News & Analysis as of

Healthcare Centers for Medicare & Medicaid Services (CMS) Data-Sharing

Manatt, Phelps & Phillips, LLP

CMS Restricts Marketing Companies From Sharing Medicare Beneficiary Data

Half of Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans. This extensive growth, which represents a doubling of MA enrollment since 2010, has been driven in part by an extensive network of insurance agents...more

BakerHostetler

Clinically Integrated Networks: Privacy and Security Concerns with Sharing Data

BakerHostetler on

The Centers for Medicare & Medicaid Services (CMS) is changing reimbursement methodologies for healthcare providers from a fee-for-service model to a value-based model. Healthcare providers are responding to the changing...more

Polsinelli

CMS Encourages Continued Participation in Medicare Shared Savings Program with Final Rule

Polsinelli on

In This Issue: - ACO Eligibility Requirements - Establishing and Maintaining the ACO Participation Agreement - Data Sharing and Assignment of Beneficiaries - Shared Savings and Losses - Waivers of...more

Foley & Lardner LLP

Final Rule Will Give ACOs Participating in MSSP Access to More Data for More Beneficiaries

Foley & Lardner LLP on

This is the third post in Health Care Law Today’s series on the final rule. This post addresses changes to sharing of beneficiary identifiable data. In its December 8, 2014 proposed rule revising the Medicare Shared...more

BakerHostetler

ACOs: The Next Generation of Coordination Care

BakerHostetler on

An Overview of the Medicare Shared Savings Program/Accountable Care Organization Final Rules - The Centers for Medicare and Medicaid Services (CMS) recently released a final rule (Final Rule) that makes changes to the...more

BakerHostetler

ACOs: The Next Generation of Coordinated Care - An Overview of the Medicare Shared Savings Program/Accountable Care Organization...

BakerHostetler on

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule (Final Rule) that makes changes to the Medicare Shared Savings Program (MSSP). The Affordable Care Act (ACA) created the MSSP as one of...more

McDermott Will & Emery

CMS Releases Broad Data on Prescribing Patterns of Physicians and Providers Under Medicare Part D

McDermott Will & Emery on

In a highly anticipated and scrutinized decision, the Centers for Medicare & Medicaid Services (CMS) released a new public data set on April 30, 2015, that includes detailed data regarding the prescribing patterns of...more

Manatt, Phelps & Phillips, LLP

Health Update - February 2015

Cyber Risk Insurance Policies: What You Need to Know - Editor’s Note: As data breach incidents and related cyber risks continue to increase and gain publicity—and government agencies become more actively involved in...more

Foley & Lardner LLP

CMS Proposes Sharing More Data With ACOs Participating in the Medicare Shared Savings Program

Foley & Lardner LLP on

CMS may be ready to ramp up the data it is willing to share with Accountable Care Organizations (“ACOs”) that participate in the Medicare Shared Savings Program (“MSSP”). CMS explained in the November 2011 final rule...more

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