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Feb 23, 2024 |
natlawreview.com | Jeremy Earl
Skip to main content February 23, 2024 Volume XIV, Number 54 Legal Analysis. Expertly Written. Quickly Found.
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Feb 20, 2024 |
jdsupra.com | Emily Curran |Jeremy Earl
On February 6, 2024, the US Centers for Medicare & Medicaid Services (CMS) released a set of frequently asked questions (FAQs) related to Medicare Advantage (MA) coverage criteria and utilization management (UM) requirements.
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Feb 2, 2024 |
natlawreview.com | Jeremy Earl
On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization final rule (Final Rule) (fact sheet, CMS’ interoperability website), which aims to improve prior authorization processes and enhance patient, provider and payer access to interoperable patient data.
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Jan 26, 2024 |
jdsupra.com | Emily Curran |Jeremy Earl |Erin Kelly
OVERVIEWOn January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the CMS Interoperability and Prior Authorization final rule (Final Rule) (fact sheet, CMS’ interoperability website), which aims to improve prior authorization processes and enhance patient, provider and payer access to interoperable patient data.
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Jan 16, 2024 |
employeebenefitsblog.com | Mary Moll Alexandre |Jeremy Earl |Fabiola Díaz Vera
On November 6, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for the Medicare Advantage and Part D programs. Among other proposals, CMS proposed significant changes to longstanding rules on permissible payment structures for agents and brokers. Specifically, CMS proposes to prohibit “overrides” or administrative fees paid to agents and brokers outside of the fair market value enrollment compensation limits established by CMS.
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Nov 9, 2023 |
lexology.com | Mary Moll Alexandre |Jeremy Earl |Fabiola Díaz Vera
On November 6, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule regarding Contract Year (CY) 2025 Policy and Technical Changes to the Medicare Advantage (MA) and Medicare Prescription Drug Benefit Programs. Among other proposals, CMS proposed significant changes to longstanding rules on permissible payment structures for agents and brokers.
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Oct 13, 2023 |
jdsupra.com | Brad Dennis |Jeremy Earl |Mary Moll Alexandre
October 13, 2023 October 19th, 1:00 pm - 2:00 pm EDT Brad Dennis, Jeremy Earl, Mary Moll Alexandre McDermott Will & Emery + Follow x Following x Following - Unfollow Contact To embed, copy and paste the code into your website or blog: October 19th, 2023 1:00 PM - 2:00 PM EDT The emergence of joint ventures between health systems and payors is quickly reshaping the healthcare sector as we know it—presenting both new complexities and fresh opportunities for the changemakers involved. This...
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Aug 30, 2023 |
mwe.com | Mary Moll Alexandre |Brad Dennis |Jeremy Earl
The emergence of joint ventures between health systems and payors is quickly reshaping the healthcare sector as we know it—presenting both new complexities and fresh opportunities for the changemakers involved. This timely program will examine the key legal, regulatory, financial and operational considerations for these innovative collaborations, including structuring issues, regulatory considerations, financial arrangements, and the integration of healthcare delivery and insurance services.
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Jun 26, 2023 |
jdsupra.com | Jeremy Earl
May 8, 2023
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During this session, Partner Jeremy Earl moderated a panel that discussed how value-based care models are delivering care to individuals with complex conditions and those with significant healthcare and social needs.
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Jun 26, 2023 |
jdsupra.com | Jeremy Earl
May 8, 2023
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During this session, Partner Jeremy Earl moderated a panel that collected insights on how specialists can participate in value-based care and the unique challenges specialists face in maximizing value-based care opportunities.