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 reduce […]
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 […]
Following the release of a Request for Information in August, CMS issued an interim final rule on December 12 requiring dialysis facilities that offer premium assistance for individual market health plans, whether directly or through a third party, to educate patients on their coverage […]
August 23, 2016: CMS Publishes Request for Information Expressing Concern with Premium Assistance Arrangements that Steer Patients from Medicare and Medicaid into Marketplace Plans
July 27, 2016: CMS Releases Medicare Hospital Star Ratings
July 25, 2016: CMS Proposes Mandatory Medicare Bundled Payment for Cardiac Care
July 6, 2016: CMS releases proposed rule for implementation of new Medicare payment methodology for hospitals outpatient department payments, scope of grandfathering.
CMS Issues Updated Guidance on FQHC Payment Methodologies Under Managed Care, Requires Medicaid Plans to Include at Least One FQHC
CMS releases guide to preventing hospital readmissions among racially and ethnically diverse Medicare beneficiaries.
OIG Release 2016 Workplan; Includes Reviews of Hospital Provider-Based Status, Medicaid Provider Taxes and Medicare Payment for 340B Discounted Drugs