Susan HuntingtonOn March 25, the Centers for Medicare & Medicaid Centers (CMS) issued its annual report for the 2019 open enrollment in Health Insurance Exchanges. The…
On March 27, the Centers for Medicare & Medicaid Services (CMS) announced a new program called the “Artificial Intelligence Health Outcomes Challenge” (AI Challenge) which…
On March 28, the Division of National Standards, at the Centers for Medicare & Medicaid (CMS) announced the launch of its Compliance Review Program to…
CMS Issues Alert for Expanded Drug Reporting for Medicare Secondary Payers
Posted in Medicare and Medicaid
On March 26, the Centers for Medicare & Medicaid Services (CMS) published a technical alert titled, “Technical Alert: Group Health Plan (GHP) Reporting Change for…
Alexandra PearsallMany states have enacted any willing provider (“AWP”) laws that apply to pharmacy participation in networks. These laws require managed care plans to accept qualified…
George MikhailHHS: 2018 Was All-time Record Year for HIPAA Enforcement The Office for Civil Rights (OCR) at the U.S Department of Health and Human Services (HHS)…
CMS Expands Immediate Jeopardy Standards “Immediate Jeopardy” is defined by the Centers for Medicare & Medicaid Services (CMS) as “a situation in which the provider’s…
Daniel WennerIn December 2018, the Department of Justice (DOJ) formalized its position on limiting the use of guidance documents issued by federal agencies to govern its…
The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have each released a proposed…
On January 28, the Centers for Medicare & Medicaid Services (CMS) launched a new Medicare information mobile app called “What’s Covered.” The new “What’s Covered”…