Medicare and Medicaid

Healthcare attorney and partner at Holland & Knight Zubin Khambatta discusses the CMS final rule related to Medicaid managed care and its provisions adding new compliance guardrails regarding state-directed payments.  

Ann Maxwell, deputy inspector general for evaluations at the U.S. Department of Health and Human Services Office of Inspector General, discusses the case for making the pandemic-related CMS telehealth expansion permanent.  

Jennifer Mathieu, senior vice president of professional and government affairs at AMCP, provides an update on the Access to Prescription Digital Therapeutics Act 2023 moving through Congress.

According to an audit by the Office of the Inspector General, Medicare improperly paid for $580 million of psychotherapy care, including $348 million of telehealth services, during the first year of the COVID-19 public health emergency.

Homeward's Amar Kendale, former chief product officer at Livongo and Teladoc, discusses how the industry must combine technology and new care models to improve access and make value-based payment successful.

Christopher Lis, managing director of global healthcare intelligence at J.D. Power, discusses the recent primary care deals by Amazon and CVS Health.

Ajayi discusses the challenges Medicaid and other underserved patients face when accessing the healthcare system and how the startup approaches expansion into new markets.

The organizations said Medicare Advantage members in 24 counties will have access to the rural provider's services.

According to the state authorities, the online birth control company billed Medi-Cal for services it didn't provide and dispensed female condoms to beneficiaries who didn't request them.

The deal is expected to close this year.