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Medicare Advantage Risk Adjustment Data Validation Final Rule

January 30, 2024

The U.S. Department of Health and Human Services ("HHS"), through the Centers for Medicare & Medicaid Services...

Medicare Advantage Proposed Rule and Final Inpatient Rule

January 16, 2024

Medicare Advantage Proposed Rule for 2025 The United States Centers for Medicare & Medicaid Services (“CMS”) has proposed...

Home Health Agency Final Rule for 2024

December 19, 2023

Home Health Agency Final Rule for 2024 The United States Centers for Medicare & Medicaid Services (“CMS”)...

CMS Issues Four Final Payment Rules

December 5, 2023

The United States Centers for Medicare & Medicaid Services (“CMS”) recently issued four final payment rules for 2024. Below...

Court Allows Medicare Drug Price Negotiations to Continue

November 28, 2023

A federal court recently denied the U.S. Chamber of Commerce (the “Chamber”) and their state and local...

CMS’ Proposed Drug Pricing Transparency Rule Impacting PBMs and Other PBM Updates

October 12, 2023

The United States Centers for Medicare & Medicaid Services (“CMS”) has proposed new rulemaking (88 FR 34238)...

New Final DEA and CMS FY 2024 Payment Rules

September 8, 2023

DEA Finalizes Rules on Electronic CDS Prescriptions and Seeks Public Input on Telemedicine The United States Drug...

Recent Federal Payment Rules

July 26, 2023

CMS Proposes Rulemaking to Remedy 340B-Acquired Drug Payment Policy The United States Centers for Medicare and Medicaid...

Governor Vetoes Statute on Equal Telemedicine Rates

November 9, 2021

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Connor Breza....

CMS Proposes Rule to Rescind Coverage of “Breakthrough” Medical Technologies

October 8, 2021

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Connor Breza. As expected,...

Hospitals Lose Outlier Payment and S-10 Audit Litigations

September 13, 2021

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, Labinot Alexander Berlajolli, or Connor Breza. Appellate...

Supreme Court Declines to Hear HHS Site-Neutral Policy

July 1, 2021

For more information about this blog post, please contact Khaled J. Klele, Ryan M. Magee, or Labinot Alexander Berlajolli. On...

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