Regulation

NCQA Distinction: Helping Coordinate LTSS

More than 3 million people in the United States rely on Medicaid for Long-Term Services and Support (LTSS) in nursing homes, home care, and community-based settings. LTSS supports people with…

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State Privacy Laws on the Rise

Privacy laws are being implemented around the world as most of us in the United States watch from our desks. At first the impacts were minimal, then Google was hit…

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The Struggle for Accuracy in Provider Directories

The issue Provider directories are often fraught with errors and inaccuracies, which can lead to hefty CMS fines and sanctions against health plans. As many health plans know from personal…

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Trump’s Blueprint on International Drug Pricing; What to Expect

The U.S. always stood out as a different healthcare system. Well, maybe not anymore. The Trump Administration released an International Drug Pricing blueprint in 2018 and it was received with…

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Discount Safe Harbor Proposed Rule: How Process Works and What does it mean?

July 2019 Update As first reported by The Wall Street Journal and Axios on July 11, 2019, the Trump Administration has decided to abandon implementation of the proposed Discount Safe…

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EU’s Medical Device Regulation: What’s the effect on pricing?

In 2020, all medical device companies will have completed the implementation of the new medical device regulation. Reading European Union (EU) Regulation 2017/745 of the European Parliament and of the…

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