Aug 9, 2018 | Medicare, News and Updates, Rulemaking
On August 9, 2018, CMS released a proposed rule to restructure the Medicare Shared Savings Program (MSSP). The proposal seeks to reduce the amount of time ACOs can remain in the program without assuming risk by eliminating the one-sided shared savings option...
Jun 28, 2018 | 340B, News and Updates
On June 28, 2018, the GAO released a report detailing how covered entities use contract pharmacies and relevant compliance issues.
Jun 27, 2018 | Medicaid, News and Updates
On June 26, 2018, CMS announced a new set of initiatives seeking to promote program integrity throughout the Medicaid program. The initiatives focus on strengthening the audit process, increasing oversight of state contracts with provide health plans, increasing...
Jun 27, 2018 | Executive Action, News and Updates
On May 11, 2018, President Trump and HHS Secretary Alex Azar introduced their “American Patients First” initiative, described as a blueprint to lower drug prices and reduce out-of-pocket costs for patients. The plan also included a request for information...
Jun 25, 2018 | Fraud and Abuse, News and Updates
On June 25, 2018, CMS published a request for information (RFI) to seek input on how the agency could address the “undue regulatory impact and burden” of the physician self-referral, or “Stark,” law.
