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Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies, and analyses; and other health policy news. Week in Review Highlight of the Week: On Wednesday, HHS finalized its review of Phase 3 Provider Relief Fund applications and began distribution of the funds. Read more about this action and other news below. I. Regulations, Notices & Guidance On December 14, 2020, the Department of Health and Human Services (HHS), along with s...

To embed, copy and paste the code into your website or blog: This week in Washington: Washington waited for a COVID-19 stimulus and omnibus appropriations bill ahead of the holiday recess, and a deal was struck Sunday night; Attached to the COVID-19 relief provisions and omnibus appropriations bill are a number of health provisions. House/Senate Administration CMS: New Model Option for Medicaid Managed Care Organizations Serving Beneficiaries Dually Eligible for Medicare and Medicaid CMS: Applications for MIPS Exceptions Due to COVID-19 Now Due Feb. 1 CMS Office of the Actuary Releases 2019 N...

On December 3, 2020, Centers for Medicare & Medicaid Services (“ CMS”) announced key details concerning a new value-based reimbursement and patient care model – the Geographic Direct Contracting Model (the “ Model” or “ Geo”). Geo is a geographic-based approach to value-based Medicare reimbursement and patient care that focuses on improving health outcomes and decreasing the cost of care across an entire geographic region. Direct contracting entities (“ DCEs”) participating in the Model will be taking responsibility for the total cost of care of Medicare fee-for-service bene...