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District Court Issues Decision on Medicare GME Rule with Favorable Impact on Plaintiff, and Potentially Other, Hospitals

May 17, 2021 | GME, Medicare, News and Updates

A district court in Washington, DC ruled today that a regulation governing the weighting of fellows for purposes of determining certain hospitals’ Medicare resident caps and graduate medical education (GME) payments is unlawful. Originally issued by the Department of...

Summary of Changes to Medicare GME Rules Governing Per Resident Amount and Resident Full-Time Equivalent Caps in the Consolidated Appropriations Act of 2021

Apr 8, 2021 | GME, News and Updates

In the Consolidated Appropriations Act of 2021 (CAA), Congress enacted several important changes to the Medicare GME rules governing the calculation of teaching hospitals’ per resident amount (PRA) and full-time equivalent (FTE) resident caps in order to accommodate...

CMS Rescinds 10-year Extension of Texas 1115 Waiver

Apr 6, 2021 | News and Updates, Waivers

On April 16, 2021, CMS rescinded its approval of Texas’ 1115 waiver, citing insufficient justification for granting an emergency exemption to the public notice requirements.

Judge Enjoins 340B ADR Rule, But Only as Applied to Eli Lilly

Mar 16, 2021 | 340B, Litigation, News and Updates

A district court judge in Indiana today issued a narrow ruling enjoining the Department of Health and Human Services (HHS) from implementing a rule issued in December finalizing administrative dispute resolution (ADR) procedures for the 340B program. Eli Lilly argued...

District Judge in California Dismisses Hospital 340B Lawsuit

Feb 17, 2021 | 340B, Litigation, News and Updates

A district court judge in California today dismissed a lawsuit filed by several hospital associations seeking to ensure enforcement of 340B discounts when drugs are dispensed through contract pharmacies. The judge concluded that the lawsuit was premature, as no final...
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