S. Lawrence Kocot

S. Lawrence Kocot

Epstein Becker Green

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Medicare Shared Savings Program Proposed Rule: Enough Incentive to Encourage More ACO Risk?

On December 1, 2014, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) setting forth long-anticipated changes to the Medicare Shared Savings Program (“MSSP”), including payments...more

12/5/2014 - ACOs CMS Healthcare Medicare Shared Savings Program Proposed Regulation

CMS's Final Exchange and Insurance Market Standards Impact Qualified Health Plan Filings for 2015 and Beyond

On May 16, 2014, the Centers for Medicare & Medicaid Services ("CMS") released a final rule titled "Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond" ("Final Rule")...more

6/9/2014 - Affordable Care Act CCIIO CMS Employer Mandates Federally Facilitated Exchanges Final Rules Health Insurance Exchanges Healthcare Popular Qualified Health Plans SHOPS Small Business

CMS Scaled Back Changes to the Medicare Part D Prescription Drug and Medicare Advantage Programs, but Some Important Revisions...

On May 19, 2014, the Centers for Medicare & Medicaid Services ("CMS") released a final rule ("Final Rule") completing changes to the Medicare Program's outpatient prescription drug benefit ("Part D") program and the Medicare...more

5/22/2014 - CMS Disclosure Requirements Final Rules Medicaid Medicare Medicare Advantage Medicare Part D Prescription Drug Coverage Prescription Drugs

2015 Payment Notice and Final Call Letter: A Mixed Bag for Medicare Advantage and Prescription Drug Plans

On April 7, 2014, the Centers for Medicare & Medicaid Services ("CMS") released the Announcement of Calendar Year ("CY") 2015 Medicare Advantage ("MA") Capitation Rates and Medicare Advantage and Part D Payment Policies...more

4/14/2014 - CMS Healthcare Medicaid Medicare Advantage Medicare Part D

CMS Proposes Significant Rate Cuts and Other Changes to Medicare Advantage and Prescription Drug Plans

The Advance Notice ("Advance Notice") of Methodological Changes for Calendar Year ("CY") 2015 for Medicare Advantage ("MA") Capitation Rates, Part C and Part D Payment Policies and 2015 Call Letter was released by the Centers...more

2/24/2014 - Advance Notice Affordable Care Act CMS Drug Manufacturers Fee-for-Service Healthcare Medicare Advantage Medicare Part D Pharmacies Physician Medicare Reimbursements Prescription Drug Coverage Provider Payments Risk Assessment

CMS Proposes Far-Reaching Changes to the Medicare Part D Prescription Drug Benefit Program and the Medicare Advantage Program

On January 10, 2014, the Centers for Medicare & Medicaid Services ("CMS") published a proposed rule ("Proposed Rule") setting forth sweeping changes to the Medicare Program's outpatient prescription drug benefit ("Part D")...more

2/5/2014 - CMS Healthcare Healthcare Reform Medicare Medicare Advantage Medicare Part D Prescription Drug Coverage Prescription Drugs

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