Nov 2, 2018 | Medicare, News and Updates, Rulemaking
On November 2, 2018, CMS issued its Hospital Outpatient and Prospective Payment System (OPPS) final rule. Of particular note, the agency finalized the proposal to extend the reduced payment rate provided under Section 603 of the Bipartisan Budget Act of 2015 (BBA) to...
Nov 1, 2018 | 340B, News and Updates, Rulemaking
Facing a legal challenge from the hospital industry, the Health Resources and Services Administration has proposed a January 1, 2019 effective date of a rule to establish a system to verify ceiling prices for 340B drugs, to provide web site access to the ceiling...
Oct 29, 2018 | News and Updates, Waivers
For a printer-friendly version, click here. The Centers for Medicare and Medicaid Services (CMS) approved a Section 1115 waiver for North Carolina on October 19, 2018 that includes an innovative new pilot program. Embedded in the larger waiver, which is focused...
Oct 22, 2018 | News and Updates, Waivers
On October 22, 2018, CMS released guidance for states seeking to implement State Innovation Waivers. The guidance provides additional clarification on the requirements that must be met for CMS to approve a 1332 waiver, including application review procedures,...
Sep 27, 2018 | DSH, Litigation, Medicare, News and Updates
On September 27, 2018, the Supreme Court granted certiorari in Azar v. Allina Health Services, et al. The Court will hear arguments on whether HHS was required to go through notice and comment before implementing a rule that altered the Medicare reimbursement formula...
Sep 22, 2018 | Executive Action, Medicaid, News and Updates
On September 22, 2018, the Trump administration issued a proposed rule that would newly consider an immigrant’s use of Medicaid, SNAP, Medicare Part D Low-Income Subsidy program and several housing programs to determine whether an individual is a “public...
