The Centers for Medicare & Medicaid Services and Department of Health and Human Services Office of Inspector General today finalized waivers from fraud and abuse rules for Accountable Care Organizations participating in the Medicare Shared Savings Program. As urged by AHA, the final rule maintains key provisions of the 2011 interim final rule, which waived the application of the physician self-referral, federal anti-kickback statute and certain civil monetary penalty law provisions to specified arrangements involving ACOs in the program. The rule no longer waives the application of the CMP law provision relating to “gainsharing” arrangements, citing recent legislation clarifying that the prohibition only applies to medically unnecessary services. The final rule takes effect upon publication in tomorrow’s Federal Register.
Special Bulletin on CMS’s Nov. 26 proposed rule aimed at lowering drug prices for beneficiaries enrolled in Medicare Advantage and Part D programs.
On Sept. 20, the Centers for Medicare…
The Centers for Medicare…
Special Bulletin: CMS Releases Advanced Notice of Proposed Rulemaking on Medicare Part B Prescription Drug Payment Model
On October 25, the Centers for Medicare…