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Turning the Screw: United Deploying New Site of Service Policy for Musculoskeletal Surgeries

Payers are increasingly establishing purported “site of service” policies and guidelines that restrict the circumstances under which members may obtain certain services at hospital outpatient departments (HOPDs). In the...more

CMS Releases New Tools to Aid Applicants for State Relief and Empowerment Waivers

On July 15, 2019, CMS released new resources, which are available here, that are intended to support states as they apply for waivers under Section 1332 of the Affordable Care Act. These materials follow guidance issued by...more

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