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2 May 2024, 10:22 pm
Reports released by the Centers for Medicare & Medicaid Services share data on health care disparities and patient care quality in the Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Provider and Systems survey. [read post]
2 May 2024, 6:03 am
Mississippi legislators grapple with Medicaid expansion as third parties mount a public campaign. [read post]
1 May 2024, 1:18 pm
Evolution of AKS-Based FCA Case Law The AKS is a criminal statute that makes it a felony to knowingly and willfully offer or accept remuneration in return for inducing or rewarding patient referrals or the generation of business covered by federal programs like Medicare and Medicaid.[7] Starting in the 1990s, violations of the AKS by hospitals and drug manufacturers became a common predicate for civil liability under the FCA in cases brought by the DOJ and qui tam relators. [read post]
1 May 2024, 4:00 am
Health CareOne of the issues in the first Affordable Care Act case was whether Congress could use its spending power to require states to adopt more permissive requirements for people to be on Medicaid as a condition for states receiving future Medicaid payments from the federal government. [read post]
30 Apr 2024, 8:01 pm
" The majority held that the exclusion for "transexual surgery" in West Virginia's Medicaid program similarly violates the equal protection clause as well as the Medicaid Act. [read post]
30 Apr 2024, 1:15 pm
Estate Recovery: In Texas, Medicaid has the right to seek reimbursement from a beneficiary’s estate for Medicaid benefits received during their lifetime. [read post]
30 Apr 2024, 12:52 pm
In some cases, families may also be eligible for government assistance programs like Medicaid or the Supplemental Security Income Program (also called SSI) offered by Social Security, as infants requiring NICU stays may qualify for SSI based on their medical needs and their family’s financial resources. [read post]
30 Apr 2024, 8:22 am
Our team handles a range of cases, including those related to estate planning, trust administration, special needs planning, and Medicaid planning. [read post]
29 Apr 2024, 11:31 am
On April 22, 2024, CMS issued the Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting final rule.The final rule was issued a little over seven months after the proposed rule was submitted by CMS on September 6, 2023. [read post]
29 Apr 2024, 9:36 am
Not every facility that is eligible to accept Medicare or Medicaid does. [read post]
29 Apr 2024, 5:52 am
At Rasansky Law Firm, we understand cerebral palsy's deep impact on a family. [read post]
29 Apr 2024, 4:00 am
Dole and the Medicaid expansion/Spending Clause portion of NFIB v. [read post]
28 Apr 2024, 6:00 pm
When that occurs, a Medicaid application will not be approved unless the QIT is used. [read post]
27 Apr 2024, 1:00 am
You really can't blame Big Pharma for hating the new federal law that authorizes the Medicare program (for the first time in its 59-year existence) to stop buying drugs for the manufacturer's price but instead to negotiate for a reasonable price (the way the VA, state Medicaid agencies, the Defense Department, and most other countries do).Medicare has been a predictably incredible cash cow for [read post]
26 Apr 2024, 10:13 am
April 23, 2024 • Volume 5 Issue 237 It is time to jump into the pool…read on: CLIENT QUESTION: A family member has an elderly relative in failing health that they’re looking to get into assisted living using Medicaid. [read post]
25 Apr 2024, 11:19 pm
Advertisement Patrick Haley, spokesperson for the hospital, said this means they will be unable to provide care to Medicaid and Medi-Cal beneficiaries. [read post]
25 Apr 2024, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) announced a final rule that creates minimum nurse staffing requirements for long-term care (LTC) facilities that receive Medicare and Medicaid funding. [read post]
24 Apr 2024, 4:52 am
Medicaid Rebate Fraud The Medicaid Drug Rebate Program (MDRP) ensures Medicaid does not overpay for drugs compared to private purchasers. [read post]
23 Apr 2024, 9:05 pm
A 2021 Centers for Medicare and Medicaid Services memorandum reinforced those obligations and stated outright that a doctor’s legal duty to provide stabilizing treatment to patients seeking emergency medical care preempts conflicting state laws that ban such treatment. [read post]
23 Apr 2024, 1:32 pm
ShareLess than a month after the justices heard oral arguments in a case seeking to roll back access to one of the drugs used in medication abortions, the Supreme Court will hear oral arguments on Wednesday in another case involving abortion. [read post]