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CMS Issues “In Lieu of” Services Guidance to Address Health-Related Social Needs in Medicaid Managed Care

C&M Health Law

This option is designed to help states offer alternative benefits that take aim at a range of unmet HRSNs, such as housing instability and food insecurity, and to help enrollees maintain their coverage and improve health outcomes. . Background. “In

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Healthcare Law Blog

A chronically ill enrollee is defined as an MA member with one or more complex chronic conditions, who is at risk for hospitalization or other adverse health outcomes, and who requires intensive care coordination. This proposal would shift the burden from CMS to the MA organization to demonstrate compliance with this standard.

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Health Provider News

Hall Render

PBMs Get Heavy Dose of Criticism at Senate Hearing Reported HIPAA complaints and breaches shot up from 2017 to 2021: HHS Rural hospitals gird for unwinding of pandemic Medicaid coverage Senator argues for physician-owned hospitals Senators Introduce Bill to Bolster HIPAA Protections For Patients Seeking Reproductive Healthcare Senators Say Health Worker (..)