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CMS
HHS Endorses Telehealth Accreditation Programs
In September of 2024, the U.S. Department of Health and Human Services (HHS) published its stamp of approval for telehealth…
CMS Issues Enforcement Report on NSA and ACA
The United States Centers for Medicare and Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight…
CMS’ ETC Model Had No Change on Home Dialysis or Kidney Transplants
Recently, JAMA Health Forum published an investigation, “Pay-for-Performance Incentives for Home Dialysis Use and Kidney…
CMS Makes Changes to the ACO REACH Model for Performance Year 2025
The United States Centers for Medicare and Medicaid Services (CMS) recently issued changes to the ACO REACH Model, including…
HHS OIG Issues Report on Two Midnight Rule in Medicare
CMS estimates that between 2017 and 2021, Medicare Part A improperly paid $23.9 billion for inpatient hospital stays, with $7.8…
CMS Issues 2025 OPPS and ASC Proposed Rule
The United States Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) recently…
AmeriLife Sues HHS Over Broker Compensation Cap
AmeriLife Holdings, LLC, Network Insurance Senior Health Division ALG, LLC, and AmeriLife Marketing Group, LLC (“AmeriLife”)…
SCAN Health Plan Prevails in Lawsuit Challenging its Star Rating
SCAN Health Plan recently won a lawsuit in which it challenged its 2024 Star Rating by the United States Department of Health and…
CMS Proposes Changes to 2025 Physician Fee Schedule
On July 10, 2024, CMS issued a proposed rule on a broad array of proposed changes to the Medicare Physician Fee Schedule and…
CMMI Under Fire?
During a recent House of Representatives Energy and Commerce subcommittee hearing, the Center for Medicare and Medicaid Innovation…