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  • Article

    The Deeper Dive: The Final Overpayment Rule

    The Centers for Medicare and Medicaid Services (CMS) recently issued its final rule for Reporting and Returning of Overpayments (Final Rule).
    United StatesFood, Drugs, Healthcare, Life Sciences
    BakerHostetler
    BakerHostetler
  • Article

    CMS Call Letter: Pharmacy Network Implications

    Effective January 1, 2016, drug pricing based on MAC will be subject to new disclosure and update standards.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
    Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
Article

CMS Issues Proposed Rule On The FY 2012 Inpatient Prospective Payment Systems For Acute Care Hospitals

On April 19, 2011, the Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS) issued a proposed rule, which proposes changes to the Hospital Inpatient Prospective Payment Systems (IPPS) for Fiscal Year 2012.
United StatesFood, Drugs, Healthcare, Life Sciences
Morris, Manning & Martin, LLP
Morris, Manning & Martin, LLP
  • Article

    CMS Seeks Comments on Standards for ACOs Under Shared Savings and CMMI

    Until December 3, 2011, the Centers for Medicare & Medicaid Services will accept comments regarding policies and standards for accountable care organizations that participate in the Medicare program under the Shared Savings Program or through the Center for Medicare and Medicaid Innovation.
    United StatesFood, Drugs, Healthcare, Life Sciences
    McDermott Will & Emery
    McDermott Will & Emery
  • Article

    Trump Administration Offers States New Medicaid "Healthy Adult Opportunity" Demonstration With Enhanced Benefit, Payment Flexibilities

    The Centers for Medicare & Medicaid Services (CMS) has announced a controversial plan to allow states to apply to participate in a new Medicaid "Healthy Adult Opportunity"
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Announces Strategy On Value-Based Payments For Specialty Care

    The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its "strategic refresh" initiative.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Sheppard
    Sheppard
  • Article

    2014 Physician Fee Schedule: Cuts And Quality And Data! Oh My!

    The Centers for Medicare and Medicaid Services recently released the calendar year 2014 Physician Fee Schedule Proposed Rule, which highlights CMS's continued focus on the principles of high-quality care, exceptional patient experience and affordability that has only increased since the passage of the Patient Protection and Affordable Care Act in 2010.
    United StatesFood, Drugs, Healthcare, Life Sciences
    BakerHostetler
    BakerHostetler
  • Article

    Breaking News: CMS Delays Final Overpayment Rule

    Today, the Centers for Medicare and Medicaid Services (CMS) announced that it is extending the deadline to finalize the rule implementing the Affordable Care Act provision...
    United StatesFood, Drugs, Healthcare, Life Sciences
    BakerHostetler
    BakerHostetler
  • Article

    CMMI Issues Report On Status Of Pending Drug Models

    The Center for Medicare and Medicaid Innovation (CMMI) has provided new updates on CMS' planned initiatives to address prescription drug costs in a blog post from Director Liz Fowler.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Manatt, Phelps & Phillips, LLP
    Manatt, Phelps & Phillips, LLP
  • Article

    CMS Administrator Outlines His Vision For CMS At NFP Healthcare Investors Conference

    The Administrator for the Centers for Medicare & Medicaid Services (CMS), Dr. Mehmet Oz, spoke to non-profit health system executives, investors, and industry observers this week at the 25th Annual...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Sheppard
    Sheppard
  • Article

    CMS Announces Part B Prescription Drugs With Lower Coinsurance Amounts For Q2 2023

    The Inflation Reduction Act of 2022 requires drug companies to pay rebates to Medicare when prescription drug prices increase faster than the rate of inflation for certain drugs.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Morrison Foerster
    Morrison Foerster
  • Article

    CMS Announces Pre-Claim Review Demonstration For Medicare Home Health Services

    Providers in the impacted states will be notified by their MAC prior to the start of the demonstration.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Announces Star Ratings For 2018 Medicare Plans

    CMS noted that there will be a higher number of plans with quality ratings of four stars or more in 2018.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Day Pitney LLP
    Day Pitney LLP
  • Article

    CMS Delays Anti-Markup Rule With Respect To Purchased Interpretations And Other Services

    On December 28, 2007, the Centers for Medicare and Medicaid Services (CMS) issued a final rule that delays the applicability of certain important revisions to the anti-markup rule as revised by the 2008 Medicare Physician Fee Schedule (MPFS). Medicare regulations currently prohibit the markup of the technical component of certain diagnostic tests that are performed by outside suppliers and billed to Medicare by a different individual or entity.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Foley & Lardner LLP
    Foley & Lardner LLP
  • Article

    CMS Extends Period Of Exemption For Hospices Affected By Nursing Shortage

    On October 3, 2014, CMS issued S&C: 12-43-Hospice entitled "Impact of Nursing Shortage on Hospice Care".
    United StatesFood, Drugs, Healthcare, Life Sciences
    Duane Morris LLP
    Duane Morris LLP
  • Article

    CMS Final Rule On CY 2026: Policy And Technical Changes

    The Centers for Medicare & Medicaid Services (CMS) released on April 4, 2025, the final rule for contract year (CY) 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program and Programs of All-Inclusive Care for the Elderly (CMS-4208).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Holland & Knight
    Holland & Knight
  • Article

    CMS Finalizes Organ Transplant Access Model

    On November 26, the Centers for Medicare & Medicaid Services (CMS) finalized its Increasing Organ Transplant Access (IOTA) Model, which aims to increase access to kidney transplants...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Manatt, Phelps & Phillips, LLP
    Manatt, Phelps & Phillips, LLP
  • Article

    CMS Gives States Options For Complying With Cures Act Mandate To Cap Medicaid DME Rates

    As previously reported, the 21st Century Cures Act prohibits FFP payments to the states for certain Medicaid DME expenditures that exceed what Medicare would have paid for such items...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues Far-Reaching Calendar Year 2027 Home Health Proposed Rule

    The Centers for Medicare & Medicaid Services has proposed sweeping changes to Medicare enrollment rules that would dramatically expand federal enforcement authority across all provider types. Beyond routine home health payment updates, the rule introduces retroactive revocations, new denial grounds based on geographic fraud risk, and mandatory private equity ownership disclosures that could fundamentally reshape compliance obligations for hospitals, physician practices, and medical equipment suppliers.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Holland & Knight
    Holland & Knight
  • Article

    CMS Lifts Temporary Suspension Of Short Stay Reviews

    Effective September 12, 2016, Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations (QIOs) resumed their hospital initial patient status reviews.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Poyner Spruill LLP
    Poyner Spruill LLP
  • Showing 961–980 of 15752 results

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