Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021.

Hospitals 52

Hospitals Compliance Patient Advocacy Medicare 52

CMS.gov

MARCH 2, 2018

The Meaningful Measure Areas serve as the connectors between CMS goals under development and individual measures/initiatives that demonstrate how high quality outcomes for our Medicare, Medicaid, and CHIP beneficiaries are being achieved.

Medicare 20

Medicare Medicare Patient Advocacy Medicaid 20

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. CMS proposed to change this to six months of inactivity.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Health Populi

OCTOBER 8, 2019

The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027. More savings would accrue through the quicker adoption of value-based payment models, the authors assert, where clinicians take on financial risk for managing population health.

Prescription Drug Pricing 108

Prescription Drug Pricing Medicare Medicare ACA 108

Jane Sarashon

MARCH 28, 2022

For many years, I’ve advocated for siloes to break down so that these organizations, all of which have mission statements that speak to benefit patient care and health outcomes, to more effective reach those Holy Grails. This was met with a range of responses, from smirks and cynicism to surprise and questions of, “why?

Patient Advocacy 93

Patient Advocacy Medicaid Medicaid Health Outcomes 93

Hall Render

NOVEMBER 18, 2022

Alabama Medicaid Agency expands covered visits for cancer patients after cancer center push. Patient advocacy group wants Elevance Health to overturn health insurance claims denials. Who’s opposed to Mississippi Medicaid expansion and why? Wisconsin to boost nursing home Medicaid rates 14%.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

HIT Consultant

NOVEMBER 2, 2021

Today, patients are the third-largest payer – behind Medicaid and Medicare. But the patient’s financial experience is often challenging, even for those with insurance. By focusing on three critical areas, providers can help simplify the process and reduce the staggering patient financial burden.

Hospitals 52

Hospitals Patient Advocacy Medicaid Medicaid 52

Total Medical Compliance Resources

APRIL 14, 2023

Diagnosis code education: The Centers for Medicare and Medicaid developed educational materials for providers so they can use the new ICD-10 code for Long COVID. Government continue to work together to conduct research, draw on the lived experience of those with Long COVID and those that care for them, and provide support and services.

Governance 45

Governance COVID-19 Department of Veterans Affairs COVID-19 Vaccine 45

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Kaiser Health News

JULY 24, 2024

The Centers for Medicare & Medicaid Services said July 19 that more than 200,000 people have complained about unauthorized Obamacare enrollment or plan switches this year. KFF Health News began reporting on Affordable Care Act enrollment schemes this spring.

ACA 136

ACA Health Insurance Patient Advocacy Fraud 136

Health Law Advisor

JULY 21, 2023

On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. Medicare and Medicaid Serv., 2,987, 2,990 (Jan.

FDA 52

FDA Medicare Medicare Patient Advocacy 52

C&M Health Law

NOVEMBER 7, 2022

CMMI has broad statutory authority not only to test, design, and implement health care payment and delivery models for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) but in certain instances, can implement such models without Congressional action. The Biden administration formally rescinded the MFN in 2021.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

FEBRUARY 7, 2025

CONNECTICUT Drug counselor sentenced to 27 months in federal prison for submitting false claims to Medicaid Trinity Health Of New England names new regional president of 3 hospitals, including St. Alaska Mental Health Trust Authority chooses new chief executive ARIZONA Arizona couple pleads guilty to $1.2B The university says no.

Nurses 40

Nurses Hospitals Nursing Homes Medicaid 40