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Medicare
CMS Releases 2021 MPFS and QPP Updates
Recently, the Centers for Medicare and Medicaid Services (CMS) published the final 2021 updates for the Medicare Physician Fee …
HHS OIG Report Shows Concerns with Medicare Advantage Plans
Earlier this month, the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) released a report…
DOJ Files Suit Against Cigna Over Medicare Advantage Allegations
In early August 2020, the United States Department of Justice (DOJ) filed suit against Cigna, alleging that Cigna used a primary…
HHS OIG Report Finds Opioid Use Decreasing on Medicare Part D
Earlier this year, the Department of Health and Human Services Office of Inspector General (HHS-OIG) completed a report in which…
Reuters Reports PerkinElmer Under Investigation for Medicare Fraud
According to a May 18, 2020 Reuters article, the medical diagnostic firm PerkinElmer, Inc. is involved in a federal investigation…
AHIP Encourages Postponement of CMS Proposed Medicare Advantage Rule
The insurance group, America’s Health Insurance Plans (“AHIP”) recently asked the Trump administration to postpone implementing…
OIG Report Questions the Use of Medicare Advantage Chart Reviews
A recent report by the Department of Health and Human Services Office of Inspector General (HHS-OIG), “Billions in Estimated…
CMS Releases 2021 Medicare Advantage and Part D Changes
On January 6, 2020, the Centers for Medicare and Medicaid Services (CMS) released Part I of its annual Advance Notice of…
CMS to Update Hospital Star Rating Methodology by 2021
The Centers for Medicare and Medicaid Services (“CMS”) announced that it will use its oft maligned “latent variable” methodology…
Medicare Part D Still Paying for Medicare Part A Hospice Drugs
The Health and Human Services Office of Inspector General (“OIG”) published a report with the results of a study intended to…