Tag: Healthcare Regulation

Medicare Part B Payment Adjustments Impacted by Noncovered Drugs

Explore how Medicare Part B payment adjustments for self-administered medications impact beneficiaries and the healthcare market.

California's Fight Against Hospice Fraud: A Robust Enforcement Strategy

Learn about California's proactive measures against hospice fraud, including investigations and new laws to protect vulnerable patients and taxpayer resources.

CMS Expands Risk-Based Surveys in Nursing Homes

CMS plans to expand risk-based nursing home surveys, focusing on high-performing centers and addressing staffing deficits, enhancing operations and AI compliance.

Regulatory Challenges Facing Catholic Healthcare Providers

Explore the regulatory and legal challenges faced by Catholic healthcare providers, highlighting key insights from prominent Church leaders. Understand the implications for compliance.

Antitrust Lawsuit Against OhioHealth: Implications for Healthcare Competition

Explore the recent antitrust lawsuit against OhioHealth and its effects on healthcare competition and affordability in Ohio.

Minnesota Lawsuit Targets Federal Withholding of Medicaid Funds

Minnesota's lawsuit challenges the federal government's withholding of Medicaid funds, raising key regulatory compliance issues in healthcare funding.

MedPAC Proposes Changes to Medicare Physician Payment Rates for 2027

MedPAC proposes new payment adjustments for 2027 in Medicare's system, impacting costs and compensation for physicians. Learn about the latest adjustments and implications.

Updated OIG Compliance Guidance for Medicare Advantage Stakeholders

Explore the updated OIG compliance guidance for Medicare Advantage, addressing risk adjustment, prior authorization, and essential regulatory needs for stakeholders.

Impact of Inflation Reduction Act on Medicare Part D Beneficiaries

Discover how the Inflation Reduction Act benefits Medicare Part D by reducing prescription costs and improving health outcomes for beneficiaries.

New Payment Model for Cardiology Focused on Value-Based Care

Explore the new Ambulatory Specialty Model by CMS, focusing on value-based reimbursement for cardiologists in heart failure care. Learn its implications and requirements.