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CMS Issues Final Rule to Stabilize ACA Insurance Markets, While Emphasizing Marketplace Woes
  • Reed Smith LLP
  • USA
  • April 14 2017

The Centers for Medicare & Medicaid Services has published a final rule intended to help improve the risk pool and stabilize the Affordable Care Act


CMS Finalizes 2018 Medicare AdvantagePart D Policies, Seeks Ideas for Improving Programs
  • Reed Smith LLP
  • USA
  • April 14 2017

CMS has released its 2018 Medicare Advantage (MA) and Part D Rate Announcement and Call Letter. CMS estimates that plan revenues will increase by 0


Coming Soon: Proposed 2018 Medicare Payment Rules
  • Reed Smith LLP
  • USA
  • April 14 2017

CMS has sent several major proposed Medicare 2018 payment rules to the White House Office of Management and Budget (OMB) for regulatory clearance


Roundup of Recent Congressional Health Policy Hearings
  • Reed Smith LLP
  • USA
  • April 13 2017

A number of Congressional committees have recently held hearings on health policy issues, including the following: House Energy and Commerce


OIG and HCCA Offer Suggestions for Measuring Health Organization Compliance Program Effectiveness
  • Reed Smith LLP
  • USA
  • April 13 2017

The OIG and the Health Care Compliance Association (HCCA) recently held a roundtable where the discussion focused on a broad range of ideas regarding


House Republican Leaders Tout “Progress” on ACA RepealReplace Efforts Before Congressional Recess
  • Reed Smith LLP
  • USA
  • April 6 2017

The House of Representatives has adjourned for a two-week recess without a full House vote on the Republican Party’s signature legislation the


CMS Pauses Medicare Home Health Pre-Claim Review Demonstration in Illinois, Puts Off Expanding Demo to Florida for Now
  • Reed Smith LLP
  • USA
  • April 4 2017

CMS has announced that it is “pausing” its Pre-Claim Review demonstration in Illinois for at least 30 days, effective April 1, 2017, and it is not


CMS Considering 6-Month Delay of Obama Administration Home Health COP Rule
  • Reed Smith LLP
  • USA
  • April 4 2017

As previously reported, in January 2017 the Obama Administration finalized major changes to the conditions of participation (CoPs) that home health


CMS Clarifies Medicaid DSH Rules for Treatment of Third Party Payments in Calculating Uncompensated Care Costs
  • Reed Smith LLP
  • USA
  • April 4 2017

CMS has published a final rule intended to codify its existing interpretation of how third-party payments are considered in the calculation of


CMS Encourages ProvidersSuppliers Not To Put Off Emergency Preparedness Training Exercises; Educational Call Scheduled for April 27
  • Reed Smith LLP
  • USA
  • April 4 2017

CMS is reminding Medicare- and Medicaid-participating providers and suppliers that they will be expected to comply with training and testing