Helaine Fingold on Centers for Medicare & Medicaid Services (CMS)

CMS Announces Key 2015 Compliance Priorities for Federally Facilitated Exchange Plans

The Centers for Medicare & Medicaid Services (“CMS”) recently announced its 2015 key priorities for compliance reviews of qualified health plans (“QHPs”) offered in the federally facilitated marketplaces (“FFMs”). Through a...more

4/22/2015 / Centers for Medicare & Medicaid Services (CMS) , Examination Priorities , Healthcare , Prescription Drugs , Public Health Insurance Marketplace , Qualified Health Plans

CMS Releases Updates to Its Medicare Advantage and Part D Plan Audit Protocols and Processes

On February 12, 2015, the Centers for Medicare & Medicaid Services (“CMS”) released an updated version of its Medicare Advantage (“MA”) and prescription drug benefit (“Part D”) plan audit protocols and also announced the...more

3/2/2015 / Audits , Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Advantage , Medicare Part D

CMS Releases Key Proposals for the 2016 Qualified Health Plan Application Process

Stakeholders received insight on the Obama administration’s expected approach to the certification and oversight of qualified health plans (“QHPs”) on December 19, 2014, with the release by the Centers for Medicare & Medicaid...more

1/6/2015 / Centers for Medicare & Medicaid Services (CMS) , Certifications , Health Care Providers , Healthcare , Medicaid , Medicare , Public Health Insurance Marketplace , Qualified Health Plans

CMS Seeks Comments on Proposed Enhancements and Modifications to the Star Ratings for Medicare Advantage and Part D Prescription...

On November 21, 2014, the Centers for Medicare & Medicaid Services (“CMS”) released a Request for Comments on proposed enhancements and modifications to the 2016 Star Ratings for Medicare Advantage (“MA”) and Part D...more

12/11/2014 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Medicare Advantage , Medicare Part D

CMS Cost Sharing Reduction Reconciliation Reporting for QHPs

Qualified Health Plans (“QHPs”) and other stakeholders have until October 27, 2014, to comment on CMS’s proposed cost sharing reduction payment reconciliation reporting process. On Friday, September 26, 2014, CMS released...more

10/13/2014 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Employee Benefits , Healthcare , Healthcare Reform , Qualified Health Plans

CMS Requests Input on Health Plan Innovation Initiatives

Medicare Advantage (“MA”) plans, prescription drug plans (“PDPs”), and other stakeholders have until November 3, 2014, to provide input into the Centers for Medicare & Medicaid Services’ (“CMS’s”) consideration of potential...more

10/10/2014 / Centers for Medicare & Medicaid Services (CMS) , Innovation , Medicaid , Medicare Advantage , Prescription Drug Coverage , Request For Information , Supplemental Benefits , Technology

CMS's Final Exchange and Insurance Market Standards Impact Qualified Health Plan Filings for 2015 and Beyond

On May 16, 2014, the Centers for Medicare & Medicaid Services ("CMS") released a final rule titled "Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond" ("Final Rule")...more

6/9/2014 / Affordable Care Act , CCIIO , Centers for Medicare & Medicaid Services (CMS) , Employer Mandates , Federally Facilitated Exchanges , Final Rules , Health Insurance Exchanges , Healthcare , Popular , Qualified Health Plans , Small Business

CMS Scaled Back Changes to the Medicare Part D Prescription Drug and Medicare Advantage Programs, but Some Important Revisions...

On May 19, 2014, the Centers for Medicare & Medicaid Services ("CMS") released a final rule ("Final Rule") completing changes to the Medicare Program's outpatient prescription drug benefit ("Part D") program and the Medicare...more

5/22/2014 / Centers for Medicare & Medicaid Services (CMS) , Disclosure Requirements , Final Rules , Medicaid , Medicare , Medicare Advantage , Medicare Part D , Prescription Drug Coverage , Prescription Drugs

CMS Identifies Key Priorities for 2014 Compliance Reviews of Qualified Health Plans in the Federally Facilitated Marketplace

At a Centers for Medicare & Medicaid Services ("CMS") teleconference titled "Compliance Reviews in the Federally-Facilitated Marketplace" ("FFM"), which was held on April 10, 2014, CMS representatives discussed the agency's...more

4/14/2014 / Audits , Centers for Medicare & Medicaid Services (CMS) , Compliance , Healthcare , Medicaid , Medicare , Qualified Health Plans

Helaine Fingold

Epstein Becker & Green

Popular Topics by This Author

Latest Posts › Centers for Medicare & Medicaid Services (CMS)