On June 11, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published Advisory Opinion 25-03, approving a proposal by a management services organization (MSO) and its friendly PC...more
6/25/2025
/ Advisory Opinions ,
Anti-Kickback Statute ,
Contract Terms ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Medicaid ,
Medicare Advantage ,
OIG ,
Patient Access ,
Proposed Rules ,
Safe Harbors ,
Telehealth
On May 21, Governor Bill Lee signed House Bill 979 (HB 979) into law. Notably, provisions of this law aim to address physician shortages and improve access to specialized medical care in rural and underserved areas in...more
6/16/2025
/ Employment Policies ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Hospitals ,
New Legislation ,
New Regulations ,
Physicians ,
Regulatory Requirements ,
State and Local Government ,
Tennessee
After months of signaling that a new strategy was in the works, on May 13, 2025, the Centers for Medicare & Medicaid Services (CMS) released a new strategic direction for the CMS Center for Medicare and Medicaid Innovation...more
5/14/2025
/ Alternative Payment Models (APM) ,
Centers for Medicare & Medicaid Services (CMS) ,
CMMI ,
Government Agencies ,
Healthcare ,
Healthcare Reform ,
Legislative Agendas ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Regulatory Agenda ,
Regulatory Reform ,
Value-Based Care
On March 12, the Centers for Medicare & Medicaid Services (CMS) announced that certain Medicare value-based payment models will terminate early and signaled a new strategy will be announced soon. Specifically, the Centers for...more