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Medicare Advantage plan sellers fight CMS agent pay cap in court
BenefitsPRO· 5 days agoThe plaintiffs predict in three separate suits that plan distribution channels will break down if...
Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program
The National Law Review· 4 days agoAs part of its 2025 Medicare Advantage and Part D Final Rule (the Final Rule), the Centers for ...
JD Supra: CMS Publishes Final Rule for Minimum Staffing Standards for Long-Term Care Facilities
JD Supra· 2 days agoThe Centers for Medicare & Medicaid Services (CMS) published its Final Rule today to implement a minimum staffing “floor” for nursing homes in the United ...
DOJ loses bid to toss Humana Medicare Advantage case
Modern Healthcare· 3 days agoHumana had to update its Medicare Advantage contracting process to reflect the latest auditing standards, O’Connor...their bidding structures to prepare and certify actuarially ...
Medicare set-aside reporting rule signals major change for comp - Business Insurance
Business Insurance· 6 days agoThe Centers for Medicare & Medicaid Services announced in late April reporting requirement revisions...
Insurers bridle over Medicare transparency push
Politico· 7 days agoEarlier this year, CMS requested information about how the program can be more transparent, with a focus on data and increasing competition. In...the American Hospital Association ...
Legacy Medical: CMS coverage decision could increase amputations two-to-five-fold in vulnerable...
The Parsons Sun· 4 days agoLegacy Medical Consultants (LMC), a leading supplier of tissue-based wound coverings, is urging CMS' Medicare Administrative Contractors (MACs) to reconsider ...
JD Supra: Final Rule Issued by OCR and CMS for Nondiscrimination Protections Under Section 1557 of...
JD Supra· 2 days agoU.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) and the Centers for Medicare & Medicaid Services (“CMS”) issued a final ...
Sen. Deb Fischer: Keeping nursing homes open
Scottsbluff Star-Herald· 6 days agoSince 2015, 44 nursing homes and 35 assisted living facilities across our state have shut their doors. The rule, released by the Centers for Medicaid & ...
California agrees to repay feds $52M in ‘improperly claimed’ immigrant Medicaid disbursements
Fox News via Yahoo News· 11 hours agoAn investigation by the federal HHS inspector general found California over-reimbursed tens of...