Susan Feigin Harris

Susan Feigin Harris

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Medicaid ACOs: States’ Answer to Escalating Costs?

States increasingly are experimenting with the use of Accountable Care Organizations (ACOs) in their Medicaid programs as a possible avenue to curb the escalating costs of providing care to expanding Medicaid populations....more

10/3/2014 - ACOs Health Care Providers Healthcare Medicaid Medicare

Late Push to Reauthorize CHIP Funding This Session

Approximately eight million children currently covered by the Children’s Health Insurance Program (CHIP) may lose access to their pediatric-specific benefits and provider networks if legislation is not passed to extend...more

9/22/2014 - Affordable Care Act CHIP Federal Funding Healthcare Legislative Agendas MACPAC

Academic Medical Centers: Clinical Care, Research and Teaching (or Maybe Not?)—Graduate Medical Education and the Future

In the world of healthcare policy and law, we usually discuss issues impacting providers, but don’t often report about the training and infrastructure behind what allows our healthcare system to treat patients in our...more

8/13/2014 - Affordable Care Act CMS Healthcare Healthcare Reform Medicaid Medical Research Physicians

The Sliding Scale of Health Coverage: Finding the Intersection of Cost, Access and Quality

While not a new concept, the use of narrow networks has become a lightning rod for the controversy surrounding qualified health plans (QHPs) offered on the insurance exchanges created under the Affordable Care Act (ACA) and...more

8/11/2014 - Affordable Care Act Healthcare Healthcare Reform NAIC Physicians Qualified Health Plans

The Orphan Drug Wars: HHS’s Rebuttal to Its Recent Loss to PhRMA

On June 18, 2014, the U.S. Department of Health and Human Services (HHS) publicly stated that the recent decision of the U.S. District Court for the District of Columbia to vacate HHS’s regulation covering orphan drugs and...more

6/24/2014 - Final Rules Healthcare HHS Orphan Drugs Pharmaceutical PHRMA Section 340B

The Orphan Drug Wars: HHS’s Recent Loss to PhRMA

On May 27, 2014, almost a year following the promulgation of its final rule, the U.S. Department of Health and Human Services (HHS) had its rule vacated by the U.S. District Court for the District of Columbia under an...more

6/16/2014 - Affordable Care Act Drug Manufacturers Final Rules Healthcare HHS Hospitals Orphan Drugs Pharmaceutical PHRMA Section 340B

Is It a Violation to Help?

In a May 21, 2014, letter to the President of the American Hospital Association (AHA), U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius confirmed HHS’s position that private, not-for-profit...more

5/30/2014 - American Hospital Association Charitable Donations CMS Health Health Insurance Exchanges HHS Hospitals Non-Profits Premiums Private Foundations Qualified Health Plans sebel

Five Health Policy Issues to Watch in 2014

As we head into the mid-term election cycle, the ongoing implementation of the Patient Protection and Affordable Care Act (ACA) continues to consume the nation’s healthcare industry and political leaders in 2014. On the...more

5/2/2014 - Affordable Care Act CMS Healthcare Medicaid Medicaid Expansion Medicare Physician SGR Formula

Medicaid DSH: Little-Noticed CMS Rule Interpretation Creates Serious Financial Shortfalls for Impacted Hospitals

In what may have been a largely unnoticed rule interpretation affecting hospitals that treat a high percentage of children in the Medicaid program, CMS, in January 2010, issued a response to a Frequently Asked Question (FAQ)...more

12/17/2013 - Audits CMS DSH Hospitals Medicaid Reimbursements Utilization Calculations

CMS Issues Final Rule Outlining Medicaid DSH Payment Reductions

CMS recently released the final rule confirming its methodology for carrying out reductions to Medicaid disproportionate share hospital (DSH) payments for fiscal year (FY) 2014 and FY 2015. DSH payments, which go to hospitals...more

9/27/2013 - CMS DSH Final Rules Healthcare Medicaid

The ACA DSH Allotment Reductions: The Balancing Act Between Full Coverage and the Uninsured Continues

As soon as the Supreme Court released its decision regarding the optional nature of the Affordable Care Act's (ACA) Medicaid expansion provision in June 2012, the hospital industry became concerned over the law's imposed...more

6/4/2013 - Affordable Care Act CMS DSH Healthcare HHS Medicaid Medicaid Expansion Proposed Regulation

Healthcare Provisions In The American Taxpayer Relief Act - The Good, The Bad And The Ugly

In late night action on December 31, 2012, the American Taxpayer Relief Act of 2012 (ATRA) was passed by the Senate and finalized days later by Congress and the President with a set of tax and spending policy provisions...more

1/15/2013 - Affordable Care Act American Taxpayer Relief Act Budget Control Act of 2011 Co-Op Disproportionate Share Adjustments Fiscal Cliff Healthcare Medicaid Medicare NIH Spending Cuts

Health Law Update — January 10, 2013

In This Issue: - Healthcare Provisions in the American Taxpayer Relief Act - the Good, the Bad and the Ugly - American Taxpayer Relief Act Amends Overpayment Recovery Time Limits - OIG Advisory Opinion Sheds...more

1/14/2013 - American Taxpayer Relief Act CMS Data Breach Electronic Medical Records Fraud Healthcare OCR OIG Overpayment Recovery Time Limits Pay-for-Performance Reporting Requirements Settlement

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