Aug 9, 2018 | Medicare, News and Updates, Rulemaking
On August 9, 2018, CMS released a proposed rule to restructure the Medicare Shared Savings Program (MSSP). The proposal seeks to reduce the amount of time ACOs can remain in the program without assuming risk by eliminating the one-sided shared savings option...
May 6, 2018 | Medicare, News and Updates, Rulemaking
On April 26, 2018, CMS published an extension of the hospital Inpatient Prospective Payment Systems (IPPS) payment adjustments, effective April 24, 2018.
Apr 25, 2018 | Medicare, News and Updates
On April 25, 2018, GAO released a report on the performance results of various models implemented by CMS Innovation Center. The Report found that the models met goals targeting delivery and payment improvements, but only partially met the goals of reducing overall...
Feb 12, 2018 | 340B, Executive Action, Medicaid, Medicare, News and Updates
The President’s FY 2019 budget includes several widely-reported health care proposals, such as an additional attempt at repealing and replacing the Affordable Care Act, as well as efforts to reduce the cost of prescription drugs and combat the opioid epidemic. But...
Nov 2, 2017 | Medicare, News and Updates
In its Physician Fee Schedule Final Rule for CY 2018, released November 2, 2017, CMS reduced the rates that will be paid for nonexcepted items and services furnished by nonexcepted off-campus provider-based departments (PBDs) for CY 2018. In CY 2017, CMS based...
Nov 1, 2017 | DSH, Medicaid, Medicare, News and Updates, Rulemaking
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...
