News and Updates

CMS Releases Guidance on Changes To 1115 Waiver Process

On November 6, 2017, CMS released two information bulletins describing changes the agency will implement to streamline the waiver approval process. Changes will include clarification on certain procedural expectations (e.g. budget neutrality) to improve transparency...

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House Chip Bill Includes 2-year delay in Medicaid DSH

The House CHIP re-authorization bill would delay cuts in Medicaid disproportionate share payments to hospitals for two years. It is currently making its way through the rules committee and is anticipated to go to the House Friday, November 3rd.

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CMS Proposes 27% Cut to Part B Payments for 340B Covered Drugs

In its proposed rule implementing changes to the Medicare Outpatient Prospective Payment System, CMS has proposed to reduce payments to hospitals for separately payable drugs that are eligible for discounts under the 340B Drug Pricing Program.  Specifically, CMS would...

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CMS Posts Changes to Waiver Budget Neutrality Policy

CMS has posted on its website a presentation from May 2016 announcing significant changes to its budget neutrality policy for Section 1115 demonstrations.  The policy could restrict states' abilities to continue or newly implement Medicaid provider payment programs or...

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Senate Releases Discussion Draft of Health Reform Bill

On June 22, 2017, the Senate released a discussion draft of its version of the House's "American Health Care Act."  The Senate's "Better Care Reconciliation Act of 2017" includes many of the provisions of the House bill, including significant cuts to the Medicaid...

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