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CMS Issues Guidance on Avoiding Duplicate Discounts in 340B Program

Jan 8, 2020 | 340B, News and Updates

On January 8, 2020, the Centers for Medicare and Medicaid (CMS) issued an informational bulletin outlining a series of best practices for states to consider for avoiding duplicate discounts in the 340B program. According to CMS, the guidance is in response to...

Texas Files Suit Against HHS Seeking Reversal of $25 Million Disallowance

Dec 2, 2019 | Litigation, Medicaid, News and Updates

On December 2, 2019, the Texas Health and Human Services Commission filed suit against HHS seeking reversal of an August 2018 DAB decision that upheld a $25 million disallowance against the state. The complaint, filed in D.C District Court, argues that the standard...

Trump Administration Releases Transparency Rules for Hospitals and Insurers

Nov 15, 2019 | News and Updates, Rulemaking

On Friday November 15, the Trump administration released a set of rules aimed at increasing transparency in the hospital and health insurance industries. A proposed rule targeting both exchange and employer-sponsored health plans would require insurers to disclose...

CMS Proposes Sweeping Medicaid Financing Changes through Fiscal Accountability Rule

Nov 12, 2019 | Medicaid, News and Updates, Rulemaking

On November 12, 2019, CMS issued a proposed rule that, if finalized, would have a sweeping impact on Medicaid programs across the country. The 222-page “Medicaid Fiscal Accountability Regulation” seeks to implement significant policy changes to some of the key...

CMS Releases 2019 OPPS Final Rule

Nov 1, 2019 | Medicare, News and Updates, Rulemaking

On November 1, 2019, CMS issued its FY 2019 Outpatient Prospective Payment Systems (OPPS) Final Rule.
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