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Results: 1-10 of 1,131

Medicare Advantage to Address Social Determinants of Health: An Important Step for Value-Based Care
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • April 18 2018

On April 4, 2018, the Centers for Medicare & Medicaid Services (“CMS”) finalized guidance and policies for the Medicare Advantage program that will


Star Ratings and Future Measurement Concepts in the CY 2019 Final Call Letter
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • April 11 2018

Medicare Part C and Part D Star Ratings are used by CMS to measure the quality of and reflect the experiences of beneficiaries in Medicare Advantage


CMS releases Medicare AdvantagePart D final rule
  • Hogan Lovells
  • USA
  • April 6 2018

On April 2, 2018, the Centers for Medicare & Medicaid Services (CMS) released a final rule to revise regulations and clarify program requirements


2018 Bipartisan Budget Act Revises Stark Law Regulations - Part II
  • Nossaman LLP
  • USA
  • April 5 2018

The Bipartisan Budget Act of 2018 (the “Act”), signed into law on February 9, 2018, contains an amendment that should cause physicians and healthcare


New “MyHealthEData” Initiative Focuses on Putting Patients in Charge of their Medical Records
  • Reed Smith LLP
  • USA
  • March 20 2018

The Trump Administration has launched a new MyHealthEData initiative intended to make it easier for Medicare beneficiaries and other health consumers


Risky Business: Reverse FCA Allegations Against Medicare Advantage Insurer Survive
  • Vinson & Elkins LLP
  • USA
  • March 1 2018

In an early mixed valentine for both the government and a defendant Medicare Advantage Plan insurer, a district court in California on February 12


CMS’s Advance Notice and Call Letter: How Medicare Plans Can Report, Identify, and Address the Opioid Epidemic
  • Mintz Levin Cohn Ferris Glovsky and Popeo PC
  • USA
  • March 1 2018

CMS has slowly but surely been providing additional guidance to Medicare Plans (Medicare Advantage and Part D plans) regarding steps they can and


CMS Releases Proposed 2019 Medicare AdvantagePart D Reimbursement Methodologies and Policies
  • Reed Smith LLP
  • USA
  • February 28 2018

CMS is seeking comments on its proposed updates to the methodologies used to pay Medicare Advantage (MA) and Part D plan sponsors for 2019. This year


Recently-Passed CHRONIC Act Allows for Increased Medicare Coverage for Telehealth Services
  • Arent Fox LLP
  • USA
  • February 22 2018

Legislation included as part of the massive congressional budget deal reached earlier this month will pave the way for expanded use of telehealth


Federal Court Allows False Claims Act Case to Continue Against Medicare Advantage Insurer
  • Holland & Knight LLP
  • USA
  • February 22 2018

In February of 2018, a United States District Court in the Central District of California dismissed only half of the claims in a qui tam case against