Trump Issues Executive Order on Price and Quality Transparency On June 24, 2019, President Trump issued an executive order on price and quality transparency, requi… Read More
MACPAC Provides Recommendations on DSH “Medicaid Shortfall” Calculation In its June 2019 report to Congress on Medicaid and CHIP, the Medicaid and CHIP Payment and Access C… Read More
CMS Offers Flexibility to States Seeking to Minimize ACA’s Economic Burden On May 1, 2019, CMS released a request for information to solicit ideas for developing a “State Re… Read More
CMS Releases State Medicaid Director Letter on Integrated Care for Dual Eligibles On April 24, 2019, CMS released a letter to state Medicaid directors describing three opportunities … Read More
CMS releases proposed Medicare IPPS Rule On April 23, 2019, CMS released its proposed Medicare inpatient prospective payment system rule for … Read More
HHS Announces Primary Care Payment Pilots On April 22, 2019, HHS unveiled new Medicare pilot projects that would encourage primary care pro… Read More
HRSA Launches 340B Ceiling Price Database On April 1, 2019, the Health Resources and Services Administration implemented its long-delayed fi… Read More
MACPAC Releases Recommendations on Medicaid DSH Cuts On March 18, 2019, MACPAC published its recommendations for restructuring the Medicaid disproporti… Read More
CMS Withdraws FAQs 33 & 34 Amidst Ongoing DSH Litigation As of December 30, 2018, CMS has withdrawn its policy on the inclusion of third party payments in … Read More
Federal District Court Enjoins Medicare Part B Payment Cut for 340B Drugs On December 27, 2018, the United States District Court for the District of Columbia granted plaint… Read More
HRSA Confirms 340B Final Rule Effective Date of January 1 On November 29, 2018, the Health Resources and Services Administration (HRSA) confirmed the effectiv… Read More
6th Circuit Affirms District Court Ruling On Medicaid DSH FAQs While Upholding Underlying Policy On November 14, 2018, in a 2-1 decision, the 6th Circuit affirmed a summary judgment ruling that … Read More
CMS Announces New Waiver Opportunity for Inpatient Mental Health Services On November 13, 2018, CMS notified state Medicaid directors of a new 1115 waiver opportunity for a… Read More
CMS Released Proposed Medicaid Managed Care Rule On November 8, 2018, CMS released proposed regulations to amend the 2016 Medicaid Managed Care Rul… Read More
CMS Issues 2018 OPPS Final Rule On November 2, 2018, CMS issued its Hospital Outpatient and Prospective Payment System (OPPS) final… Read More
HRSA Proposes Earlier Effective Date for Long-Pending 340B Ceiling Price Rule Facing a legal challenge from the hospital industry, the Health Resources and Services Administratio… Read More
CMS Releases Guidance on 1332 Waivers On October 22, 2018, CMS released guidance for states seeking to implement State Innovation Waivers.… Read More
Supreme Court Agrees to Hear $4B Medicare DSH Case On September 27, 2018, the Supreme Court granted certiorari in Azar v. Allina Health Services, et a… Read More