On August 11, 2020, the Department of Health and Human Services announced that it is expanding the alternative dispute resolution process known as Settlement Conference Facilitation (SCF) for 2020. Under the expansion,...more
In response to the disruptive Supreme Court decision on the impact and effect of administrative guidance, HHS has issued a memorandum suggesting that CMS's ability to enforce some of its payment policies may be limited by the...more
12/18/2019
/ Administrative Agencies ,
Administrative Law Judge (ALJ) ,
Azar v Allina Health Services ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Local Coverage Determinations (LCDs) ,
Notice and Comment ,
Physicians ,
Policy Memorandums ,
Proposed Guidance ,
Rulemaking Process ,
SCOTUS ,
Self-Referral
The OIG added six new items to its Work Plan in the July 2018 update. Areas addressed include HHS cybersecurity vulnerabilities, increased payments for transfer claims with outliers, oversight of funds for Access Increases in...more
8/2/2018
/ Children's Health Insurance Program (CHIP) ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Hospitals ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Mental Health ,
OIG ,
Outlier Payments ,
Physicians ,
Provider Payments ,
SAMHSA ,
Substance Abuse ,
Work Plans
On December 13, 2016, President Obama signed the 21st Century Cures Act ("Cures Act"), H.R. 34, into law. It enjoyed bipartisan support and was overwhelmingly approved by the House and Senate in recent weeks. The expansive...more