Risk Management, Final Rules, Centers for Medicare & Medicaid Services (CMS)

An MA Extravaganza: Overview of the Final Rule and Rate Announcement

McDermott+ on 4/10/2025

This past week, the Trump administration put its first major stamp on the Medicare Advantage (MA) program. The Centers for Medicare & Medicaid Services (CMS) released two final regulatory documents related to MA: - The...more

2026 Medicare Advantage and Part D Final Rate Notice: What to Expect

McDermott+ on 3/26/2025

Key Takeaways - - CMS is expected to issue the 2026 final rate notice for Medicare Advantage (MA) and Part D plans by April 7, 2025. - The January 2025 advance notice proposed policies that would increase payments to MA...more

CMS Cracks Down on Responsible Party Liability in LTC Admission Agreements

Stotler Hayes Group, LLC on 2/3/2025

A nursing facility that participates in the Medicaid or Medicare programs may not require a third party to guarantee payment for a resident’s admission or continued stay. However, facilities are allowed to require a resident...more

CMS Publishes Final Rule, Effective January 1, 2025, Addressing the Requirements for Reporting and Returning Overpayments

Proskauer - Health Care Law Brief on 1/28/2025

The standard for an “identified overpayment” under Medicare Parts A–D now aligns with section 1128J(d)(4)(A) of the Social Security Act, which incorporates by reference the Federal False Claim Act’s (the “FCA”) “knowledge”...more

Risk Management › Final Rules › Centers for Medicare & Medicaid Services (CMS)

An MA Extravaganza: Overview of the Final Rule and Rate Announcement

2026 Medicare Advantage and Part D Final Rate Notice: What to Expect

CMS Cracks Down on Responsible Party Liability in LTC Admission Agreements

CMS Publishes Final Rule, Effective January 1, 2025, Addressing the Requirements for Reporting and Returning Overpayments

CMS Issues Final 2025 Calendar Year Medicare Physician Fee Schedule Final Rule

[Event] 15th Annual Advanced Forum on Managed Care Disputes and Litigation - May 2nd - 3rd, Chicago, IL

[Event] 2nd Annual Legal, Regulatory and Compliance Summit on Medicare Advantage - November 2nd - 3rd, Nashville, TN

Risk Management › Final Rules › Centers for Medicare & Medicaid Services (CMS)

An MA Extravaganza: Overview of the Final Rule and Rate Announcement

2026 Medicare Advantage and Part D Final Rate Notice: What to Expect

CMS Cracks Down on Responsible Party Liability in LTC Admission Agreements

CMS Publishes Final Rule, Effective January 1, 2025, Addressing the Requirements for Reporting and Returning Overpayments

CMS Issues Final 2025 Calendar Year Medicare Physician Fee Schedule Final Rule

[Event] 15th Annual Advanced Forum on Managed Care Disputes and Litigation - May 2nd - 3rd, Chicago, IL

[Event] 2nd Annual Legal, Regulatory and Compliance Summit on Medicare Advantage - November 2nd - 3rd, Nashville, TN

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