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Oct 15, 2024 | 
lexology.com | Karen S. Lovitch |Lauren M. Moldawer |Cassandra L. Paolillo
Commencing October 2024, CMS will start off-cycle revalidations of all Skilled Nursing Facilities (SNFs).
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Jul 24, 2024 | 
mondaq.com | Tara Dwyer |Lauren M. Moldawer |David Gilboa |Samantha Hawkins
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The passage of the Inflation Reduction Act of 2022 (IRA) marked a significant milestone in Congress's ongoing efforts to address escalating health care costs.
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Jul 15, 2024 | 
lexology.com | Tara Dwyer |Lauren M. Moldawer |David Gilboa |Samantha Hawkins |Stephnie A. John |Matthew Tikhonovsky
The passage of the Inflation Reduction Act of 2022 (IRA) marked a significant milestone in Congress’s ongoing efforts to address escalating health care costs. While the IRA aims to rein in government spending on Medicare and to lower point-of-sale prescription drug costs for Medicare beneficiaries, its implementation, and adoption of the redesigned Medicare Part D program has sparked a cascade of consequences for Medicare Part D plan sponsors (“PDPs”), beneficiaries, and manufacturers.
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Jun 24, 2024 | 
mondaq.com | Lauren M. Moldawer
Member Lauren Moldawer spoke to Health Payer
Specialist about a recent move by the Center for Medicare
& Medicaid Services (CMS) to recalculate all Medicare Advantage
Star ratings in light of recent court decisions favoring Elevance
Health and SCAN Health.
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May 7, 2024 | 
mondaq.com | Tara Dwyer |Lauren M. Moldawer |Madison Castle
As part of its 2025 Medicare Advantage and Part D Final Rule
(the Final Rule), the Centers for Medicare & Medicaid Services
(CMS) made a number of enrollment changes impacting dual eligible
special needs plans (DSNPs). The goal of these changes is to
promote integration of Medicaid and Medicare services for full
benefit dually eligible (FBDE) individuals.
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May 3, 2024 | 
jdsupra.com | Madison Castle |Tara Dwyer |Lauren M. Moldawer
As part of its 2025 Medicare Advantage and Part D Final Rule (the Final Rule), the Centers for Medicare & Medicaid Services (CMS) made a number of enrollment changes impacting dual eligible special needs plans (DSNPs).The goal of these changes is to promote integration of Medicaid and Medicare services for full benefit dually eligible (FBDE) individuals.
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May 1, 2024 | 
lexology.com | Tara Dwyer |Lauren M. Moldawer |Madison Castle
As part of its 2025 Medicare Advantage and Part D Final Rule (the Final Rule), the Centers for Medicare & Medicaid Services (CMS) made a number of enrollment changes impacting dual eligible special needs plans (DSNPs). The goal of these changes is to promote integration of Medicaid and Medicare services for full benefit dually eligible (FBDE) individuals.
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Mar 5, 2024 | 
mondaq.com | Tara Dwyer |Lauren M. Moldawer |Madison Castle
On February 15, 2024, the Centers for Medicare and Medicaid
Services (CMS) released the Medicare Prescription Payment Plan Draft Part Two
Guidance (Part Two Guidance) as part of the Inflation Reduction
Act's (IRA) efforts to tackle high prescription drug costs.
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Feb 27, 2024 | 
lexology.com | Tara Dwyer |Lauren M. Moldawer |Madison Castle
On February 15, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Prescription Payment Plan Draft Part Two Guidance (Part Two Guidance) as part of the Inflation Reduction Act’s (IRA) efforts to tackle high prescription drug costs.
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Sep 29, 2023 | 
law360.com | Theresa C. Carnegie |Lauren M. Moldawer |Hassan Shaikh
ADVERTISEMENT Don't want ads? Subscribe or login now. By Theresa Carnegie, Lauren Moldawer, and Hassan Shaikh (September 29, 2023, 1:25 PM EDT) -- The ability to directly negotiate drug prices has been a policy goal for Democrats for many years and was recently accomplished through the Inflation Reduction Act's Medicare drug price negotiation program....
