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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
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CMS Signals Major Overhaul of Medicaid Section 1115 Waiver Rules

By Charles Luband, Claire Bornstein, Callan Smith, and Sarah Winston
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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
  • Hospitals & Health Systems
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CMS Proposes to Tighten Provider-Based Location Criteria

By Holley Lutz and Sarah Winston
  • Fraud & Abuse
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CMS Signals Potential New Restrictions on Medicaid Financing, Supplemental Payments, and State Directed Payments in New RFI

By Charles Luband, Claire Bornstein, and Callan Smith
  • Compliance
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The FCA Impact of Near-Unfettered Access to Medicaid Claims Data

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

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

By Janice Ziegler and Margo Smith
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340B at an Inflection Point: Senate Hearing Continues Spotlight on the Program

By Sarah Winston, Joanna Borman, and Callan Smith
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HHS and DOJ Revive FCA Working Group

By Margo Smith and Samantha Groden
  • Fraud & Abuse
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The Senate Parliamentarian’s Nearly $175 Billion Health Care Headache

By Callan Smith
  • Medicaid
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New Executive Order Focused on Drug Prices Suggests Changes Coming Through Wide-Ranging Measures

By Callan Smith

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