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Medicare
Does Practice Acquisition by Private Equity Impact MIPS Scores?
Urology Practice recently published a study that found that urologists in practices that have been acquired by private equity…
Former HealthSun Executive Charged for Role in Medicare Fraud Scheme
Recently, the United States Department of Justice (DOJ) filed charges against Kenia Valle Boza, a former HealthSun Health Plans…
CMS Announces GUIDE Model, Focused on Dementia Care and Management
The US Centers for Medicare & Medicaid Services (CMS) recently announced a new, voluntary and nationwide test model. The model…
AARP Report Highlights the Increase in Medicare Part D Drug List Price
A new report from AARP found that the 25 drugs that accounted for the highest Medicare Part D spending in 2021 more than tripled…
CMS Released Draft Guidance on Medicare Out of Pocket Copays
On August 21, 2023, the Centers for Medicare & Medicaid Services (CMS) released draft guidance on a new program that will…
CMS Announces New Slate of Reduced Coinsurance Drugs for Q4 2023
Recently, the Centers for Medicare and Medicaid Services (CMS) announced a third set of Medicare Part B prescription drugs that…
CMS Issues Proposed Changes to Medicare Physician Fee Schedule and Part B…
On July 13, 2023, CMS issued a proposed rule that identifies and seeks public comments on a broad array of proposed changes to the…
Connecticut Hospitals Reach $560K False Claims Act Settlement
Recently, Yale New Haven Health Services Corp. and Northeast Medical Group, Inc., agreed to pay more than half a million dollars…
Senate Subcommittee on Investigations to Review Delays and Denials in the…
The Senate Permanent Subcommittee on Investigations recently held a hearing on delays and denials of care in the Medicare…
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…