Anti Kickback This Week in Policy and Medicine January 5, 2025 Thomas Sullivan Jan 5, 2025 0 Welcome to another edition of our weekly roundup, where we dive into the most pressing legal, regulatory, and policy updates that…
Accountable Care Organizations ACOs Help MSSP Reach Largest Annual Savings in Program History Thomas Sullivan Jan 2, 2025 0 The Centers for Medicare and Medicaid Services (CMS) found that Accountable Care Organizations (ACOs) and the Medicare Shared…
CMS MA Star Ratings Decrease, Insurers Sue Thomas Sullivan Dec 30, 2024 0 Under recent data released by the Centers for Medicare and Medicaid Services (CMS), roughly 405 of Medicare Advantage (MA) plans…
CMS CMS Readies for Round Two of Drug Price Negotiations Thomas Sullivan Dec 27, 2024 0 Recently, the Centers for Medicare and Medicaid Services (CMS) issued guidance on the second round of the drug price negotiation…
Medical Legal False Claims Act Case Dismissed After Briefing on Impact of Loper Bright… Thomas Sullivan Dec 26, 2024 0 Judge Joseph R. Goodwin, United States District Judge in the Southern District of West Virginia, recently dismissed a False Claims…
Uncategorized This Week on Policy and Medicine Podcast November 23, 2024: Legal Battles,… Thomas Sullivan Nov 23, 2024 0 This week on the Policy and Medicine Podcast, November 23, 2024 we take a comprehensive look at some of the most pressing issues…
CMS CMS Finalizes TEAM through IPPS Final Rule Thomas Sullivan Nov 22, 2024 0 On August 28, as part of its Fiscal Year 2025 Hospital Inpatient Prospective Payment System (IPPS) Final Rule, the Centers for…
Uncategorized Reevaluating the RUC Committee: Addressing Specialty Representation Gaps… Thomas Sullivan Nov 13, 2024 0 With the new administration and congress coming, one simple reform to increase the number of primary care physicians and reduce…
HHS-OIG HHS OIG Says Humana Received More than $13 Million in CMS Overpayments in… Thomas Sullivan Nov 4, 2024 0 The United States Department of Health and Human Services Office of Inspector General (HHS OIG) recently released results from its…
Medical Legal SCOTUS Rejects Chevron Deference Thomas Sullivan Oct 7, 2024 0 On June 28, 2024, the Supreme Court rejected the doctrine of Chevron deference in the closely watched case of Loper Bright…