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NHCAA Comments on Proposed Medicaid Managed Care Rule

Published on 7/29/2015 by “NHCAA”

NHCAA has submitted a letter of comment in response to CMS publishing on June 1, a long-awaited proposed rule that aims to overhaul regulatory oversight of Medicaid managed care. Our comments focus on medical loss ratio and compliance program requirements.

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NHCAA Board Chair Katherine Leff Testifies Before Senate Committee

Published on 7/29/2015 by “NHCAA”

On July 22, NHCAA Board Chair Katherine Leff (SIU Director, CareSource) testified as part of a three-person panel before the Senate Special Committee on Aging at a hearing titled, "The Doctor's Not In: Combating Medicare Provider Enrollment Fraud." Ms. Leff was joined on the witness panel by Shantanu Agrawal, M.D., CMS Deputy Administrator and Director of the Center for Program Integrity (CPI) and Seto Bagdoyan, Director of Audit Services , Government Accountability Office.

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Annual Training Conference Brochure Now Available

Published on 7/20/2015 by “NHCAA”

Download the ATC Brochure and browse through more than 70 sessions available during the Conference. Sessions will include testosterone therapy, counterfeit and compounded pharmaceuticals, forensic accounting and risk adjustment audit. These sessions are just a sampling of the education being offered in San Diego.

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Annual Training Conference Keynotes and Pre-Conference Programs Announced

Published on 6/26/2015 by “NHCAA”

NHCAA is pleased to announce that registration for the 2015 Annual Training Conference is now open. Featured faculty include Robert Case, MITRE, speaking on harnessing technology from other industries to combat fraud, former CMS Deputy Administrator Peter Budetti, and Michele Stuart who will demonstrate internet search strategies for investigations.

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Supreme Court Upholds ACA Tax Subsidies

Published on 6/26/2015 by “NHCAA”

The U.S. Supreme Court has ruled 6 to 3 on King v. Burwell, a case challenging the Affordable Care Act (ACA). The central question in the case was whether the IRS may permissibly promulgate regulations to extend tax-credit subsidies to coverage purchased through exchanges established by the federal government under Section 1321 of the Patient Protection and Affordable Care Act. The ruling, a victory for the Obama Administration, means that individuals who get their health insurance through an...

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