2025 Fraud Medicare 
Healthcare Law Blog
MAY 16, 2022
On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.
Hall Render
AUGUST 1, 2024
On July 3, 2024, a federal court in Texas (“the Court”) issued a stay related to certain provisions of CMS’s Contract Year 2025 Medicare Advantage and Part D (“MAPD”) Final Rule (“2025 Final Rule”), which would change how agents and brokers are paid by Medicare Advantage (“MA”) and Part D plans.
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Hall Render
AUGUST 1, 2024
On July 3, 2024, a federal court in Texas (“the Court”) issued a stay related to certain provisions of CMS’s Contract Year 2025 Medicare Advantage and Part D (“MAPD”) Final Rule (“2025 Final Rule”), which would change how agents and brokers are paid by Medicare Advantage (“MA”) and Part D plans.
Hall Render
MAY 10, 2024
On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.
Hall Render
DECEMBER 11, 2024
The section currently requires OIG to take into account access of beneficiaries to physician services for which payment may be made under Medicare, Medicaid or other federal health care programs in determining whether to impose an exclusion. ET on January 31, 2025. Comments are due by 5:00 p.m.
Hall Render
NOVEMBER 28, 2023
On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. Beginning with CY 2025, the baseline year will shift to CY 2023.
Hall Render
MAY 20, 2022
McKinsey Report: Nursing Shortage Will Become Dire by 2025. OIG: 25% of Medicare hospital patients experienced harm pre-pandemic. Tenet Detroit hospital at risk of losing Medicare contract. Medicare fraud. to settle billing fraud claims. New legislation calls on CMMI to create model based on health equity.
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