Award winning radio broadcaster and voice-over talent. Funny from time to time as well. #radio #TV #storyteller #comic #waitingforaliens
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Articles by Jackie Selby
CMS Tells States “No More” Medicaid Section 1115 Matching Funds for Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP) | Epstein Becker & Green - JDSupra
In recent years, the Centers for Medicare & Medicaid Services (CMS) has approved demonstrations under Section 1115 of the Social Security Act, providing federal matching funds for state expenditures for Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP) that advance the Medicaid program.
CMS Tells States “No More” Medicaid Section 1115 Matching Funds for Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP)
In recent years, the Centers for Medicare & Medicaid Services (CMS) has approved demonstrations under Section 1115 of the Social Security Act, providing federal matching funds for state expenditures for Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP) that advance the Medicaid program.
Major Cases and Their Significance for the Pipeline Industry
Skip to main content February 12, 2025 Volume XV, Number 43 Legal Analysis. Expertly Written. Quickly Found. Trending News Regulatory Update and Recent GPA and INGAA Cases [Podcast] Print Mail Download />i Facebook Twitter Linkedin Pinterest Reddit Facebook Messenger Email Digg Print X Buffer Flipboard In this episode of the Pipeliners Podcast, Keith Coyle provides a regulatory update focused on recent litigation involving PHMSA rulemakings. He discusses two major cases—GPA Midstream Association vs.
The 340B Reimbursement Battle: What Hospitals and Insurers Need to Know
The U.S. Supreme Court’s ruling in American Hospital Association (“AHA”) v. Becerra (2022) sent shockwaves through the 340B drug pricing program when it held that CMS’ reduction of reimbursement for drugs purchased under the 340B program was not permitted by law. The Supreme Court chose not to address potential remedies and remanded the case back to the D.C. District Court for further proceedings on how to correct the underpayments.
Application of New Mental Health Parity Rules to Provider Network Composition and Reimbursement: Perspective and Analysis | JD Supra
On September 23, 2024, the U.S. Departments of Labor, the Treasury, and Health and Human Services (collectively, the “Departments”) released final rules (the “Final Rules”) that implement requirements under the Mental Health Parity and Addiction Equity Act (MHPAEA).
New Zealand | Visa duration extended for partners of New Zealand citizens
Skip to main content October 02, 2024 Volume XIV, Number 276 Legal Analysis. Expertly Written. Quickly Found. Trending News New Zealand | Visa duration extended for partners of New Zealand citizens Print Mail Download />i Facebook Twitter Linkedin Pinterest Reddit Facebook Messenger Email Digg Print X Buffer Flipboard The New Zealand government is increasing the maximum duration of work and visitor visas for partners of New Zealand citizens and residence class visa holders.
New Zealand | Further Changes for Accredited Employers Announced
Skip to main content October 02, 2024 Volume XIV, Number 276 Legal Analysis. Expertly Written. Quickly Found. Trending News New Zealand | Further Changes for Accredited Employers Announced Print Mail Download />i Facebook Twitter Linkedin Pinterest Reddit Facebook Messenger Email Digg Print X Buffer Flipboard Immigration New Zealand is implementing changes for accredited employers, effective Oct. 7.
CMS AHEAD Model & NY 1115 Waiver Insight
Global hospital budgets, where hospitals receive a fixed amount of revenue for the upcoming year for a specific patient population (e.g., Medicare and/or Medicaid), are the opposite of fee for service reimbursement. The Center for Medicare and Medicaid Services (CMS) and state Medicaid programs have taken interest in global hospital budgets and hospitals in impacted states will need to prepare.
Global Hospital Budgets: A New Trend?
Global hospital budgets, where hospitals receive a fixed amount of revenue for the upcoming year for a specific patient population (e.g., Medicare and/or Medicaid), are the opposite of fee for service reimbursement. The Center for Medicare and Medicaid Services (CMS) and state Medicaid programs have taken interest in global hospital budgets and hospitals in impacted states will need to prepare.
New Coverage, Delivery, and Payment for Health-Related Social Needs Services Under New York’s Approved 1115 Medicaid Waiver Amendment | JD Supra
On January 9, 2024, the Centers for Medicare & Medicaid Services (CMS) approved New York’s recent 1115 demonstration waiver.[1] Among other things, this most recent demonstration waiver provides significant federal funding to New York for health-related social needs (HRSN) services to be delivered through nine regional social care networks (SCNs) over the next three years.[2] The waiver also provides approximately $500 million for further expansion of the HRSN infrastructure, which includes...
An Overview of the CMS Approved New York 1115 Medicaid Waiver
On January 9, 2024, the Center for Medicare and Medicaid Services (CMS) sent a letter to New York’s Medicaid director approving New York’s Section 1115 Waiver amendment, which the state submitted for approval on September 2, 2022.
10 Ways to Elevate Your CRM System for Enhanced Business Growth
Skip to main content December 14, 2023 Volume XIII, Number 348 Legal Analysis. Expertly Written. Quickly Found. Trending News 10 Ways to Elevate Your CRM System for Enhanced Business Growth Print Mail Download i Your Customer Relationship Management (CRM) system is more than a tool for managing client data. It’s a critical component for driving growth and strategic decision-making. Upgrading your CRM system requires a strategic approach that transforms it into a dynamic asset.
Podcast: Health Equity – Behind the Buzzwords – Diagnosing Health Care [Podcast]
Skip to main content December 14, 2023 Volume XIII, Number 348 Legal Analysis. Expertly Written. Quickly Found. Trending News Podcast: Health Equity – Behind the Buzzwords – Diagnosing Health Care [Podcast] Print Mail Download i In this episode of the Diagnosing Health Care Podcast: Under the Biden administration, the Centers for Medicare & Medicaid Services published a health equity framework that drastically changed the playing field for health plans and other risk-bearing entities.
Episode 59: A Federal Judge’s Wisdom and Tips on Trade Secret Cases [Podcast]
Skip to main content November 03, 2023 Volume XIII, Number 307 Legal Analysis. Expertly Written. Quickly Found. Trending News Episode 59: A Federal Judge’s Wisdom and Tips on Trade Secret Cases [Podcast] Print Mail Download i This week, Jordan and co-host Gregory Bombard interview United States District Judge William G. Young, one of the most distinguished jurists on the federal bench.
CMS Adds Place of Service to Allow Additional Flexibility in Delivering Medicare and Medicaid Healthcare Services to the Homeless
Skip to main content November 03, 2023 Volume XIII, Number 307 Legal Analysis. Expertly Written. Quickly Found.
2023 Physician Fee Schedule Final Rule Supports Health Equity Through Investments in Accountable Care Organizations | JD Supra
The Centers for Medicare & Medicaid Services (CMS) recently issued its Medicare Physician Fee Schedule (PFS) final rule (the “final rule”), with most changes becoming effective January 1, 2023. Each year, the final rule defines payment for physician services in various settings, including “physician offices, hospitals, ambulatory surgical centers, . . .
2023 Physician Fee Schedule Final Rule Supports Health Equity Through Investments in Accountable Care Organizations
Saturday, December 3, 2022 The Centers for Medicare & Medicaid Services (CMS) recently issued its Medicare Physician Fee Schedule (PFS) final rule (the “final rule”), with most changes becoming effective January 1, 2023. Each year, the final rule defines payment for physician services in various settings, including “physician offices, hospitals, ambulatory surgical centers, . . .
Jackie Selby, Epstein Becker, Health Care Attorney,
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ACO REACH Model: Legal Requirements for ACO Agreements with Providers | JD Supra
Background The Program The ACO REACH (short for “Accountable Care Organization Realizing Equity, Access, and Community Health”) Model is the new Medicare value-based payment demonstration model for providers launched this year by the Biden administration through the Center for Medicare and Medicaid Innovation.
Health Care Providers with Claims Arising Out of New York’s Failed Health Republic Insurance Co. to Be Paid in Full | JD Supra
In December 2015, we wrote about the many failed health insurance co-ops created under the Affordable Care Act (“ACA”), and the impact of those failures on providers and other creditors, consumers, and taxpayers. At that time, co-ops across the country had more than one million enrollees. As of January 2021, there were roughly 120,000 enrollees in three remaining co-op plans. Nonprofit co-op insurers were intended to increase competition and provide less expensive coverage to consumers.
New York State Department of Financial Services Summarizes Changes Relating to Administrative Denials, Prior Authorizations, and Claims Payment | JD Supra
On March 10, 2021, the New York State Department of Financial Services (“DFS”) issued Insurance Circular Letter No. 4 (“Circular Letter”),[1] which both explains modifications to the Insurance Law and the Public Health Law brought about by statutory changes in 2021 and sets forth two policy statements by DFS.
CARES Act Temporarily Suspends Sequestration: How Will It Affect Provider Reimbursement? | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
Post-Acute Care and “COVID-19 Centers of Excellence” | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
Value-Based Payment Arrangements During the COVID-19 Pandemic | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
Value-Based Payment Arrangements During the COVID-19 Pandemic
You are responsible for reading, understanding and agreeing to the National Law Review's (NLR’s) and the National Law Forum LLC's Terms of Use and Privacy Policy before using the National Law Review website. The National Law Review is a free to use, no-log in database of legal and business articles. The content and links on www.NatLawReview.com are intended for general information purposes only.
Value-Based Payment Arrangements During the COVID-19 Pandemic
The ongoing pandemic caused by the novel coronavirus has upended the American health care system in many ways. One of the many effects of COVID-19 will likely be substantial disruption in value-based payment arrangements between health plans and providers. Though this is an issue that is not on the top of providers or payors minds as the health care system prepares to respond to the crisis, there are some simple steps that providers can take now to avoid issues in the future.
INSIGHT: Health-Care Coverage and Reimbursement Amid Coronavirus
An unprecedented amount of federal, state, and local laws, regulations, orders, and the like have been promulgated as the U.S. struggles to deal with the Covid-19 crisis. Whether and to what extent state and local officials are able to coordinate with Congress and federal policymakers on key issues will be an important determinant of how the health-care system is able to respond to Covid-19.
INSIGHT: Health-Care Coverage and Reimbursement Amid Coronavirus
An unprecedented amount of federal, state, and local laws, regulations, orders, and the like have been promulgated as the U.S. struggles to deal with the Covid-19 crisis. Whether and to what extent state and local officials are able to coordinate with Congress and federal policymakers on key issues will be an important determinant of how the health-care system is able to respond to Covid-19.
Families First Coronavirus Response Act: Guidance for Health Care Providers and Plans Regarding COVID-19 | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
Families First Coronavirus Response Act: Guidance for Health Care Providers and Plans Regarding COVID-19
Thursday, March 19, 2020 As communities throughout the nation and world continue to grapple with the 2019 novel coronavirus (“COVID-19”) pandemic, health care providers and plans are struggling not only to maintain standard operations but also to respond to the pandemic itself.
Despite Issuance of Final Rule on Price Transparency, Are Health Care Rates Too Complicated to Be “Consumer Friendly”? | JD Supra
The Centers for Medicare & Medicaid Services (“CMS”) recently issued a final rule requiring hospitals to publicly disclose their rates, including negotiated rates with third-party payors regardless of product line, by January 1, 2021 (“Final Rule”).[1] The Final Rule’s intent is to increase price transparency so that health care consumers can “shop” for health care services.
HALFTIME 2020 belongs to the LADIES! JLo and Shakira!
The word is: FEMALE performers will rule at HALFTIME! Going to set the world on 🔥🔥🔥 @shakira #PepsiHalftime #SuperBowlLIV @pepsi pic.twitter.com/c7oXQM0vjq — Jennifer Lopez (@JLo) September 26, 2019
Pet Event this weekend: Operation CORGI !!
THIS Saturday the Tour de Corgi returns to Fort Collins! Take the kids to see over 400 of these cutie doggos! Saturday Sept. 28th 10am to 3pm, at Civic Center Park, Fort Collins!
John Mellencamp DELIVERS at Farm Aid '19
Call me a sucker Farm Aid concerts! I LOVED the guys and gals playing to benefit farmers and new farming initiatives! Watch! Jackie Selb y VIDEO
Lady Gaga has a MAKEUP line?
Talk about GLAMOROUS! Count me in for the lipgloss! Hold me back! Jackie Selby View this post on Instagram INTRODUCING LIQUID EYE-LIE-NER: because makeup is a lie we wish were true 〰️ Get ready to create @ladygaga’s signature wing with her go-to eyeliner! Our black, matter-than-matte, flexible felt-tip eyeliner is waterproof and ready to last you through the entire performance and encore 🤘 EYE-LIE-NER and all of our single shades of #GLAMATTACK, #RIPLIPLINER & #LERIOTLIPGLOSS are available...
Dolly Parton...Kelly Clarkson...either way it's 9 to 5, baby!
The “Kelly Clakson Show” is ON, and I can’t get enough! Have you been watching? It may be the BEST daytime talk show ever in the history of ever. Jackie Selby VIDEO
GONE TOO SOON: Eddie Money passed this morning.
Yes, Eddie Money is the quintessential MTV-era pop and rockstar, with hit after hit (my fav is “Gimme Some Water” that was on the radio when I was in 9th grade!) BUT, Eddie Money has an amazing story from NYPD like his Dad, to from-scratch Bay-area Rockstar, to loyal husband and father, to reality TV star! There were many ups and downs for him too, including addiction and recovery to heart surgery and the cancer that took him this morning.
Dolly Parton: "My Guitar is my Therapy".
America still loves Dolly Parton! From “9 to 5” to Dollywood, she is a living leadgend and a treasure for the ages! I just can’t get enough! Jackie Selby #Americana #DollyParton #GuitarHero #Guitarist #laborday #musician #Songwriter #Treasure
Taylor Swift fans LOVE this story...but not without HATERS!
Tay-Tay was featured on my favorite news show, CBS Sunday Morning! Jackie Selby #LoversAndHaters #CBS #CBSSundayMorning #HatersGonnaHate #Lovers #Music #MusicNews #NewMusic #TaylorSwift #TayTay KOSI101
Lady Gaga concert etiquette? Conflict resolution? Major Stars debate!
I can see both sides of this one! SIT DOWN! STAND UP! In the end it’s good to resolve the argument with humor and dignity. WATCH IT! Jackie Kosi Selby #BothSides #Concert #ConflictResolution #fun #Gaga #JamesCorden #ladyGaga #MichaelDouglas #NailedIt #NicoleByer #ProblemSolved #Radio #Twerking #YoungAndOld
Taylor Swift's Tanning Secret!
T-Swizzle has a really BIG secret, and YOU are about to learn it! (Photo by Dimitrios Kambouris/Getty Images for TIME) Let’s face it, all of us who avoid the sun to keep our skin looking wrinkle free, are forever seeking the perfect fake-n-bake product! And now, thanks to Tay-Tay, we can all share in this knowledge! BUT, my pale friend, it is not cheap.
Our favorite ginger, Ed Sheeran, is now KETCHUP!
Ed Sheeran is now “EDCHUP”! It’s a little contest with Ed Sheeran, to celebrate Heinz’s 150th Anniversary, and the internet is ALL IN! Because…English accent…tasty ketchup…tattoos…ginger… Jackie Selby #Edchup #EdSheeran #Ginger #heinz #ketchup #Music
Video Assignment of the Day!
60% of Parents Are Losing Sleep Because of This
Today's Video Assignment! - KOSI 101
Long before Duck Lips were a thing, we had Corey Hart! #LongLiveThe80s Jackie Selby VIDEO
The Astronauts Wore BRAS To The MOON!?!
…SORT OF! The Astronauts did not wear ACTUAL bras, but their Apollo Spacesuits were made by the Platex Company, and were made of 24 layers of fabric.
Classic "Lucy" Episodes IN COLOR, and on the Big Screen!
Did you watch all the “Lucy” re-runs on TV when you were growing up? I sure did! “I Love Lucy” aired at lunch time when I was in highschool, and my sister, Dad and I used to watch while scarfing down our peanut butter and jelly sandwiches! We howled with laughter at all of Lucy’s antics, and still reflect on those funny gags to this day. Who doesn’t remember the bon-bon episode (a real See’s Candy employee was featured and real See’s candy, too!).
Prince in all of his 80's glory! Check out this archival rehearsal footage!
Oh how the world misses this man! Enjoy this raw footage of Prince finding some new dance moves before he hit the road! Here’s to all the things that made Prince truly great! VIVA! Jackie Selby VIDEO
Gloria Vanderbilt was famous her whole life! Anderson Cooper's Mom Passes at 95.
My heart goes out to journalist Anderson Cooper. His 95-year-old Mom has passed away this morning, leaving him with no more immediate family (his Dad and brother are also gone). Gloria Vanderbilt was known as the “Poor Little Rich Girl” to the whole world when she was a kid, after she inherited a multimillion dollar trust from her famous family.
The "Dad Bod" is everything this Father's Day!
DAD BOD: “It’s not an overweight guy, but it isn’t one with washboard abs, either.” Hear me now… By it’s very definition, the Dad Bod is first and foremost a uniquely “dad” thing! You know, “father” or “male parent to a child”. Dad is the one who assumes responsibility for us, cares for us and about us.
The "Dad Bod" is everything this Father's Day!
DAD BOD: “It’s not an overweight guy, but it isn’t one with washboard abs, either.” Hear me now… By it’s very definition, the Dad Bod is first and foremost a uniquely “dad” thing! You know, “father” or “male parent to a child”. Dad is the one who assumes responsibility for us, cares for us and about us.
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