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Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications

Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications
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OIG Enhanced Review: OIG to Investigate the Life Cycle of Managed Care Contracts | Venable LLP

In August 2023, the Office of Inspector General for the Department of Health and Human Services (OIG) announced a new strategic plan to investigate the life cycle of Medicare Advantage.

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A Proposed New Regulatory Environment for Medicare Hospice Providers: Application of the 36-Month Rule, Increasing Enrollment Screening Processes, Informal Dispute Resolution, and Special Focus Designations | Venable LLP

On July 10, 2023, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (Proposed Rule) that would (i) include hospices in the 36-month rule ownership transfer.

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Biden Administration Transitional Coverage for Technologies

Biden Administration Transitional Coverage for Technologies
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United statesHailey genawJoseph groganLee fleisher jonathan blumNational coverage analysis evidenceTrump administrationUs senateSenate finance committeeDrug administrationMedicare coverage of innovative technologyBreakthrough devices programCenters for medicare medicaid servicesBiden administrationAgency for healthcare researchEvidence developmentF evidence development plan

TAKE TWO: CMS s Second Attempt to Streamline Breakthrough Device Coverage Limited to 5 Devices Per Year | Epstein Becker & Green

On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway the Biden administration’s highly.

United statesHailey genawJoseph groganLee fleisher jonathan blumNational coverage analysis evidence reviewBreakthrough devices programNational coverage analysis evidenceUs senateSenate finance committeeNational stakeholderMedicare coverage of innovative technologySee medicare programF evidence development planAgency for healthcare researchJournal of the american medical associationDrug administration