CenterLight Healthcare Reaches $10M Medicaid Fraud Settlement
Day PitneyCenterLight Healthcare, a managed long-term care organization that provides and coordinates healthcare services in the New York City area, has agreed to a $10.3 million…
CMS Revises Next Generation ACO Implementation Publication
On January 23, the Centers for Medicare & Medicaid Services (CMS) published on its Medicare Learning Network a revised “MLN Matters Special Edition Article” covering…
CMS and VA Team Up to Prevent Fraud
On January 23, the Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Veterans Affairs (VA) announced that they will share data, data…
CMA Announces New Bundled Payment Model
On January 9, the Centers for Medicare & Medicaid Services announced the launch of a new voluntary bundled payment model, Bundled Payments for Care Improvement…
HHS Seeks New Ideas for Safe Harbors From Kickbacks Law
A December 27 article in Bloomberg BNA’s Health Care Daily Report and other publications, “HHS Seeks New Ideas for Safe Harbors From Kickbacks Law,” discussed…
On December 21, the National Association of Insurance Commissioners (NAIC) adopted amendments to the Life & Health Guaranty Association Model Act, previously discussed here. Among other…
On December 21, the Centers for Medicare & Medicaid Services (CMS) released an updated Fact Sheet on the Medicare fee-for-service overpayment process. The revised summary…
CMS Cancels Mandated Bundled Payment Models and Focuses on Voluntary Payment Models
On November 30, the Centers for Medicare & Medicaid Services (CMS) announced that it published a final rule (CMS-5524-F and IFC) officially canceling mandatory hip fracture and…
CMS Notice Reminds Physicians to Attest to No Data Blocking
On October 26, the Centers for Medicare & Medicaid Services (CMS) posted a notice “reminding providers of their responsibilities to quickly share medical information with…
On October 27, the National Association of Insurance Commissioners (NAIC) Receivership Model Law Working Group (under the direction of the NAIC’s Receivership and Insolvency Task…