Brian Lee on Centers for Medicare & Medicaid Services (CMS)

Is Medicare Physician Fee Schedule Reform on the Horizon?

The decreasing value of Medicare reimbursements for physicians has caught the attention of a group of doctors in Congress. Our Heath Care Group explains how draft legislation would stabilize the Physician Fee Schedule (PFS)...more

10/31/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Inpatient Prospective Payment System (IPPS) , Medicare , Physician Fee Schedule , Physicians

New Price Transparency Rules Finalized for Plans and COVID-19 Test Providers

As the hospital price transparency rule effective date approaches, the Administration has finalized new price transparency requirements for health plans and insurance issuers, as well as a requirement for COVID-19 test...more

11/13/2020 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Disclosure Requirements , Health Care Providers , Hospitals , Price Transparency , Virus Testing

CMS Announces New Repayment Terms for Medicare Accelerated and Advance Payment Program Loans

Our Health Care Group details how changes by the Centers for Medicare & Medicaid Services to the AAP loan program delays repayment obligations for all health care providers and suppliers that received AAP loans during the...more

10/13/2020 / Advanced Payment Program , CARES Act , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Financial Distress , Medicare

Expansive Interoperability and Data-Sharing Requirements Require Attention Despite Delays in Enforcement

The effects of the final interoperability rules from the Department of Health and Human Services will be significant for data security in the health care industry, despite enforcement delays. Our Health Care and Privacy &...more

5/11/2020 / Centers for Medicare & Medicaid Services (CMS) , Data Security , Department of Health and Human Services (HHS) , Health Information Technologies , ONC

CMS Finalizes Price Transparency Hospital Requirements and Proposes Requirements for Health Plans

Our Health Care Group explains new rules (final and proposed) from the Centers for Medicare & Medicaid Services on pricing transparency for hospitals and cost-sharing information for health plans....more

11/18/2019 / Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , Department of Health and Human Services (HHS) , Health Care Providers , PHSA

Updates on Biosimilar Reimbursement Pathways in the Face of a Changing Market

Though the biosimilars market has evolved, and more companies are seizing the opportunities, reimbursement regulations have been unclear at best. Our Health Care Group untangles the latest rules from the Centers for Medicare...more

1/25/2018 / Biosimilars , Centers for Medicare & Medicaid Services (CMS) , Food and Drug Administration (FDA) , Health Care Providers , Medicare , Medicare Part B , Medicare Part D , Pharmaceutical Industry , Prescription Drug Coverage , Prescription Drugs

The Independent Payment Advisory Board May Be Dead Before It’s Born

The Independent Payment Advisory Board (IPAB) was established under the Affordable Care Act (ACA) with the mission of reducing the growth rate of Medicare spending. The necessary conditions to trigger IPAB activity have not...more

6/9/2017 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , IPAB

Brian Lee

Alston & Bird

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