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 SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.
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.
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Healthcare IT News - Telehealth
DECEMBER 7, 2021
Congress must act to expand patient choice in every American community, meet patients where they are, and bring health care into the 21st century. Department of Health and Human Services found a 63-fold jump in Medicare telehealth use during the pandemic. Most recently, a report from the U.S.
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. Insurers should also work to decrease the shortage of mental health care providers in their networks.
Bill of Health
JANUARY 26, 2022
When incarcerated individuals receive care, providers are often unfamiliar with their medical history, an obstacle to chronic disease treatment. While hospitals and clinics abide by the Center for Medicaid & Medicare Services guidelines, jails and prisons do not.
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.
Healthcare IT News - Telehealth
JANUARY 4, 2021
Much of the uncertainty has centered around insurance coverage , with some private insurers already moving to roll back coverage of virtual care while others have taken steps in the opposite direction. Congress to enact more lasting changes. ON THE RECORD. Julian Cyr, D-Truro. " Kat Jercich is senior editor of Healthcare IT News.
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