Bill of Health
OCTOBER 26, 2022
Passed in 1986, EMTALA requires hospitals accepting Medicaid or Medicare payments from HHS or CMS to provide abortion care necessary to address emergency medical conditions. Because most hospitals rely on Medicaid and Medicare payments, the law currently applies to nearly all hospitals in the U.S. In June 2022, the U.S.
Health Care Law Brief
APRIL 12, 2023
On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. 79452 (2022)). Parts 417, 422, 423, 455, and 460. The Final Rule is effective June 5, 2023. 405.902).
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Innovaare Compliance
JANUARY 19, 2021
It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS. Medicare Star Ratings 2021 Changes.
Bill of Health
DECEMBER 6, 2023
To assess the prevalence of ghost networks, Senate Finance Committee staffers conducted a secret shopper study of 120 mental health provider listings across 12 Medicare Advantage plans. In November 2022, Senator Tina Smith (D-Minn.) and Senator Ron Wyden (D-Ore.)
Jane Sarashon
OCTOBER 7, 2022
This is true across all income categories, from those earning under $24,000 a year to the well-off raking in $180K or more, we learn in Gallup’s poll conducted with West Health, finding that Majorities of people rank cost and equity of U.S. adults in late June 2022. — will vote on health care issues beyond Dobbs/Roe v.
Health Populi
SEPTEMBER 27, 2023
For today’s Health Populi blog, I choose to focus in on a key theme in my work right now — the convergence of retail health, primary care, consumers’ home economics, health care access, and the future of U.S. health care financing. That’s the demand side.
Healthcare Law Blog
MARCH 20, 2023
1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2]
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