2030 Fraud Medicaid 
Healthcare IT Today
DECEMBER 30, 2024
healthcare affordability crisis can be solved by 2030 if we can improve access to primary care. This API-first approach will be driven by health plans needing to perform with Medicare Advantage and managed Medicaid. MA and Medicaid plans will be working overtime to harvest data and influence rating outcomes.
Healthcare IT Today
SEPTEMBER 19, 2023
I would continue to advance CMS’ directive that by 2030 all Medicare and the bulk of Medicaid beneficiaries be in care engagements governed under a value-based contract. A National Patient Identifier (NPI) would help get all patient documentation into one location vs. spread out among multiple providers and healthcare systems.
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Health Care Law Brief
MARCH 8, 2022
On February 24, 2022, the Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), announced the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, which will begin January 1, 2023, and replace the Global and Professional Direct Contracting (GPDC) Model.
Healthcare Law Blog
FEBRUARY 1, 2023
If finalized, the Centers for Medicare and Medicaid Services (CMS) Proposed Rule on Advancing Interoperability and Improving Prior Authorization Processes will require payers to participate in electronic payer-to-payer data exchange and implement automated prior authorization processes. from 2023 to 2030.
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.
C&M Health Law
JANUARY 25, 2023
hospitalizations and emergency department visits) and to audit Medicare claims to assess potential fraud. In November 2020, the Centers for Medicare & Medicaid Services (CMS) announced the Acute Hospital Care At Home program to provide hospitals expanded regulatory flexibility and allow them to care for eligible patients in their homes.
Hall Render
AUGUST 9, 2024
increases Medicaid rates, expands coverage NEW JERSEY Brigham and Women’s Faulkner exec heads to RWJBarnabas Health Capital Health 1st in region to offer minimally invasive option for complex aortic repair Court denies nursing home’s effort to withhold privileged safety records, citing dual uses Is your nursing home on the list?
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