Dec 10, 2018 | 340B, News and Updates, Rulemaking
On November 29, 2018, the Health Resources and Services Administration (HRSA) confirmed the effective date of its final rule on the 340B Drug Pricing Program. The rule institutes new ceiling prices on 340B drugs and authorizes monetary penalties against drug...
Nov 8, 2018 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
On November 8, 2018, CMS released proposed regulations to amend the 2016 Medicaid Managed Care Rule. The proposed rule would allow states to establish new 3-year pass-through payments for populations transitioning into managed care, streamline the approval process for...
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...
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.
