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CMS Finalizes Medicaid DSH Regulations Regarding Treatment of Medicare and Commercial Payments for the Dual Eligibles

by keith | 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...

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

by keith | Jul 20, 2017 | 340B, News and Updates

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...

Eyman Associates Releases Analysis of Ongoing Medicaid DSH Litigation

by keith | Jul 12, 2017 | DSH, Legislation, Medicaid, News and Updates

Click here for the analysis.

CMS Posts Changes to Waiver Budget Neutrality Policy

by keith | Jul 11, 2017 | Medicaid, News and Updates, Waivers

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...

CMS Issues Proposed Rule for FY2018 Medicare Inpatient Hospital Payments

by keith | 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...
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