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...
Nov 1, 2017 | 340B, News and Updates, Rulemaking
HRSA furthered delayed implementation of a final rule codifying the calculation of the 340B ceiling price, and implementing civil monetary penalties for manufacturers that knowingly and intentionally overcharge 340B providers. The final rule had been published on...
May 18, 2017 | 340B, News and Updates, Rulemaking
HRSA issued a rule further delaying until October 1, 2017, the implementation of a January 5th final rule codifying the calculation of the 340B ceiling price, and implementing civil monetary penalties for manufacturers that knowingly and intentionally overcharge 340B...
Apr 18, 2017 | Medicare, News and Updates, Rulemaking
On April 28, CMS issued its proposed rule for Medicare’s inpatient prospective payment system (IPPS) for federal FY 2018. Among its provisions, CMS announced its proposal to phase in use of Medicare cost report data to determine the allocation of the uncompensated...
Feb 1, 2017 | Executive Action, News and Updates, Rulemaking
On January 30, 2017, President Trump signed an Executive Order requiring agencies proposing any new regulation to identify at least two existing regulations for repeal. The Executive Order also directs agency heads that any new incremental costs associated with a new...
Feb 1, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
Just prior to the end of the Obama administration, on January 18, 2017, CMS published a final rule limiting the ability of states to create new or increased pass-through payments to providers in their Medicaid managed care programs. The rule’s effective date was...
