Are you struggling with having to reassess millions in the next few months? Learn how other states are approaching this daunting reality. Tight
Expanded Access to Enrollee Data and Third-Party Liability: Insights from Medicaid Leaders
Policy changes and new initiatives may have your Medicaid agency struggling to meet compliance on a budget. Luckily, the best way to plan is to learn
New Marketplace Rule Promotes Expansion of Health Care Coverage
On June 28th, the Centers for Medicare and Medicaid Services (CMS) and the Treasury Department proposed a rule intending to expand access to health
Stay Ahead of the Curve Pending the Transparency in Coverage Rule
It’s called the Transparency in Coverage Rule, and its design provides patients with accurate costs of healthcare prior to treatment. The Trump
CMS Releases First Final Rule to Revamp the ACA in 2022
On January 14th, CMS issued the first final rule confirming several provisions for the annual Notice of Benefit & Payment Parameters for 2022.
Medicare’s Program Integrity Transformation
Medicare has been considered a “High Risk program” by the Government Accountability Office since 1990 due to its size, complexity and susceptibility
What You Need to Know: Proposed Reforms to the Federal Anti-Kickback Statute and the Stark Law
Last week, the Department of Health and Human Services (HHS) published two proposed rules: “Modernizing and Clarifying the Physician Self-Referral
Word to the Wise: Beware Partial Expansion
The Centers for Medicare and Medicaid Services (CMS) recently rejected giving enhanced federal funding to partially expand Utah’s Medicaid programs
The Departments Issue Final Rule on HRAs
According to the Centers for Medicare and Medicaid Services (CMS), health reimbursement arrangements (HRAs) are a type of account-based health plan