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CMS
CMMI Update on Health Equity
In October of 2021, the CMS Center for Medicare and Medicaid Innovation (CMMI) unveiled its 2030 vision to achieve “equitable…
CMS Set to Scrutinize Medicare Advantage Marketing
In a May 10 letter to Medicare Advantage organizations and prescription drug plans, CMS said it will more closely scrutinize more…
CMS Updating Hospital Price Transparency Enforcement Process
Earlier this year, the United States Centers for Medicare and Medicaid Services (CMS) announced an update to its enforcement…
CMS Issues Prospective Payment System Proposed Rule for FY 2024
On April 10, 2023, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH)…
Notice of Benefit and Payment Parameters for 2024 Issued by CMS and HHS
On April 17, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human…
CMS Issues Final Rule, Making changes to MA and Part D
In April, the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule regarding the Medicare Advantage (MA) and…
CMS Makes Changes to the Stark Law
In recent months, the United States Centers for Medicare and Medicaid Services (CMS) made changes and provided clarifications on…
Industry Pushing Back on Medicare Drug Price Negotiations
Reuters recently reported that some of the largest pharmaceutical companies are planning to fight the United States plan to…
The Impact of COVID-19 Years on the ACO REACH Model
The impact of the COVID-19 pandemic on accountable care organizations (ACOs) has yet to be determined, but according to the…
AMA Survey Finds that Prior Authorization Harms Patient Care
A recent physician survey found that the prior authorization process exceeds the benefit of the process to patients, according to…