The Centers for Medicare & Medicaid Services (CMS) recently announced new arrangements for payments that will be qualified as Advanced Alternative Payment Models (APMs) under the Quality Payment Program...
A recent report released by the House Energy and Commerce Committee stresses on the failures of Consumer Operated and Oriented Plan (CO-OP) program from CMS. The non-profit startup insurers,...
After the result of a recent voting, the Senate decided to pass the S. 524 Bill, the Comprehensive Addiction and Recovery Act (CARA). The approved bill was passed on...
The US Supreme Court recently issued an undisputed decision on the Universal Health Services v. Escobar case that has great implications for upcoming False Claim Act (FCA) cases. The...
The Department of Health and Human Services (HHS) was recently accused by two House Republicans for the holding up of off-label marketing guidelines by FDA. The lawmakers sent a...
A new proposed rule issued in March 2016, aimed at creating a new Medicare payment methodology for part B drugs administered by physicians and other providers, is taking a...
At the beginning of the month, the Department of Health and Human Services Office for Civil Rights (OCR) let out a redone audit protocol, which addresses the requirements of...
CMS has made its final ruling on the Medicare Advantage Payment Rate and it has been appreciated by AHIP. According to the reports published by CMS, the Final Medicare...
December 2015 saw the judgment on a crucial case in the healthcare industry. The case was between a prominent insurance service and a healthcare provider, about the assignment of...