Lynsey Mitchell

Lynsey Mitchell

Sheppard Mullin Richter & Hampton LLP

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Latest Posts › CMS


CMS Oncology Care Model Reforming Payment for Beneficiaries with Cancer

The Center for Medicare & Medicaid Innovation first introduced its Oncology Care Model (OCM) last year. OCM went into effect July 1, 2016, and will run through June 30, 2021. The new multi-payer model is the first CMS...more

7/18/2016 - Cancer CMS Medicare Medicare Part A Medicare Part B Medicare Part D

CMS 2017 Proposal Reduces Home Health Reimbursements by $180 Million

On June 27, CMS issued a proposal for the 2017 Medicare home health prospective payment system (HH PPS). CMS is proposing a $180 million reduction in 2017. This equates to a 1% drop in reimbursements for home health...more

7/6/2016 - Affordable Care Act CMS Home Health Care Home Healthcare Workers Medicare Minimum Wage Patient Prospective Payment System

CMS Redefines Alternative Payment Models and Offers Option for Merit-Based Incentive Payment System in New Proposed Rule

The Medicare Access and CHIP Reauthorization Act (MACRA) is expected to drastically change how physicians are paid by the Centers for Medicare and Medicaid Services (CMS). Under the proposed rule, physicians will be given the...more

6/6/2016 - Alternative Payment Models (APM) American Medical Association CMS EHR Medicare Access and CHIP Reauthorization (MACRA) Medicare Shared Savings Program MIPS Physician Payments Physicians

New Amendments Grant Failing ACA Co-Op Program Access to Private Capital and Limit Special Enrollment Eligibility

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) passed an interim final rule that amends regulations governing Consumer Operated and Oriented Plans (Co-ops) and tightens restrictions on special...more

5/18/2016 - Affordable Care Act CMS Co-Op Health Insurance New Amendments State Health Insurance Exchanges

States Take Aim At Health Insurance Providers Fee In New Litigation

Three states—Kansas, Louisiana and Texas—filed a complaint in federal court on October 22, 2015 challenging the constitutionality and legality of the Affordable Care Act’s health insurance providers fee. The health...more

11/3/2015 - Affordable Care Act CHIP CMS Covered Entities Declaratory Judgments Fees Health Insurance MCOs Medicaid Medicare

A (Second) Lawsuit Seeks to Compel Statutory Timeframe for Administrative Law Judge Review of Medicare Claims Appeals

On August 26th, the Center for Medicare Advocacy filed a nationwide class action lawsuit against the Secretary of Health and Human Services. The complaint alleges that, as implemented, the Medicare administrative review...more

9/12/2014 - Class Action CMS Due Process Fifth Amendment HHS Medicare OMHA Secretary of HHS

Bundled Payments under the Affordable Care Act Continue to Gain Influence

The Center for Medicare and Medicaid Services (CMS) recently announced that it will add roughly 4,100 providers to the 2,400 existing providers testing the possible use of Medicare bundled payment contracts. Providers must...more

8/12/2014 - Affordable Care Act Bundling Rules CMS Employee Benefits Healthcare

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

The Centers for Medicare & Medicaid Services (CMS) recently announced that over 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative. The large number of participating...more

3/1/2013 - ACOs Bundled Payments CMS Medicaid Medicare

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