Rule Cracks Down on Improper ACA Enrollments, Protects Patient and Taxpayer Dollars, and Restores Marketplace Integrity
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CMS Statement on Emergency Medical Treatment and Labor Act (EMTALA)
The Department of Health and Human Services and Centers for Medicare & Medicaid Services (“CMS”) are rescinding July 2022 guidance from CMS with the subject “Reinforcement of EMTALA Obligations specific to Patients who are Pregnant or are Experiencing Pregnancy Loss” ( QSO-22-22-Hospitals ) and ( Read more about CMS Statement on Emergency Medical Treatment and Labor Act (EMTALA)
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CMS Launches Oversight Initiative on Hospitals Performing Experimental Sex Trait Modification Procedures
CMS Launches Oversight Initiative on Hospitals Performing Experimental Sex Trait Modification Procedures The Centers for Medicare & Medicaid Services (CMS) today sent a letter to select hospitals performing pediatric sex trait modification procedures outlining urgent concerns with both the quality Read more about CMS Launches Oversight Initiative on Hospitals Performing Experimental Sex Trait Modification Procedures
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CMS Increasing Oversight on States Illegally Using Federal Medicaid Funding for Health Care for Illegal Immigrants
The Centers for Medicare & Medicaid Services (CMS) announced today increased federal oversight to stop states from misusing federal Medicaid dollars to cover health care for individuals who are in the country illegally. Under federal law, federal Medicaid funding is generally only available for Read more about CMS Increasing Oversight on States Illegally Using Federal Medicaid Funding for Health Care for Illegal Immigrants
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Departments of Labor, Health and Human Services, Treasury announce move to strengthen healthcare price transparency
Departments of Labor, Health and Human Services, Treasury announce move to strengthen healthcare price transparency Trump administration issues request for information, guidance to expand access to real prices The departments of Labor, Health and Human Services, and the Treasury took action today to Read more about Departments of Labor, Health and Human Services, Treasury announce move to strengthen healthcare price transparency
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CMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits
Agency Will Begin Auditing All Eligible Medicare Advantage Contracts Each Payment Year and Add Resources to Expedite Completion of 2018 to 2024 Audits Today, the Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for Medicare Advantage (MA) plans Read more about CMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits
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