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CMS Publishes Proposed Rule Regarding Provider Tax Indirect Hold Harmless Threshold Restrictions Included in the One Big Beautiful Bill Act

By Charles Luband, Claire Bornstein, Callan Smith, and Sarah Winston
  • Hospitals & Health Systems
  • Managed Care
  • Medicaid
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CMS Signals Major Overhaul of Medicaid Section 1115 Waiver Rules

By Charles Luband, Claire Bornstein, Callan Smith, and Sarah Winston
  • Compliance
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  • US Health Care

The End of ACR-Based Payments in Medicaid: How CMS Plans to Limit What States Can Pay Medicaid Providers

By Charles Luband, Claire Bornstein, Callan Smith, and Sarah Winston
  • Compliance
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News Alert: CMS Proposes Sweeping Limits on Medicaid State Directed Payments and Fee-for-Service Targeted Payments

By Charles Luband, Claire Bornstein, Callan Smith, and Sarah Winston
  • Compliance
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DOJ’S FOCUS Initiative Gives Data Miners a New Seat at the FCA Table

By Sean Cenawood and Jacob Margolies
  • Compliance
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HHS-OIG Releases Long-Awaited Medicare Advantage Compliance Program Guidance

By Janice Ziegler, Christopher Janney, and Margo Smith
  • Hospitals & Health Systems
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  • 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
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CMS Issues Proposed Changes to MA Risk Adjustment Process and RADV Audit Update

By Janice Ziegler and Margo Smith
  • Digital Health
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CMMI Launches Application Process for ACCESS Model: A New, Outcome-Focused Value-Based Payment Model

By Joanna Borman and Kate Sullivan Morgan
  • Compliance
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Direct Contracting for Self-Funded Health Plans: A Primer

By Kate Sullivan Morgan and Paul Richmond
  • Compliance
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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

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