HRSA Submits 340B Omnibus Guidance for Review
September 1, 2016: The 340B Omnibus Guidance notice is back at the Office of Management and Budget for review before issuance, just over a year after publication of the proposed version of the notice.
CMS Publishes Request for Information Expressing Concern with Premium Assistance
August 23, 2016: CMS Publishes Request for Information Expressing Concern with Premium Assistance Arrangements that Steer Patients from Medicare and Medicaid into Marketplace Plans
CMS Proposes Rule to Codify Medicaid DSH Limit
August 12, 2016: CMS Proposes Rule to Codify Medicaid DSH Limit Policy Currently the Subject of Federal Lawsuits
HRSA Proposes Dispute Resolution Process for 340B Discount Program
August 11, 2016: HRSA Proposes Dispute Resolution Process for 340B Discount Program
CMS releases guidance on Pass-Through Payments in Medicaid Managed Care
July 29, 2016: CMS releases guidance on Pass-Through Payments in Medicaid Managed Care
CMS Releases Medicare Hospital Star Ratings
July 27, 2016: CMS Releases Medicare Hospital Star Ratings
CMS Proposes Mandatory Medicare Bundled Payment for Cardiac Care
July 25, 2016: CMS Proposes Mandatory Medicare Bundled Payment for Cardiac Care
Policy Watch – Provider-Based Clinics in the Wake of Section 603: What You Need to Know About CMS’ Proposed Rule
CMS’ July 6 release of the 2016 Proposed Medicare Outpatient Prospective Payment System (OPPS) rule begins to answer a few questions about how the so-called “site neutral” policy, hurriedly adopted late last year by Congress, may be implemented. But it leaves as many...
HRSA Posts FY2016 340B Pricing Program Audit
July 2016: HRSA Posts FY2016 340B Pricing Program Audit Results
July 2016
CMS Issues Proposed Hospital OPPS Rule, Changes to Reimbursement for Off-Campus Clinics
July 2016
CMS Issues Addendum to 2016 Medicaid Managed Care Rate Development Guide
July 2016
New FAQs on Medicaid Outpatient Drug Final Rule
Medicaid Managed Care
Key Resources on Medicaid Managed Care CMS Published Rules and Regulations Proposed Rule on New Pass-Through Payments CMS 2016 Final Medicaid Managed Care Rule CMS 2015 Proposed Medicaid Managed Care Rule CMS 2002 Final Medicaid Managed Care Rule CMS 2001 Proposed...
CMS Holds Webinar on Managed Care Provider Payments
July 12, 2016: CMS Holds Webinar on Plan and Provider Payments under New Medicaid Managed Care Rule
CMS Releases Proposed OPPS Rule for Outpatient Hospitals
July 6, 2016: CMS releases proposed rule for implementation of new Medicare payment methodology for hospitals outpatient department payments, scope of grandfathering.
June 2016
CMS Issues Guidance to States on Public Notice and the Process Requirements to Change Medicaid Provider Payment Rates through a SPA
May 2016
HRSA Pushes Back Expected Release of 340B Omnibus Guidance until December 2016
May 2016
CMS Issues Final Medicaid Managed Care Rule, Transitions Supplemental Pass-Through Payments for Providers