Alexandra PearsallOn April 22, 2019, the Centers for Medicare & Medicaid Services (CMS) announced five new payment model options under its “Primary Cares” initiative. The aim…
CMS Final Rule Limits the Use of Copay Accumulator Programs by Insurers
Posted in Reimbursement Matters
Susan HuntingtonOn April 18, the Centers for Medicare and Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters Rule for 2020 (Rule). This…
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 January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan…
George MikhailOn November 26, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed a new rule aimed at lowering the cost of prescription drugs and…
CMS Proposes New Rule to Expand Telehealth Benefits Under Medicare Advantage Plans
Day PitneyThe Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that, effective plan year 2020, would allow Medicare Advantage (“MA”) insurers to…
In United States v. Mehmood, the Sixth Circuit affirmed the conviction of Zafar Mehmood and Badar Ahmadani but vacated their sentences and remanded for resentencing.…
The proposed rule released on July 12 by the Centers for Medicare & Medicaid Services (CMS) would create new billing codes that, if approved, will…
The Centers for Medicare & Medicaid Services’ (CMS’s) proposed rule containing revisions to the Medicare Physician Fee Schedule for 2019, released on July 12, proposed…
Support Grows for Stark Law Modification or Repeal
There has been a recent groundswell of support for modifying or eliminating the federal physician self-referral law, commonly known as the Stark Law. Last month’s Request…