Topic
CMS
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Major HHS Rule Change: Is Your Healthcare Practice at Risk of Losing Medicare Payments?
The latest HHS rule targets information blocking practices in healthcare, imposing penalties for non-compliance. Healthcare providers face increased scrutiny, financial impact, and reputational risk. To comply, they must…
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California · California Advancing and Innovating Medi-Cal (CalAIM) · Care Coordination · CHIP · CMS · Justice-Involved · Medicaid · Substance Use Disorders · Value Based Care · YouthMedicaid Coverage for Incarcerated Youth: California’s Initiative
What is the Justice-Involved Initiative? The Justice-Involved Initiative is a pioneering program under California’s Medicaid reforms, specifically designed to extend Medicaid coverage to incarcerated individuals. Historically, under the…
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Statutory and Plan-Bid Components of the Regional MA Benchmarks
Carriers set their actual prices by bidding against the capitation payment amounts. Carriers with plans that do well on Medicare Advantage program quality measures get a higher monthly…