news and updates
February 2016
CMS publishes final 2013 and preliminary 2015 DSH allotments.
February 2016
MACPAC issues congressionally-mandated report on Medicaid DSH, recommends better targeting of funds to hospitals most in need.
January 2016
CMS releases guide to preventing hospital readmissions among racially and ethnically diverse Medicare beneficiaries.
CMS First Renewal of a Delivery System Reform Waiver
What You Need to Know About the Massachusetts Waiver Renewal PDF
January 2016
CMS Innovation Center announces launch of Next Generation Accountability Care Organizations.
January 2016
CMS announces Innovation Center funding for Accountable Health Communities to test models addressing beneficiaries’ social needs.
November 2015
OIG Release 2016 Workplan; Includes Reviews of Hospital Provider-Based Status, Medicaid Provider Taxes and Medicare Payment for 340B Discounted Drugs
November 2015
Congress enacts Site Neutral Legislation policy denying outpatient hospital reimbursement to new offsite hospital clinics
November 2015
CMS releases final Medicaid Equal Access Rule (with comment period) requiring regular state reviews of whether payments are sufficient to ensure beneficiary access
October 2015
CMS, California reach conceptual agreement on renewal of the Bridge to Reform Medicaid waiver, extending the delivery system reform incentive program and establishing a new global payment mechanism for the uninsured
October 2015
CMS issues ACA-mandated report to Congress on transparency in review and approval of Section 1115 Medicaid waivers
October 2015
CMS and OIG issue final fraud and abuse waivers for Medicare Shared Savings Program
October 2015
DC District Court overturns HRSA's 340B guidance on orphan drug exclusion, applying less deference to the agency's interpretation of the 340B statute; possible implications for proposed mega-guidance.
October 2015
CMS Proposes Basic Health Program Payment Methodology for 2017 and 2018
September 2015
CMS releases final 2016 Medicaid Managed Care Rate Setting Guide
August 2015
HRSA issues long-awaited 340B "Mega Guidance"
July 2015
CMS to Implement Fast Track Review of 1115 Waiver Extensions
July 2015
CMS Issues Guidance and FAQs on 1332 Waivers