Search for: "CMS CONTRACT MANAGEMENT SERVICES"
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9 May 2019, 8:06 am
CMS believes patients should know what a drug costs as they discuss their options with their doctor. [read post]
8 May 2019, 12:44 pm
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
1 May 2019, 4:39 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
29 Apr 2019, 7:21 am
The Company intends to honor and follow Article 25 of the contract. [read post]
23 Apr 2019, 9:01 am
Sutter Health, a non-profit public benefit corporation that provides healthcare services through its affiliates, including hospitals and medical foundations, contracted with certain MAOs to provide healthcare services to California beneficiaries enrolled in the MAOs’ MA Plans. [read post]
19 Apr 2019, 11:56 am
Department of Health and Human Services (HHS) announced that it would extend until June 3, 2019 the comment periods for the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) proposed interoperability and information blocking rules. [read post]
19 Apr 2019, 9:43 am
Sutter Health, a non-profit public benefit corporation that provides healthcare services through its affiliates, including hospitals and medical foundations, contracted with certain MAOs to provide healthcare services to California beneficiaries enrolled in the MAOs’ MA Plans. [read post]
29 Mar 2019, 8:47 am
Why shouldn’t Google have to have a contract with the artists to exploit their IP? [read post]
27 Mar 2019, 8:13 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [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
CMS has already announced its intention to bid these items for contracts that will go into effect in 2021, as discussed in a previous blog post. [read post]
26 Mar 2019, 1:32 pm
[Budget impact not available] Make permanent a CMS demonstration under which CMS contracts with a single plan to provide Part D coverage to low-income beneficiaries while their eligibility is processed. [$300 million] The budget also discusses CMS’s proposed Part D Payment Modernization Model to test whether increased plan sponsor liability for Part D catastrophic spending, coupled with greater program flexibilities and formulary… [read post]
15 Mar 2019, 8:19 am
The Internal Revenue Service (IRS) exempt organization determination procedures are changing. [read post]
14 Mar 2019, 5:08 pm
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
1 Feb 2019, 1:19 pm
The proposed rule would (i) remove safe harbor protection for drug manufacturer rebates to Part D plans, Medicaid managed care organizations, and PBMs acting under contract with either type of entity, (ii) establish a new safe harbor protecting manufacturer “point of sale” price reductions on Part D and Medicaid managed care drug utilization, and (iii) establish a new safe harbor protecting certain service fees paid by drug manufacturers to… [read post]
9 Jan 2019, 1:39 pm
The defendant owners are alleged to have fraudulently kept patients on hospice services for years when such care was not medically appropriate. [read post]
8 Jan 2019, 12:38 pm
Often, health care providers and payers negotiate contracts based on the health care provider’s reputation rather than on the quality of care that health care provider offers to patients. [read post]
27 Dec 2018, 2:00 pm
All federal agencies, including those of the Department of Health and Human Services (such as the Centers for Medicare and Medicaid Services(CMS)) are required to identify and repeal existing guidance documents that are outdated, unnecessary, inconsistent with existing law, or other improper. [read post]
18 Dec 2018, 3:57 am
Stamer’s experience in these matters includes supporting these organizations and their leaders on both a real-time, “on demand” basis with crisis preparedness, intervention and response as well as consulting and representing clients on ongoing compliance and risk management; plan and program design; vendor and employee credentialing, selection, contracting, performance management and other dealings; strategic planning; policy, program, product and… [read post]
15 Dec 2018, 7:41 am
She has been continuously involved the design, regulation, administration and defense of managed care and other health and employee benefit, health care, human resources and other staffing and workforce arrangements, contracts, systems, and processes. [read post]
