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Access Evolution: Post-Public Health Emergency Advances in Telehealth Laws Make Seeking Medical Care Easier for Many...

On June 8, the Centers for Medicare & Medicaid Services published a proposed rule which, among other things, rescinds a provision in a final rule enacted in November 2015 that prohibits nursing homes ...

The U.S. Supreme Court has today upheld another challenged provision of the Affordable Care Act, this time related to government subsidies.

On November 2, President Obama signed into the law the Bipartisan Budget Act of 2015 (the "Act"), which contains language that will significantly change how hospital-based outpatient care is reimbursed.

This most recent delay raises questions concerning how the Trump administration intends to implement value-based payment in the Medicare program.

On July 16, 2019, the Congressional Budget Office ("CBO") released a Cost Estimate for Senate Bill S. 1895, the "Lower Health Care Costs Act.

In this memorandum, Holland & Knight's Healthcare & Life Sciences Team summarizes recent legislative action on funding for the Children's Health Insurance Program (CHIP).

The CMS has released its 2015 rate announcement and final call letter for Medicare Advantage and Part D prescription drug plans.

The BPCI, introduced in the Affordable Care Act, is designed to test whether bundled payments can reduce Medicare's costs while maintaining or improving the quality of care.

CMS has published a notice giving states more time to submit state access monitoring review plans under a November 2015 rule intended to assure access to covered Medicaid services.

The Centers for Medicare & Medicaid Services is set to issue a final rule updating certain reimbursement policies under the Medicare Physician Fee Schedule.

CMS has published its proposed rule to update Medicare prospective payment system (PPS) rates for inpatient rehabilitation facilities (IRFs) for FY 2017, which begins October 1, 2016.

On June 26, 2015, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2016.

Recent CMS subregulatory guidance and related announcements regarding ACA insurance coverage and insurance exchange issues include the following.

A report published in late January 2014 by the U.S. Centers for Medicare and Medicaid Services demonstrated, in the words of CMS, "encouraging results" in the reduction of healthcare costs to Medicare and improvement in the quality of care for over 5 million Medicare beneficiaries under the Affordable Care Act.

CMS is soliciting public input on the "evolution" of its State Innovation Models Initiative, which was launched in 2013 to accelerate state design and testing of multi-payer payment and delivery models.