Kinal Patel

Foley & Lardner LLP

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Latest Posts › Medicare

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CMS Proposes New All-Payor, Total-Cost-of-Care Model (AHEAD Model), Funding Opportunity for States

On September 5, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new all-payor, total-cost-of-care model that is designed to tackle growing health care costs, boost population health functions, and reduce...more

10/3/2023 / Centers for Medicare & Medicaid Services (CMS) , Funding Opportunities , Medicaid , Medicare , Total Cost of Care Model (TCOC)

CMS’ Latest Innovation Model – The Making Care Primary (MCP) Model Includes Focus on Social Determinants of Health

On June 8, 2023, the Centers for Medicare and Medicaid Services (CMS) announced a new voluntary primary care model, the Making Care Primary (MCP) Model. Highlights include the following: The MCP Model will run for 10.5...more

6/23/2023 / ACOs , Beneficiaries , Centers for Medicare & Medicaid Services (CMS) , Compensation , FQHC , Infrastructure , Medicare , Mental Health , Social Services , Value-Based Payments

Enhancing Oncology Model - Successor to Oncology Care Model: What’s New

The Center for Medicare and Medicaid Innovation (CMMI) is launching a long awaited new oncology model, the Enhancing Oncology Model (EOM). EOM is a successor to the Oncology Care Model (OCM), which ended June 30, 2020 after a...more

7/25/2022 / Cancer , Centers for Medicare & Medicaid Services (CMS) , CMMI , Medicaid , Medicare , Public Health Emergency , Waivers

Medicare Advantage: OIG Report Finds Improper Denials

On April 27,2022, the Office of Inspector General of the Department of Health and Human Services (OIG), Office of Evaluations and Inspections, issued a report on the performance of Medicare Advantage Organizations (MAOs) in...more

5/26/2022 / Audits , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , False Claims Act (FCA) , Medicare , Medicare Advantage , Medicare Advantage Organizations (MAOs) , OIG , Qui Tam

CMS Vaccine Mandate and Home Care Providers – Investor Takeaways

The COVID-19 vaccine mandate implemented by the Centers for Medicare and Medicaid Services (CMS) has affected investor interest in non-acute care providers and suppliers, including home care providers. As our colleagues...more

3/2/2022 / Biden Administration , Biden v Missouri , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , HSBC , Medicaid , Medicare , OSHA , SCOTUS , Vaccinations

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