:21 am
Stamer also has extensive health care reimbursement and insurance experience advising and defending health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and group and other health benefit programs and coverages including but not limited to advising public and private payers about coverage and program design and documentation, advising and defending providers,… [read post]
9 Apr 2019, 8:09 am
According to an FAQ published in March, the Centers for Medicare & Medicaid Services (CMS), acting on behalf of the U.S. [read post]
8 Apr 2019, 8:57 am
CMS announced the increase on April 1, 2019: Today, the Centers for Medicare & Medicaid Services (CMS) finalized updates that will take significant steps in continuing the Trump administration’s efforts to increase competition among Medicare Advantage and Part D plans so patients get higher quality care at lower costs. [read post]
2 Apr 2019, 6:36 am
The Centers for Medicare & Medicaid Services (CMS) announced Monday that the US government will increase by 2.53 percent on average 2020 payments to health insurers that manage Medicare Advantage insurance plans for seniors and chronically ill beneficiaries. [read post]
27 Mar 2019, 8:13 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
27 Mar 2019, 6:24 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
26 Mar 2019, 1:34 pm
Medicaid Reforms With regard to Medicaid, the Administration continues to call for sweeping reforms to the program’s structure and financing. [read post]
26 Mar 2019, 1:32 pm
” When the competitor drug is commercially available, the Centers for Medicare & Medicaid Services (CMS) would pay for both innovator and competitor drugs at ASP plus 6%. [read post]
26 Mar 2019, 10:24 am
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and other private… [read post]
25 Mar 2019, 4:47 pm
Following an audit by the Centers for Medicare and Medicaid Services (“CMS”), Cigna received a letter stating that it had “substantially failed to comply with CMS requirements regarding coverage determinations, appeals, benefits administration, compliance program effectiveness and similar matters. [read post]
25 Mar 2019, 1:09 pm
The letter is addressed to the head of the Office of Inspector General (OIG) and the Administrator of the Centers for Medicare & Medicaid Services (CMS). [read post]
20 Mar 2019, 7:24 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
19 Mar 2019, 4:28 pm
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
19 Mar 2019, 11:30 am
First, the Centers for Medicare & Medicaid Services (“CMS”) proposes to change how insurance plans and PBMs conduct drug utilization management and structure drug formularies. [read post]
15 Mar 2019, 8:19 am
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors; domestic and international public and private health care, education and other community service and care organizations; managed care organizations; insurers, third-party administrative… [read post]
