Compliance & Legal
CMS' proposal would also create a new special enrollment period opportunity for low-income consumers.
The final rule is an implementation of the No Surprises Act, which was passed by Congress last year.
OIG said CMS should make changes to require accreditation organizations to perform surveys after it issues new participation requirements.
Insurers say they are out millions in payments promised under the Affordable Care Act.
The settlement is the "first and largest in the country secured by a state attorney general against a pharmacy benefit manager," Ohio AG says.
The cost to disclose negotiated rates could be greater than the $300 a day fines, the JAMA study says.
The judgement nixes HHS' motion and allows AstraZeneca's lawsuit to continue, with a judge saying the statute is open to interpretation.
The COVID-19 vaccines are neither experimental nor dangerous, the judge says in ruling.
New reporting requirements expand the amount of time providers will have to report information and extend PRF payment deadlines.
The health plans contend they lost their ability to improve their star ratings due to the CMS interim final rule.