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CMS Issues Final Rule on Changes to the Medicare Advantage and Part D Programs

Client Alert | 1 min read | 04.07.10

On April 6, 2010, CMS issued a final rule that revises regulations governing the Medicare Advantage program and the Part D prescription drug benefit program. The proposed rule was issued on October 22, 2009. Click here for our summary on Crowell.com.

According to CMS, the final rule strengthens beneficiary protections, ensures that plan offerings to beneficiaries include meaningful differences, improves plan payment rules and processes, strengthens various program participation and exit requirements, improve data collection for oversight and quality assessment, implement a new Part D formulary policy, and clarify or add other important program requirements. The final rule also includes a dispute and appeals process for risk-adjustment data validation.

The final rule will be published in the Federal Register on April 15, 2010, but is available now at http://www.federalregister.gov/inspection.aspx#special

Insights

Client Alert | 3 min read | 04.23.24

DOJ Promises NPAs to Certain Individuals Through New Voluntary Self-Disclosure Pilot Program

On April 15, 2024, the Acting Assistant Attorney General for the Criminal Division of the Department of Justice (“DOJ”) Nicole Argentieri announced a new Pilot Program on Voluntary Self-Disclosure for Individuals (“Pilot Program” or “Program”). The Pilot Program offers a clear path for voluntary self-disclosure by certain corporate executives and other individuals who are themselves involved in misconduct by corporations, in exchange for a Non-Prosecution Agreement (“NPA”). The Pilot Program specifically targets individuals who disclose to the Criminal Division at DOJ in Washington, D.C. information about certain corporate criminal conduct. By carving out a clear path to non-prosecution for those who qualify, DOJ has created another tool to uncover complex crimes that might not otherwise be reported to the Department. ...