Compliance Fraud & Abuse Hospitals & Health Systems Managed Care Medicaid Medical Devices Medicare Pharmaceuticals Reimbursement US Health Care DOJ’S FOCUS Initiative Gives Data Miners a New Seat at the FCA Table By Sean Cenawood and Jacob Margolies
Hospitals & Health Systems Medicare News Flash Reimbursement CMS Proposes to Tighten Provider-Based Location Criteria By Holley Lutz and Sarah Winston
Fraud & Abuse Hospitals & Health Systems Medicaid News Flash Reimbursement 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
Hospitals & Health Systems Medicaid Reimbursement US Health Care Government Funding Law Changes Rules Regarding Dual Eligibles and the Medicaid DSH Hospital-Specific Limit By Charles Luband and Callan 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
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 Digital Health Hospitals & Health Systems Medicaid Medicare Reimbursement US Health Care CMS Issues 2025 Marketplace Integrity and Affordability Proposed Rule By Kate Sullivan Morgan
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
Hospitals & Health Systems Medicaid Medicare Pharmaceuticals Reimbursement Congressional Check-Up: Examining Health Care Policies in the Lame-Duck Session and Beyond By Callan Smith
Compliance Health Care IT Hospitals & Health Systems Managed Care Medicaid Privacy & Security Reimbursement Medicaid Final Rules Add to HHS Regulatory Flurry By Charles Luband, Janice Ziegler, Claire Bornstein, and Callan Smith