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CMS Proposes Invalidating Adjuster Methodology and Recouping Past Improper Payments From Medicare Advantage Organizations
  • Squire Patton Boggs
  • USA
  • November 15 2018

On October 26, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that will, among others initiatives, allow CMS to


Part 6: CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service and Medicaid Managed Care Programs for Years 2020 and 2021
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • November 14 2018

This part 6 of our 7 part series focuses on the provisions regarding dual special needs plans (“D-SNPs”) released by the Centers for Medicare and


MAPDP Star Ratings: Proposed Technical Changes for 2020
  • Crowell & Moring LLP
  • USA
  • November 8 2018

In the most recent technical changes made to Part C and Part D plans for 2019, CMS codified the star ratings methodology in regulations. Now, CMS is


CMS Announces and Solicits Comments on Expanded RADV Audit Methodology
  • Crowell & Moring LLP
  • USA
  • November 8 2018

In its recent notice of proposed rulemaking setting policy for Medicare Advantage (MA) and the Prescription Drug Program (PDP) for calendar year 2020


CMS Seeks Comment on Proposed Rule to Expand Telehealth Access and Coverage in the Medicare Advantage Program
  • Crowell & Moring LLP
  • USA
  • November 7 2018

The Centers for Medicare & Medicaid Services (CMS) continues to develop policy to expand telehealth coverage. On October 26th, CMS released a proposed


Health Care Alert: CMS Rules Expand Use of Telehealth And Remote Patient Monitoring Under Medicare
  • Vorys Sater Seymour and Pease LLP
  • USA
  • November 5 2018

The Centers for Medicare and Medicaid Services (CMS) recently published two rules designed to promote the use of telehealth and remote patient


Part 2: CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • November 1 2018

As part of the proposed rule issued November 1, 2018 by the Centers for Medicare and Medicaid Services (“CMS”) regarding updates to the Medicare


Part 4: CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • November 1 2018

The proposed rule issued November 1, 2018 (the “Proposed Rule”) by the Centers for Medicare and Medicaid Services (“CMS”) includes two Technical


Part 3: CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • November 1 2018

The proposed rule issued November 1, 2018 (the “Proposed Rule”) by the Centers for Medicare and Medicaid Services (“CMS”) includes a number of


CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • October 29 2018

On October 26, 2018, the Centers for Medicare and Medicaid Services (“CMS”) released for viewing a proposed rule that includes significant changes for