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CMS Proposes 27% Cut to Part B Payments for 340B Covered Drugs

Jul 20, 2017 | 340B, News and Updates

In its proposed rule implementing changes to the Medicare Outpatient Prospective Payment System, CMS has proposed to reduce payments to hospitals for separately payable drugs that are eligible for discounts under the 340B Drug Pricing Program.  Specifically, CMS would...

Eyman Partners Releases Analysis of Ongoing Medicaid DSH Litigation

Jul 12, 2017 | DSH, Legislation, Medicaid, News and Updates

Click here for the analysis.

CMS Posts Changes to Waiver Budget Neutrality Policy

Jul 11, 2017 | Medicaid, News and Updates, Waivers

CMS has posted on its website a presentation from May 2016 announcing significant changes to its budget neutrality policy for Section 1115 demonstrations.  The policy could restrict states’ abilities to continue or newly implement Medicaid provider payment...

CMS Announces “Targeted” Discretion in Enforcing Medicaid Managed Care Rule Deadlines

Jun 30, 2017 | News and Updates

On June 30, CMS issued an Informational Bulletin announcing that it will use “targeted” enforcement discretion to work with states that are unable to meet the Medicaid managed care rule’s original deadlines for compliance, particularly those rules...

Senate Adds Continuous Coverage Provision to “Better Care Reconciliation Act”

Jun 26, 2017 | ACA, Legislation, News and Updates

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 during a year.  The initial...
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