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  • Article

    CMS Issues Final Rule On Enhanced Funding For Certain Medicaid Eligibility & Enrollment Systems

    On December 4, 2015, CMS published a final rule that extends enhanced federal funding for the design, development, installation, or enhancement of Medicaid eligibility and enrollment systems.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Formally Updates 2014 Health Exchange Enrollment Deadlines

    CMS has published an interim final rule with comment period that sets a December 23, 2013 deadline for individuals to select a qualified health plan through an Exchange for an effective coverage date of January 1, 2014, to conform to a previously-announced policy.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Guide On Avoiding Readmissions In Diverse Medicare Populations

    The CMS Office of Minority Health has released a "Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries."
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Technical Corrections To CY 2014 Proposed OPPS/ASC Rule

    CMS has published a notice correcting technical errors that appeared in the July 19, 2013 proposed rule updating the Medicare Hospital Outpatient Prospective Payment System and the ambulatory surgical center payments for CY 2014.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS/OIG Extend Protections For Electronic Health Record Donations

    As previously reported, the Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) published final rules in December amending Anti-Kickback Statute (AKS) and Stark Law regulations permitting certain arrangements involving the donation of interoperable electronic health record (EHR) software or information technology and training services.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Plans "Listening Session" On Part D Drug Management Programs Under CARA (Nov. 14)

    CMS invites participation by Medicare beneficiaries and advocacy groups, pharmacies, plan sponsors, pharmacy benefit managers, and other interested parties.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts April 2014 Medicare Part B Drug ASP Files

    CMS has released the average sales price (ASP) files that will be used to pay for Medicare Part B drugs for the second quarter of 2014.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts First Medicare Inpatient Psychiatric Facility Quality Data

    On April 17, 2014, CMS announced that it making inpatient psychiatric facility quality data available as part of the Hospital Compare website.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts Initial Results For Physician Value-based Payment Modifier

    Under the ACA, the Physician Value-Based Modifier policy rewards physicians and groups of physicians who provide high quality and cost effective care, while penalizing those who did not meet objectives.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts July 2015 Medicare Part B Drug Payment Files

    CMS has released the July 2015 update to the Medicare Part B average sales price (ASP) files.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Posts October 2015 Medicare Part B Drug Payment Update

    CMS has posted the October 2015 update to the Medicare Part B drug average sales price (ASP) files, containing the payment rates that will apply for the fourth quarter of 2015.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposed 2016 Medicare Payment Rules In The Pipeline

    CMS recently sent several major proposed Medicare CY 2016 payment rules to the White House Office of Management and Budget (OMB) for regulatory clearance...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes 2021 Funding Methodology For ACA Basic Health Program

    The Centers for Medicare & Medicaid Services (CMS) has released the methodology and data sources it proposes to use to determine federal payment to states that establish a Basic Health Program ...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Federal Funding Methodology For ACA Basic Health Program For 2019-2020

    CMS has published a proposed rule setting forth its methodology for determining federal payment amounts to states that elect to establish a Basic Health Program (BHP) under the Affordable Care Act (ACA).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Funding Methodology For ACA Basic Health Program For 2017-2018

    On October 22, 2015, CMS published a proposed methodology for determining federal payment amounts to states that elect to establish a Basic Health Program (BHP) to offer health benefits to low-income individuals...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Methodology to Implement Statutory Medicaid DSH Reductions

    CMS has issued a proposed rule establishing a methodology to reduce state Medicaid disproportionate share hospital (DSH) allotments annually beginning with fiscal year (FY) 2018, as mandated by the Affordable Care Act (and modified in subsequent legislation).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Provides More Time To Comment On MACRA Physician Payment Reforms

    CMS has extended the comment period on its October 1, 2015 request for information (RFI) regarding implementation of the Merit-based Incentive Payment System and promotion of alternative payment models in accordance with MACRA.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Publishes Corrections To Comprehensive Care For Joint Replacement Model Proposed Rule

    On August 25, 2015, the Centers for Medicare & Medicaid Services (CMS) published technical and typographical corrections to its July 14, 2015 proposed rule to establish a Comprehensive Care for Joint Replacement Model.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Publishes Final ACA Small Business Health Option Program (Shop) Rule

    CMS recently published a final rule that builds on and revises previously-adopted regulations on the administration of the ACA’s Small Business Health Options Program, which will help small employers offer employees a variety of qualified health plans.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Publishes Final FY 2016 Medicare Inpatient Psychiatric Facilities PPS Rule

    Today CMS published its final rule updating payment policies and rates for the Medicare Inpatient Psychiatric Facilities (IPF) Prospective Payment System (PPS) for FY 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith

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