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Does the Individual Mandate still exist?

The Affordable Care Act's individual mandate—which required consumers to enroll in health insurance or pay a penalty fee—has been at the forefront of health care reform debate for years. And while a...

Does the Individual Mandate still exist?

The Affordable Care Act's individual mandate—which required consumers to enroll in health insurance or pay a penalty fee—has been at the forefront of health care reform debate for years. And while a...

New CMS Issues and Risk Based ADR Limits

In this month's article we focus on the Medicare Recovery Audit (RA) Contractor Program, providing you an update on recently approved issues for RAs to review and an update to the institutional...

Current “State” of Medicaid Waivers

Over the past year, Section 1115 Medicaid demonstration waivers have been growing in popularity as state policy makers have looked for ways to implement innovative Medicaid programs to enhance the...

New Medicare ID Cards in the next 60 days

The Centers for Medicare & Medicaid Services (CMS) is required to remove Social Security Numbers (SSN) from all Medicare cards by April 2019, replacing the current SSN-based Health Insurance...