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On June 1, 2015, CMS provided additional guidance to state Medicaid directors on implementation of fingerprint-based criminal background checks as a component of ACA Medicare, Medicaid, and CHIP provider screening requirements.

The latest CMS "innovation model" focuses on options for redesigning Medicare Advantage (MA) to improve health outcomes while reducing expenditures.

CMS released its Medicaid Managed Care Final Rule regarding managed care in Medicaid and the Children's Health Insurance Program...

CMS has posted the payment amounts that will apply to Medicare Part B covered drugs for the second quarter of 2016.

CMS has released additional tools to help health plans, vendors, and providers demonstrate compliance with Administrative Simplification Transaction Testing standards.

On April 16, 2015, CMS published a proposed rule that would revise the definition of Medicaid mechanized claims processing and information retrieval systems to include Medicaid eligibility and enrollment systems.

CMS proposed a rule to update prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities for FY 2015.

The proposed rule was published on April 10, 2015, and comments are due by June 9, 2015.

CMS published an interim final rule that requires qualified health plan issuers to accept premium and cost-sharing payments made on behalf of enrollees.

On February 14, 2014, CMS published a notice announcing an open period for additional organizations to be considered for participation in Models 2, 3, and 4 of the Bundled Payments for Care Improvement initiative.

The ACA’s Pre-Existing Condition Insurance Plan program is a temporary high-risk health insurance program for uninsured individuals who have been denied health insurance because of a pre-existing condition.

The Senate Appropriations Committee has scheduled a May 7, 2014 hearing to review the Administration’s FY 2015 budget request for the HHS.

A House Ways and Means Subcommittee on Oversight hearing recently reviewed the effects of the Affordable Care Act (ACA) on health insurance premiums.

In the June 22, 2016, Federal Register, FCIC amended the Common Crop Insurance Regulations to provide policy changes and to clarify existing policy provisions to better meet the needs of policyholders.

On February 24, 2015, the Federal Trade Commission and the Department of Justice Antitrust Division will hold a public workshop on health care provider organization and payment model developments...

A recent GAO review of Medicaid claims in four selected states discovered that thousands of Medicaid beneficiaries and hundreds of providers were involved in potentially improper or fraudulent payments during FY 2011.

On September 9, 2015, the House Energy and Commerce Committee is holding a hearing on H.R. 1624, Protecting Affordable Coverage for Employees Act of 2015.