9/16/2024 1:00:52 PM CMS Proposes Protocols for Enhanced Oversight of Medicare Part C Utilization Management Requirements By Kelli Howe In 2024, the Centers for Medicare & Medicaid Services (CMS) leveraged its existing oversight channels1 to assess plans’ compliance with...
7/5/2024 4:03:01 PM New Health Information Technology Standards for Medicare Part D By Jeffrey Low Featured Excerpt On June 17, 2024, the final rule for Medicare Part D introduced new health IT standards, mandating the adoption of NCPDP...
6/7/2024 1:54:45 PM Are You Paying Attention to Prior Authorization? Your Regulators Are. By Jeffrey Low Dorothy DeAngelis Kelli Howe Richard Merino Angela Sabbe +2 more... Show less With recent CMS mandates and state-level reforms, the healthcare industry faces a pivotal moment to improve prior authorization...