Searching Content by Christine M. Clements from Sheppard Mullin Richter & Hampton ordered by Published Date Descending.
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CMS Plans Updates To Star Ratings
On August 19, 2019, the Centers for Medicare and Medicaid Services ("CMS") announced plans for two updates to its Overall Hospital Quality Star Ratings ("Star Ratings").
United States
2 Sep 2019
Is Prescription Drug Pricing The Cure For Partisanship?
The bill passed out of committee by a 19-9 vote on July 25th.
United States
2 Aug 2019
SCOTUS Rejects CMS DSH Policy, Calls CMS Guidance Practices Into Question
Earlier this week, the Supreme Court upheld a D.C. Circuit Court decision vacating a policy of the Centers for Medicare and Medicaid Services ("CMS") that...
United States
24 Jun 2019
OCR Seeks Ideas On HIPAA Rule Changes To Promote Value-Based Care And Coordinated Care
The Office for Civil Rights ("OCR") issued a request for information ("RFI") to assist OCR in identifying provisions of the Health Insurance Portability and Accountability Act
United States
19 Dec 2018
CMS Issues Proposed Rule On Modernizing Part D And Medicare Advantage To Lower Drug Prices And Reduce Out-Of-Pocket Expenses
The Centers for Medicare and Medicaid Services ("CMS") released the much-anticipated proposed rule to lower Part D and Medicare Advantage ("MA") drug prices and beneficiary out-of-pocket expenses on November 26, 2018 (the "Proposed Rule").
United States
3 Dec 2018
Blog Series: CMS Proposed Rule On Policy And Technical Changes To The Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, And Medicaid Managed Care Programs For Years 2020 And 2021
On October 26, 2018, the Centers for Medicare and Medicaid Services ("CMS") released for viewing a proposed rule that includes significant changes for Medicare Advantage organizations ("MAOs"),
United States
5 Nov 2018
How Broad Is The Managed Care Safe Harbor?
Under the State's MCO program, MCOs are required to provide EPSDT services and face liquidated damages for failing to do so.
United States
1 Nov 2018
CMS' Medicare Advantage Overpayment Rule: Arbitrary, Capricious, And Vacated
CMS promulgated the 2014 Overpayment Rule in order to implement the Affordable Care Act requirement that MAOs report and return any overpayments that they identify
United States
11 Sep 2018
CMS Proposes Massive Changes To ACO Program – Pushing Providers To Accept Downside Risk
On Thursday, August 9, 2018, the Centers for Medicare & Medicaid Services ("CMS") published a Proposed Rule regarding the Medicare Shared Savings Program ("MSSP" ) for Accountable Care Organizations ("ACOs").
United States
23 Aug 2018
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