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. The Final Rule is effective June 5, 2023. Parts 417, 422, 423, 455, and 460. 79452 (2022)). 405.902). Final Rule at p.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

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. The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories.

Governance 144

Governance Medicaid Medicaid Medicare 144

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.

Medicare 52

Medicare Medicare COVID-19 Compliance 52

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5% NATIONAL 34.5%

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

AUGUST 11, 2023

Elizabeth ranks second UofL Health – Heart Hospital recognized by Becker’s Hospital Review Waystar buys fellow health tech firm HealthPay24 West Louisville nonprofit calls on Rep. Morgan McGarvey to improve health care access COVID hospitalizations jump again: Where do West Virginia, Ohio and Kentucky stand?

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

MAY 5, 2023

acquisition of Oak Street Health to expand primary care footprint Did Hospitals Violate EMTALA by Failing to Provide Abortion Care? of Iowa Health Care denies sharing patient data with Facebook, but are they right?

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Hospitals 40

Hall Render

JUNE 30, 2023

in false claims Georgia ranked as one of the worst states for children’s health in 2023 Georgia’s maternal mortality rate still one of the highest in U.S., MedStar Transport Celebrates 40 years of service C. Here’s what you need to know. Georgia physician found liable for $1.1M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40