2025 Fraud Medicare 
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
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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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
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
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.
Hall Render
MAY 13, 2022
US faces deficit of 450,000 nurses by 2025. Prism pays $650K to settle Medi-Cal fraud claims filed in San Diego. Government watchdog: Health care giants improperly denied Medicare benefits. 50 doctors urge Schrader to allow Medicare to negotiate drug prices, cease ‘false’ ads. CALIFORNIA. Nurse burnout?
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