Click here to download a printer friendly version. On March 15, 2019 the Centers for Medicare & Medicaid Services released new state tools and guidance that provide standard monitoring [...]
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So far Twenty Ten has created 23 blog entries.
When CMS proposed revising its Medicaid managed care regulations in November 2018, the new guidelines outlined an overall desire to streamline the managed care regulatory framework and relieve regulatory burdens [...]
PHILADELPHIA, PA – Sellers Dorsey announced today that Nancy Smith-Leslie has joined the firm as a Senior Consultant. Ms. Smith-Leslie spent the last four years as the Medicaid Director [...]
On November 14, CMS proposed a new rule that seeks to improve the rules promulgated in 2016. The 2016 “Mega Rule” updated the Medicaid and CHIP managed care programs, significantly [...]
BackgroundA state university’s medical school wished to develop and implement a fee-for-service (FFS) physician upper payment limit (UPL) program for physicians and providers serving Medicaid beneficiaries. Before the work began, [...]
Background A state university healthcare system wished to develop and implement a graduate medical education (GME) supplemental payment program. The aim of the program was to garner payments up [...]
Background A public hospital system required help to identify, develop, and participate in new supplemental payment programs to reduce the Medicaid funding gap that resulted from the dramatic increase [...]
Background A state health agency wished to develop a hospital assessment for providers located specifically in one major urban county. The goal of the program was to enhance revenues [...]
Background A state Medicaid agency set a goal of covering childless adults with income up to 100% of the federal poverty level (FPL) under the Affordable Care Act. Prior [...]
Background A state government wished to create a universal healthcare program by expanding Medicaid and using subsidized insurance products through the private sector. When the project began, Sellers Dorsey [...]