On September 27, 2018, the Supreme Court granted certiorari in Azar v. Allina Health Services, et al. The Court will hear arguments on whether HHS was required to go through notice and comment before implementing a rule that altered the Medicare reimbursement formula for […]
On September 22, 2018, the Trump administration issued a proposed rule that would newly consider an immigrant’s use of Medicaid, SNAP, Medicare Part D Low-Income Subsidy program and several housing programs to determine whether an individual is a “public charge” for […]
On August 22, 2018, CMS issued a State Medicaid Directors letter outlining how states should calculate their budget neutrality expenditure limits for Medicaid 1115 Waivers.
On August 9, 2018, CMS released a proposed rule to restructure the Medicare Shared Savings Program (MSSP). The proposal seeks to reduce the amount of time ACOs can remain in the program without assuming risk by eliminating the one-sided shared savings option […]
On June 26, 2018, CMS announced a new set of initiatives seeking to promote program integrity throughout the Medicaid program. The initiatives focus on strengthening the audit process, increasing oversight of state contracts with provide health plans, increasing oversight of […]
On May 11, 2018, President Trump and HHS Secretary Alex Azar introduced their “American Patients First” initiative, described as a blueprint to lower drug prices and reduce out-of-pocket costs for patients. The plan also included a request for information (RFI) […]
On June 25, 2018, CMS published a request for information (RFI) to seek input on how the agency could address the “undue regulatory impact and burden” of the physician self-referral, or “Stark,” law.
On May 7, 2018, CMS official Seema Verma announced that the agency would not approve Kansas’ request to impose a 3-year lifetime limit on certain Medicaid beneficiaries. Verma stated that while CMS is committed to transitioning people out of poverty, […]
On April 26, 2018, CMS published an extension of the hospital Inpatient Prospective Payment Systems (IPPS) payment adjustments, effective April 24, 2018.
On April 25, 2018, GAO released a report on the performance results of various models implemented by CMS Innovation Center. The Report found that the models met goals targeting delivery and payment improvements, but only partially met the goals of […]