By: Karina Gonzalez When providers or suppliers self-report overpayments to Medicare Part C Managed Care ..
On Friday, November 30, 2018, the US Centers for Medicare & Medicaid Services (CMS) issued a proposed ..
This follows the blog article posted November 28, “Connection and Innovation Take Center Stage at the Patient ..
On October 26, 2018, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule ..
Conventional wisdom holds that Medicare Advantage provides better service and lower cost sharing than ..
The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule to allow Medicare Advantage ..
Dual Special Needs Plans This part 6 of our 7 part series focuses on the provisions regarding dual special ..
In its recent notice of proposed rulemaking setting policy for Medicare Advantage (MA) and the Prescription ..
Part D Plan Sponsors’ Access to Medicare Parts A and B Claims Data Extracts As detailed in previous ..
Requirements for MA Plans Offering Additional Telehealth Benefits As part of the proposed rule issued ..
Medicare Advantage and Part D Preclusion List The proposed rule issued November 1, 2018 (the “Proposed ..
Quality Improvement Programs The proposed rule issued November 1, 2018 (the “Proposed Rule”) by the Centers ..
On October 26, 2018, the Centers for Medicare and Medicaid Services (“CMS”) released for viewing ..
On August 7, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a Memorandum (“Memorandum”) ..
CMS recently authorized Medicare Advantage (MA) plans the ability to apply step therapy protocols to Part ..
Nearly a decade has passed since the U.S. Congress enacted the Patient Protection and Affordable Care ..
In a key case being watched by the industry, Judge Collyer of the United States District Court for the District ..
The opioid epidemic has driven significant legislation this session. To help our readers track the pending ..