Over the last several years, courts in various jurisdictions have issued favorable rulings in lawsuits challenging the Centers for Medicare & Medicaid Services’ (CMS’) policy requiring the inclusion of Medicare and commercial payments in the calculation of the Medicaid disproportionate […]
The Centers for Medicare & Medicaid Services (CMS) finalized regulations requiring states to include Medicare or commercial payments for services provided to dually eligible Medicaid patients when calculating the hospital-specific limit on DSH payments during annual DSH audits. For some […]
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On June 26th, the Senate released a new version of its health reform repeal and replace bill, the Better Care Reconciliation Act, that would impose a six month waiting period to begin coverage for people with significant breaks in coverage […]
On June 26, the CBO released its score of the Senate’s version of the repeal and replace act, the “Better Care Reconciliation Act.” According to the CBO, the Senate bill would save roughly $321 billion over 10 years–$202 billion more […]
On June 22, 2017, the Senate released a discussion draft of its version of the House’s “American Health Care Act.” The Senate’s “Better Care Reconciliation Act of 2017” includes many of the provisions of the House bill, including significant cuts to the Medicaid […]
On April 28, CMS issued its proposed rule for Medicare’s inpatient prospective payment system (IPPS) for federal FY 2018. Among its provisions, CMS announced its proposal to phase in use of Medicare cost report data to determine the allocation of […]
October 27, 2016: At its October meeting, the Medicaid and CHIP Payment and Access Commission (MACPAC) considered policies to improve targeting of Medicaid Disproportionate Share Hospital (DSH) payments, with respect to both hospitals and states, but did not come to […]
October 25, 2016: CMS issues notice announcing limit on the portion of federal dollars allocated to match state DSH hospital payments for the FY.
August 12, 2016: CMS Proposes Rule to Codify Medicaid DSH Limit Policy Currently the Subject of Federal Lawsuits