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CMS Issues New Guidance Addressing Spread Pricing in Medicaid, Ensures Pharmacy Benefit Managers are not Up-Charging Taxpayers

Agency issues guidance for Medicaid Managed Care and CHIP health plans that clarifies how current regulations require “spread pricing” to be accounted in the calculation of Medical Loss Ratios (MLRs) Read more about CMS Issues New Guidance Addressing Spread Pricing in Medicaid, Ensures Pharmacy Benefit Managers are not Up-Charging Taxpayers
Press Releases

Remarks by Administrator Seema Verma at the National Rural Health Association Annual Conference

Remarks by Administrator Seema Verma at the National Rural Health Association Annual Conference (As prepared for delivery – May 8, 2019) Read more about Remarks by Administrator Seema Verma at the National Rural Health Association Annual Conference
Press Releases

Speech: Remarks by Administrator Seema Verma at the Medical Device Manufacturers Association Annual Meeting

Remarks by Administrator Seema Verma at the Medical Device Manufacturers Association Annual Meeting (As prepared for delivery – May 2, 2019) Read more about Speech: Remarks by Administrator Seema Verma at the Medical Device Manufacturers Association Annual Meeting
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CMS Finalizes Rule to Protect Medicaid Provider Payments

The Centers for Medicare & Medicaid Services (CMS) today released the Medicaid Provider Reassignment Regulation final rule removing a state’s ability to divert portions of Medicaid provider payments to third parties outside of the scope of what the statute allows. Read more about CMS Finalizes Rule to Protect Medicaid Provider Payments
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CMS outlines comprehensive strategy to foster innovation for transformative medical technologies

Today at the Medical Device Manufacturers Association (MDMA) Annual Meeting, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma for the first time walked through the agency’s comprehensive strategy to improve patients’ access to emerging technologies. Read more about CMS outlines comprehensive strategy to foster innovation for transformative medical technologies
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CMS Proposes to further strengthen oversight of Accrediting Organizations

The Centers for Medicare & Medicaid Services (CMS) today announced a proposed rule that would assure continued quality and safety in healthcare facilities by requiring greater transparency when ownership changes occur at Accrediting Organizations (AOs). Read more about CMS Proposes to further strengthen oversight of Accrediting Organizations