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November 21, 2023
On November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the final rules for the calendar year ("CY") 2024 outpatient prospective payment system ("OPPS")...
August 9, 2023
On August 1, 2023, the Centers for Medicare & Medicaid Services (CMS) released the final rule for the federal fiscal year (FFY) 2024 inpatient prospective payment system (IPPS)...
April 28, 2023
On March 28, 2023, Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) introduced a bipartisan bill targeting the Medicare Advantage patient risk scoring reimbursement methodology. Senators...
March 21, 2022
On February 24, 2022, the Centers for Medicare & Medicaid Services (“CMS”) announced the redesign and renaming of its Global and Professional Direct Contracting model (“GPDC”), which...
December 3, 2021
Enterprise risk management in health care “comprises the clinical and administrative systems, processes, and reports employed to detect, monitor, assess, mitigate, and prevent risks.”...
December 3, 2021
30 million seniors who thought they were free of insurance companies may find their health care managed by corporations.