On April 4, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year (CY) 2025 Medicare Advantage (MA) and Medicare Part D Policy and..

On April 10, 2024, CMS published the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) Proposed Rule, which contains several..

Half of Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans. This extensive growth, which represents a doubling of MA enrollment since 2010...

On April 4, the Centers for Medicare & Medicaid Services (CMS) issued the Contract Year (CY) 2025 Medicare Advantage (MA) Final Rule (Final Rule)...

The Centers for Medicare & Medicaid Services updated its guidance on the Inflation Reduction Act of 2022's Medicare Prescription Payment Plan with its release of..

The Centers for Medicare & Medicaid Services (CMS) recently announced the ACO Primary Care Flex Model (ACO PC Flex Model or Model), a new voluntary payment model..

In September 2023, the Centers for Medicare & Medicaid Services released a new state total cost of care model called the States Advancing All-Payer Health Equity..

The Internal Revenue Service, Employee Benefits Security Administration, and the Centers for Medicare & Medicaid Services (collectively, "the Departments")...

On 5 March 2024, in an issue of first impression in the District of South Carolina, a district court judge overseeing judicial review of a final agency decision..

The government is continuing to take a close look at laboratory testing in the wake of the COVID-19 pandemic.

On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) released the 2024 Physician Fee Schedule Final Rule (Final Rule), which finalized..

On February 15, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Prescription Payment Plan Draft Part Two Guidance (Part Two..

On August 29, 2023, CMS selected the first 10 high-expenditure, single source, Medicare Part D drugs subject to negotiation under the IRA's Medicare Drug Price..

The IRA's Medicare Drug Price Negotiation Program (the "Negotiation Program" or "Program"), which aims to lower drug prices by enabling the federal government to..

Our team's preparation for the year includes a review of the anticipated impact of the IRA on the health care industry in 2024.

New Mexico recently became the latest state to receive Centers for Medicare & Medicaid Services (CMS) approval to expand the state's behavioral health service..

On February 6, the Centers for Medicare and Medicaid (CMS) published an important FAQ for Medicare Advantage Organizations...

The Centers for Medicare & Medicaid Services (CMS) released its Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA)..

On January 18, 2024, CMS announced a new innovation model designed to improve quality of care and behavioral and physical health outcomes for Medicaid and..

The U.S. Department of Health and Human Services ("HHS"), through the Centers for Medicare & Medicaid Services ("CMS"), issued a final rule early last year..

The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) have started a new effort to educate the public..

On November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the calendar year ("CY") 2024 Physician Fee Schedule (PFS) Final Rule ("CY..

In its latest initiative to address inefficiencies in primary care, the Centers for Medicare & Medicaid Services (CMS) has announced the Making Care Primary..

On January 17, 2024, the Centers for Medicare & Medicaid Services ("CMS") issued the CMS Interoperability and Prior Authorization final rule (the "CMS Final..

On November 1, 2023, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology...

On November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the calendar year ("CY") 2024 Hospital Outpatient Prospective...

The United States Centers for Medicare & Medicaid Services ("CMS") has proposed new rulemaking (88 FR 78476) to revise the Medicare Advantage (Part C) ("MA")..

On January 9, 2024, the Centers for Medicare & Medicaid Services ("CMS") announced its approval of the New York Health Equity Reform ("NYHER") waiver amendment..

The U.S. Department of Health and Human Services' Office of Inspector General (HHS-OIG) released Advisory Opinion No. 23-11, a favorable opinion regarding a..

HHS-OIG released a favorable opinion on a Medicare Supplemental Insurance Plan's desire to incentivize patients' use of network...

The Centers for Medicare & Medicaid Services ("CMS") continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment..

The December 2023 issue of Greenberg Traurig's quarterly Behavioral Health Law Ledger discusses the expansion of Medicare reimbursement to cover Behavioral..

In recognition of the impact of health-related social needs (HRSNs),1,2 the Centers for Medicare & Medicaid Services (CMS) issued a new Informational Bulletin..

As part of a push to spotlight the ever-growing role of private equity in the healthcare industry, the U.S. Department of Health and Human Services (HHS) and the..

A federal court recently denied the U.S. Chamber of Commerce (the "Chamber") and their state and local chapters' request for a preliminary injunction to block..

We all know that policymakers are increasingly focused on lowering drug costs. From the Inflation Reductions Act's Medicare price negotiations (aka price..

On November 16, the Centers for Medicare & Medicaid Services (CMS) published its Medicare Physician Fee Schedule (PFS) final rule for calendar year 2024 (PFS..

The U.S. Department of Justice (DOJ) recently announced a rare criminal indictment involving the Medicare Advantage program—a contrast from DOJ's more typical..

Prior to the COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services (CMS) evaluated changes to the Medicare Telehealth Services..

On November 6, 2023, the Centers for Medicare and Medicaid Services ("CMS") released the contract year 2025 proposed rule for Medicare Advantage...

The Institution of Engineering and Technology (IET), a global engineering body announces *Pragati Bhattad*, 4th year student of Vellore Institute of Technology..

On November 1, 2023, the U.S. Department of Health and Human Services ("HHS") Office of the National Coordinator for Health Information Technology ("ONC") and..

In coordination with the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS) and Office of the National Coordinator..

Two divisions of the U.S. Department of Health and Human Services (HHS) – the Centers for Medicare & Medicaid Services (CMS) and the Office of the National..

The Center for Medicare and Medicaid Innovation (CMMI) has provided new updates on CMS' planned initiatives to address prescription drug costs in a blog post..