The Department of Health and Human Services (HHS), in conjunction with the Centers for Medicare and Medicaid Services (CMS), is striving to alleviate the financial strain of medication costs on the elderly and disabled...more
On May 21, the Centers for Medicare and Medicaid Services (CMS) announced a new option on CMS.gov to allow individuals to more easily file an Emergency Medical Treatment and Labor Act (EMTALA) complaint. Before launching the...more
5/29/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
EMTALA ,
Health Care Providers ,
Medical Examinations ,
Patients ,
Physicians ,
Policies and Procedures ,
Recordkeeping Requirements ,
Risk Management ,
SCOTUS
Centers for Medicare & Medicaid Service (CMS) revised hospital interpretive guidance in the State Operations Manual, Appendix A-Hospitals on April 1, 2024 in response to media stories of nation’s teaching hospitals and...more
Use of algorithms and artificial intelligence (AI) in prior authorization and utilization management is facing growing criticism and litigation. Notable lawsuits include alleged automatic authorization denials for tests that...more
3/1/2024
/ Algorithms ,
Artificial Intelligence ,
Bias ,
Centers for Medicare & Medicaid Services (CMS) ,
Denial of Insurance Coverage ,
Discrimination ,
Health Insurance ,
Healthcare ,
Innovative Technology ,
Life Sciences ,
Machine Learning ,
Medicaid ,
Medicare ,
Patient Access