How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1) Medicare Advantage Risk Adjustment
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2026 · third_quarter · Q3
Medicare Advantage & Medicare Part D Prescription Drug Program Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review Medicare Stars Program The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act (S. 1105) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) One Big Beautiful Bill Act (H.R. 1)
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE
Source: Senate LDA
Medicare Advantage & Medicare Part D Prescription Drug Program Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review Medicare Stars Program The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act (S. 1105) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) One Big Beautiful Bill Act (H.R. 1)
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Apples to Apples Comparison Act of 2025
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1) Medicare Advantage Risk Adjustment
Apples to Apples Comparison Act of 2025
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Apples to Apples Comparison Act of 2025
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review Medicare Stars Program The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act (S. 1105) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) One Big Beautiful Bill Act (H.R. 1)
Apples to Apples Comparison Act of 2025
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Medicare Advantage & Medicare Part D Prescription Drug Program Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review Medicare Stars Program The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act (S. 1105) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) One Big Beautiful Bill Act (H.R. 1)
Apples to Apples Comparison Act of 2026
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review Medicare Stars Program The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act (S. 1105) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) One Big Beautiful Bill Act (H.R. 1)
Apples to Apples Comparison Act of 2026
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Apples to Apples Comparison Act of 2026
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1) Medicare Advantage Risk Adjustment
Apples to Apples Comparison Act of 2026
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Remote Opioid Monitoring Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Remote Opioid Monitoring Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D.s program
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Telehealth Expansion Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Telehealth Expansion Act (H.R. 1843) Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 Medicare Savings Program (MSP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Telehealth Expansion Act (H.R. 1843) Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 Medicare Savings Program (MSP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Telehealth Expansion Act (H.R. 1843) Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 Medicare Savings Program (MSP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Telehealth Expansion Act (H.R. 1843) Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 Medicare Savings Program (MSP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Fairness in Medicare Part B Enrollment Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Fairness in Medicare Part B Enrollment Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Efficient Grid Interconnection Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Efficient Grid Interconnection Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Efficient Grid Interconnection Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Year-Round Fuel Choice Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Year-Round Fuel Choice Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Year-Round Fuel Choice Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Upskilling and Retraining Assistance Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Upskilling and Retraining Assistance Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Upskilling and Retraining Assistance Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Protecting Health Care for All Patients Act of 2022
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Territories Medicare Prescription Drug Assistance Equity Act of 2022
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Territories Medicare Prescription Drug Assistance Equity Act of 2022
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Territories Medicare Prescription Drug Assistance Equality Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
Fairness in Medicare Part B Enrollment Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Fairness in Medicare Part B Enrollment Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Fairness in Medicare Part B Enrollment Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Against Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicaid Funding for Puerto Rico including discussions on the FMAP, ESRD, and LTSS. Medicare Advantage issues such as rates, benchmarks, providers payments, and disparities in funding for territories. Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Territory Federal Matching Requirement Equity Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Medicare Sequester COVID Moratorium Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Against Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicaid Funding for Puerto Rico including discussions on the FMAP, ESRD, and LTSS. Medicare Advantage issues such as rates, benchmarks, providers payments, and disparities in funding for territories. Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
Medicare Sequester COVID Moratorium Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Improving Seniors’ Timely Access to Care Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Permanency for Audio-Only Telehealth Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
Addressing Social Determinants in Medicare Advantage Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Addressing Social Determinants in Medicare Advantage Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Against Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicaid Funding for Puerto Rico including discussions on the FMAP, ESRD, and LTSS. Medicare Advantage issues such as rates, benchmarks, providers payments, and disparities in funding for territories. Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
Addressing Social Determinants in Medicare Advantage Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
Addressing Social Determinants in Medicare Advantage Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Supporting Medicaid in the U.S. Territories Act of 2021
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Against Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicaid Funding for Puerto Rico including discussions on the FMAP, ESRD, and LTSS. Medicare Advantage issues such as rates, benchmarks, providers payments, and disparities in funding for territories. Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
2026 · second_quarter · Q2
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1) Medicare Advantage Risk Adjustment
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2026 · first_quarter · 1A
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2026 · first_quarter · Q1
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093 & S. 3848) No UPCODE Act Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2027 CMS Advance Rate Notice for MA and Parts D program Medicare Administrative Contractor Local Coverage Determination (LCD) Process One Big Beautiful Bill Act (H.R. 1)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2025 · fourth_quarter · Q4
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2025 · third_quarter · Q3
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review The Apples-to-Apples Comparison Act (H.R. 4093) No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2025 · second_quarter · Q2
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments and Chart Review No UPCODE Act Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D program One Big Beautiful Bill Act (H.R. 1)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2025 · first_quarter · Q1
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D.s program
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · fourth_quarter · 4A
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · fourth_quarter · Q4
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · third_quarter · Q3
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · second_quarter · Q2
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · first_quarter · Q1
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · fourth_quarter · Q4
Medicare Advantage Supplemental Benefits Telehealth Expansion Act (H.R. 1843) Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 Medicare Savings Program (MSP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · third_quarter · 3A
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · third_quarter · Q3
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · second_quarter · Q2
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · first_quarter · Q1
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · fourth_quarter · Q4
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · third_quarter · Q3
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · second_quarter · 2A
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Against Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicaid Funding for Puerto Rico including discussions on the FMAP, ESRD, and LTSS. Medicare Advantage issues such as rates, benchmarks, providers payments, and disparities in funding for territories. Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · second_quarter · Q2
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · first_quarter · Q1
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · fourth_quarter · Q4
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · third_quarter · Q3
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · second_quarter · Q2
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, U.S. Postal Service (USPS)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office