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States Begin 2016 with the Expansion of Telehealth Services

USA - January 6 2016 As we enter into the new year, the health industry continues to see expanded access to telehealth services. After a whirlwind 2015 in which we saw…

Dale C. Van Demark, Marshall E. Jackson, Jr., Lisa Schmitz Mazur

Senate Finance Committee Considering Telehealth Options to Improve Care and Lower Costs

USA - January 5 2016 On December 18, 2015, the United States Senate Committee on Finance (the Committee) released a Bipartisan Chronic Care Working Group Policy Options…

Dale C. Van Demark, Marshall E. Jackson, Jr., Lisa Schmitz Mazur

CMS finalizes mandatory bundled payment model for lower extremity joint replacements

USA - November 24 2015 On November 16, 2015, the Centers for Medicare & Medicaid Services (CMS) released final regulations implementing the Comprehensive Care for Joint…

Sheila Madhani, Eric Zimmerman

CMS to test value-based insurance design in Medicare Advantage

USA - September 16 2015 On September 1, 2015, the Centers for Medicare & Medicaid Services (CMS) announced the Medicare Advantage Value-Based Insurance Design Model (Model)…

Medicaid managed care update: accelerating state-led payment and delivery system reform

USA - July 24 2015 CMS proposes to codify its longstanding policy prohibiting states from directing Sponsor expenditures while formalizing a series of exceptions to…

J. Peter Rich