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Manatt, Phelps & Phillips, LLP

Request for Applications for the Guiding an Improved Dementia Experience (GUIDE) Model Now Available

Editor’s Note: At Manatt Health’s recent webinar on the Guiding an Improve Dementia Experience (GUIDE) Model, we committed to keeping you up to date on any new developments. In keeping with that commitment, Manatt Health is...more

Foley & Lardner LLP

CMS’ Making Care Primary (MCP) Model: Applications Due November 30, 2023

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The Centers for Medicare and Medicaid Services’ (CMS) new program Making Care Primary (MCP), is anticipated to begin July 1, 2024. In a previous blog post Foley breaks down major highlights of the new model. On...more

K&L Gates LLP

The Next Evolution of ACO Models – Applications for the ACO REACH Model Are Due 22 April 2022

K&L Gates LLP on

On 24 February 2022, the Centers for Medicare and Medicaid Services (CMS), through the Centers for Medicare and Medicaid Innovation (CMMI), unveiled the new “ACO REACH” Model (Accountable Care Organization Realizing Equity,...more

Sheppard Mullin Richter & Hampton LLP

CMS Announces New Geographic Direct Contracting Model: Letters of Interest Due by December 21, 2020

On December 3, 2020, Centers for Medicare & Medicaid Services (“CMS”) announced key details concerning a new value-based reimbursement and patient care model – the Geographic Direct Contracting Model (the “Model” or “Geo”)....more

Pillsbury Winthrop Shaw Pittman LLP

Applications for the FCC’s Connected Care Pilot Program Due December 7

The Connected Care Pilot Program will make available up to $100 million over three years to eligible health care providers. Eligible fund recipients include nonprofit and public health care organizations....more

Williams Mullen

Expansion Opportunities for Health Care Providers in North Carolina

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The proposed 2021 Certificate of Need (CON) schedule is now available, identifying the deadlines likely to apply to CON application filings in the coming year.  Providers interested in new operating rooms, new MRI or PET...more

ArentFox Schiff

FCC Announces Opening of Application Window for $100 Million Connected Care Pilot Program

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Program Emphasizes Connected Care Services for Low-Income and Veteran Patients - In a Public Notice released today, the FCC announced that its “Connected Care Pilot Program” (Pilot Program) application filing window will...more

Butler Snow LLP

UPDATED: CARES Act Provider Relief Fund Reporting Requirements Released by HHS

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HHS reverses course and again permits healthcare providers to apply Provider Relief Fund payments against patient care lost “revenues” rather than limiting such application only to patient care lost “net operating income”. ...more

Butler Snow LLP

Provider Relief Fund Distribution Payments May Be Subject To Audit Requirements

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In the CARES Act that became law with President Trump’s signature on March 27, $100 billion has been set aside for “health care related expenses or lost revenues that are attributable” to the COVID-19 pandemic. Commonly...more

Sheppard Mullin Richter & Hampton LLP

Global and Professional Options Direct Contracting Model RFA and LOI Now Active

On April 21, 2019, the Center for Medicare and Medicaid Innovation (“CMMI”) announced the CMS Primary Cares Initiative – a voluntary, risk-based initiative to transform the Medicare program’s reimbursement of primary care...more

Harris Beach PLLC

Vetting Residents on Admission to Long-Term Care Facilities: An Ounce of Prevention

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To continue our series on strategies for maximizing collections on long-term care accounts, we're focusing on the first steps: vetting the applicant by gathering the information that you'll want to have upon application for...more

Holland & Knight LLP

CMS Releases Fiscal Year (FY) 2020 Inpatient Prospective Payment System (IPPS) Final Rule

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On August 2, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital Prospective Payment System...more

Bradley Arant Boult Cummings LLP

CMS Finalizes Redesign of Medicare Shared Savings Program - Healthcare Alert

On December 31, 2018, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule that redesigns the Medicare Shared Savings Program (MSSP). The rule implementing this redesign, titled “Pathways to Success,”...more

Bricker Graydon LLP

Deadline approaching to submit meaningful use hardship exception to avoid payment adjustment

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The Centers for Medicare & Medicaid Services (CMS) recently released the hardship exception instructions and application form for the Medicare Electronic Health Records (EHR) Incentive Program (now called the Promoting...more

Baker Donelson

BPCI Advanced – CMS Offers a Familiar Program with a New Twist

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The Centers for Medicare & Medicaid Services (CMS) is launching BPCI Advanced – the successor program to the Bundled Payments for Care Improvement Initiative. Providers that like the current BPCI program, or simply missed the...more

Manatt, Phelps & Phillips, LLP

Manatt on Health Reform: Weekly Highlights - September 2016 #4

Marylanders can shop for coverage through the Marketplace’s new mobile app; Michigan expansion enrollees report increased access to care and improved health; and survey finds states’ eligibility and enrollment systems...more

Bradley Arant Boult Cummings LLP

Tennessee Legislature Passes Sweeping Changes to CON Law

On April 20, 2016, the Tennessee House and Senate completed final actions to pass legislation that makes significant modifications to the state’s certificate of need (CON) laws. The legislation, SB1842/HB1730 was sponsored by...more

Bradley Arant Boult Cummings LLP

Mississippi CON Report

I. Mississippi Certificate of Need Meetings During March 2016 - During the March 31, 2016, Certificate of Need meeting, Dr. Mary Currier, State Health Officer, concurred with the health and planning staff analysis and...more

Williams Mullen

It’s the CON Season in North Carolina – Is Your Petition Ready?

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Can your organization satisfy an unmet need by bringing a new health care resource into a North Carolina community? If your organization perceives a need that has not been recognized by our State’s health planners, now is...more

Bradley Arant Boult Cummings LLP

Mississippi CON Report

I. Mississippi Certificate of Need Meetings During January 2016 - During the January 28, 2016, Certificate of Need meeting, Dr. Mary Currier, State Health Officer, concurred with the health and planning staff analysis...more

Bradley Arant Boult Cummings LLP

Tennessee CON Report

I. January 2016—Tennessee Certificate of Need Meeting - At the January meeting of the Tennessee Health Services and Development Agency, Jeff Ockerman announced that the Standards for Psychiatric Inpatient Services and...more

Polsinelli

CMS Announces Changes to Medicare Meaningful Use Hardship Exception Application Process

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On Jan. 22, 2016, CMS issued a new application and sweeping changes to the Medicare Electronic Health Records (EHR) Incentive Program hardship exception application process. The changes are intended to temporarily ease the...more

Bradley Arant Boult Cummings LLP

Mississippi CON Report

I. September 2015 – Mississippi Certificate of Need Meeting - During the September 24, 2015, Certificate of Need meeting, Dr. Mary Currier, State Health Officer, concurred with the health and planning staff analysis...more

Foley & Lardner LLP

MSSP Final Rule ACO Eligibility Requirements, Application and Renewal Process

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This is the second post in Health Care Law Today’s series on the final rule. This post addresses Eligibility Requirements, and the Application and the Renewal Process. ACO Eligibility Requirements - Under the...more

Polsinelli

Accountable Care Organization Update

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In This Issue: - Summary of Next Generation ACO Model - Summary of Additional Guidance on ACO Pre-Participation & Participation Waivers - For More Information - Excerpt from Summary of Next...more

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