Juliet McBride

King & Spalding

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Latest Posts › Hospitals

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D.C. Circuit Clears the Way for Hospitals to Challenge Base-Year Factual Determinations

The United States Court of Appeals for the District of Columbia Circuit recently held in Saint Francis Medical Center v. Azar that Medicare’s reopening regulation, which prohibits providers from seeking to revise payment...more

7/30/2018 / Appeals , Centers for Medicare & Medicaid Services (CMS) , Hospitals , Medicare

Courts May Not Review CMS’s Determination to Grant or Deny a Hospital’s Expansion Application Under Stark

In a decision issued on November 21, 2017, the D.C. Circuit affirmed the district court determination that the Affordable Care Act (ACA) bars judicial review of CMS’s determination to grant or deny a hospital’s Stark Law...more

11/30/2017 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Hospitals , Medicaid Expansion , Stark Law

First Circuit Upholds Exclusion of Dual-Eligible Patients That Are Not Entitled to SSI Benefits from Both the DSH Medicaid...

The U.S. Court of Appeals for the First Circuit recently ruled in favor of HHS, overturning a $17 million district court decision, in a dispute dating back as far as the 1993 fiscal year over whether hospitals may include,...more

11/15/2016 / Appeals , Department of Health and Human Services (HHS) , Disproportionate Share Adjustments , DSH , Hospitals , Medicaid , Medicare Part A , Supplemental Security Income (SSI)

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