Lynn Shapiro Snyder on Centers for Medicare & Medicaid Services (CMS)

CMS Launches First Federal Regulatory Action to Implement Medicare Drug Price Negotiation Program

On January 23, 2023, CMS published in the Federal Register its first proposed rulemaking to implement the Medicare Drug Price Negotiation Program (the “Negotiation Program”), which is included in the Inflation Reduction Act...more

2/14/2023 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Drug Pricing , Inflation Reduction Act (IRA) , Medicare , Prescription Drugs

CMS Framework for Health Equity: An Opportunity for Client Advocacy

The Centers for Medicare & Medicaid Services (CMS) Office of Minority Health has published its comprehensive CMS Framework for Health Equity 2022–2032 (Framework). CMS’s Framework arose in response to the Biden...more

5/23/2022 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Health Insurance , Healthcare , Hospitals , Medicaid , Medicare , Physicians

New Value-Based Insurance Design Model for Medicare Advantage Plans Is the First of Multiple Medicare Plan Innovations Anticipated...

On September 1, 2015, the Centers for Medicare & Medicaid Services (“CMS”) announced[1] the opportunity for plan sponsors to test value-based insurance design (“VBID”) in the Medicare Advantage (“MA”) market. VBID refers to...more

9/14/2015 / Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Cost-Sharing , Health Insurance , Health Plan Sponsors , Healthcare , Medicare Advantage , Medicare Part D , Prescription Drugs , Telemedicine

CMS Issues Broad-Reaching Proposals to Better Align Medicaid Managed Care with the Commercial and Medicare Markets

On May 26, 2015, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule (“Proposed Rule”) containing the first proposed revisions to the Medicaid managed care (“MMC”) program’s regulations in more than...more

6/3/2015 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Comment Period , Health Care Providers , Health Insurance , Healthcare , Managed Care Contracts , Medicaid

Mental Health Parity Requirements and Medicaid Plans: CMS Seeks Comment on Proposed Rule

On April 10, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published in the Federal Register a proposed rule (“Proposed Rule”) implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction...more

5/7/2015 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Employer Group Health Plans , Healthcare , Managed Care Contracts , MCOs , Medicaid , Medicare , Mental Health , Mental Health Parity Rule , Proposed Regulation

CMS Releases Updates to Its Medicare Advantage and Part D Plan Audit Protocols and Processes

On February 12, 2015, the Centers for Medicare & Medicaid Services (“CMS”) released an updated version of its Medicare Advantage (“MA”) and prescription drug benefit (“Part D”) plan audit protocols and also announced the...more

3/2/2015 / Audits , Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Advantage , Medicare Part D

CMS Requests Input on Health Plan Innovation Initiatives

Medicare Advantage (“MA”) plans, prescription drug plans (“PDPs”), and other stakeholders have until November 3, 2014, to provide input into the Centers for Medicare & Medicaid Services’ (“CMS’s”) consideration of potential...more

10/10/2014 / Centers for Medicare & Medicaid Services (CMS) , Innovation , Medicaid , Medicare Advantage , Prescription Drug Coverage , Request For Information , Supplemental Benefits , Technology

Lynn Shapiro Snyder

Epstein Becker & Green

Popular Topics by This Author

Latest Posts › Centers for Medicare & Medicaid Services (CMS)