Compliance Fraud & Abuse Managed Care Medicare News Flash HHS-OIG Releases Long-Awaited Medicare Advantage Compliance Program Guidance By Janice Ziegler, Christopher Janney, and Margo Smith
Hospitals & Health Systems Managed Care Medicaid Reimbursement US Health Care The $78 Billion Question: What CMS’s Medicaid Health Care-Related Tax Rule Means for States By Charles Luband, Claire Bornstein, and Sarah Winston
Compliance Managed Care Medicare News Flash CMS Issues Proposed Changes to MA Risk Adjustment Process and RADV Audit Update By Janice Ziegler and Margo Smith
Digital Health Health Care IT Hospitals & Health Systems Managed Care Medicare Reimbursement CMMI Launches Application Process for ACCESS Model: A New, Outcome-Focused Value-Based Payment Model By Joanna Borman and Kate Sullivan Morgan
Compliance Corporate Digital Health Hospitals & Health Systems Managed Care Reimbursement US Health Care Direct Contracting for Self-Funded Health Plans: A Primer By Kate Sullivan Morgan and Paul Richmond
Compliance Digital Health Health Care IT Hospitals & Health Systems Managed Care Medicare Reimbursement CMS Announces Prior Authorization Innovation Model in Traditional Medicare By Janice Ziegler, Holley Lutz, and Kate Sullivan Morgan
Compliance Corporate Managed Care Federal Departments Suggest That New Mental Health Parity Regulations May Be Rolled Back By Sarah Winston, Kate Sullivan Morgan, Martin Moderson, and Kathy Babich
Compliance Managed Care Medicare CMS Announces Enhanced and Accelerated Medicare Advantage Risk Adjustment Audits By Janice Ziegler and Margo Smith
Compliance Digital Health Digital IT Health Care IT Hospitals & Health Systems Managed Care Reimbursement US Health Care The Price Transparency Drumbeat Continues as President Trump Issues New Executive Order By Kate Sullivan Morgan and Joanna Borman
Anti-Kickback Statute Compliance Fraud & Abuse Hospitals & Health Systems Managed Care Medicaid Medicare Pharmaceuticals US Health Care First Circuit Weighs in on AKS Causation Standard for FCA Liability By Samantha Groden, Christopher Janney, and Gadi Weinreich
Anti-Kickback Statute Compliance Fraud & Abuse Managed Care Medicare HHS-OIG Issues Special Fraud Alert Focusing on MAO, Physician, and Broker Referral Arrangements By Christopher Janney and Janice Ziegler
Compliance Fraud & Abuse Hospitals & Health Systems Managed Care Medicare News Flash US Health Care CMS Finalizes New Medicare Overpayment Regulations By Christopher Janney and Gadi Weinreich