Medicaid, Healthcare Reform

Trending in Telehealth: December 18, 2024 – January 6, 2025

McDermott Will & Emery on 1/13/2025

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate...more

Building a Smarter Long-Term Care System in New York

Sheppard Mullin Richter & Hampton LLP on 1/13/2025

New York State has a long-standing commitment to supporting its most vulnerable populations through Medicaid-funded services for older adults and those requiring long-term care. However, rising costs and an increasingly...more

Healthcare Preview for the Week of: January 6, 2025

McDermott+ on 1/7/2025

A lot has happened in the last three weeks, so here’s a high-level recap: Congress successfully, albeit rockily, passed a continuing resolution that will fund the government through March 14, 2025. That legislation...more

Navigating Gainsharing Pitfalls in Value-Based Models

Sheppard Mullin Richter & Hampton LLP on 12/27/2024

As the shift toward value-based care continues to transform the healthcare industry, hospitals and health systems are increasingly utilizing incentive-based physician compensation structures. Incentive-based compensation...more

McDermott+ Check-Up: December 20, 2024

McDermott+ on 12/23/2024

118th Congress Continues to Grapple with Contentious CR. With the collapse of Republican support for the negotiated continuing resolution (CR) package, as of the time of publication on Friday at 3:00 PM EST, Congress is still...more

CMS Releases New Proposed Rule for Medicare Advantage and Part D

DLA Piper on 12/12/2024

On December 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released a Proposed Rule for revisions to the regulations governing the Medicare Advantage (MA) program, Medicare Prescription Benefit (Part D),...more

McDermott+ Check-Up: December 6, 2024

McDermott+ on 12/9/2024

Congress Negotiates Healthcare Extenders, Continues to Plan for 2025. Lawmakers continue negotiations to wrap up the 118th Congress and pass remaining must-do policies, including government funding, likely through a...more

ACO REACH: What Recent Performance Results Could Mean for the Model’s Future

McDermott+ on 12/5/2024

Decisions, decisions, decisions. The Centers for Medicare & Medicaid Services (CMS) under the Trump Administration will have its hands full making decisions about Center for Medicare and Medicaid Innovation (CMMI) models...more

Healthcare Regulatory Check-Up Newsletter | October 2024 Recap

McDermott Will & Emery on 11/21/2024

This issue of McDermott’s Healthcare Regulatory Check-Up highlights regulatory activity for October 2024. We discuss several enforcement actions pertaining to healthcare fraud, including alleged violations under the False...more

President Trump’s FY 2021 Budget Request: A Potential Playbook for Policy Priorities

McDermott+ on 11/20/2024

When President-elect Donald Trump is inaugurated as the 47th president of the United States on January 20, 2025, he is expected to hit the ground running. A few months into his presidency, he will likely release the fiscal...more

McDermott+ Check-Up: November 15, 2024

McDermott+ on 11/18/2024

Congress Returns for Lame Duck Session. The House and Senate returned this week, kicking off the post-election lame duck session. The focus this week was not on legislating, but on organizing for the upcoming 119th Congress,...more

Health Dose: Post-Election Edition

Holland & Knight LLP on 11/12/2024

Holland & Knight's Healthcare & Life Sciences Policy Team regularly provides updates through our weekly Health Dose. This special Health Dose: Post-Election Edition is intended to outline the short- and long-term potential...more

Trending in Telehealth: September 17 – 30, 2024

McDermott Will & Emery on 10/17/2024

Trending in Telehealth highlights state legislative and regulatory developments that impact the healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and facilitate...more

Health Care Policy Positions: Expectations for a Harris or Trump White House

Brownstein Hyatt Farber Schreck on 10/11/2024

With less than one month until the presidential election, health care policy issues are at the forefront of voters’ minds, including issues around drug pricing, federal research funding and reproductive rights....more

CMS Issues Guidance to States on Children’s Access to Medicaid Coverage

McDermott+ on 10/3/2024

Last week, the Center for Medicaid and CHIP Services within the Centers for Medicare & Medicaid Services (CMS) released what it calls “historic” guidance to states on best practices for adherence to early and periodic...more

2024 Pre-Election Analysis: Health Care Issues

Mintz - Health Care Viewpoints on 8/27/2024

In recent elections, health care has been one of the most hot-button issues with consequences for millions of Americans, and this election is no exception. The next administration and the 119th Congress have the potential to...more

CMS 2026 IRA Price Negotiations Results Likely to Create Upstream and Downstream Effects

Mintz - Health Care Viewpoints on 8/20/2024

On August 15, 2024, CMS announced the results of the first round of the negotiated prices between CMS and participating drug manufacturers for the 10 selected drugs under the Inflation Reduction Act’s (IRA) Medicare Drug...more

CMS Issues Mandatory “TEAM Model” for Acute Care Hospitals to Improve Episode-Based Alternative Payments and Advance Accountable...

Epstein Becker & Green on 8/16/2024

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released a final rule updating the Medicare inpatient prospective payment system (IPPS) for acute care hospitals and the Medicare prospective payment...more

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