Disproportionate Share Adjustments

Recent Court Decisions Affecting DSH Percentage Calculations May Impact Participation in the 340B Drug Discount Program

by Christine Morse | Ober|Kaler on 5/3/2013

A number of recent developments affecting the Disproportionate Share Hospital (DSH) percentage calculation methodologies will likely have significant impact on 340B covered entities. DSH hospitals that participate in the 340B...more

Payment Matters: Recent PRRB and CMS Administrator Decisions: A Summary for Providers

by Leslie Demaree Goldsmith | Ober|Kaler on 2/8/2013

In recently released decisions, the PRRB and the CMS Administrator addressed a number of issues of interest to many providers. Short summaries of those decisions are provided below. The PRRB and CMS Administrator post their...more

Payment Matters: Court Rules That Medicare DSH Statute Means What It Says

by Thomas W. Coons | Ober|Kaler on 1/25/2013

In recent times, the provider community has enjoyed success in challenging the Secretary’s interpretation of the Medicare disproportionate share hospital (DSH) adjustment provisions and what, the providers have maintained,...more

National Provider Call on FY 2014 Medicare DSH Changes

by King & Spalding on 1/18/2013

On January 8, 2013, CMS hosted a National Provider Call to discuss the changes to Medicare disproportionate share hospital (DSH) payments under section 3133 of the Affordable Care Act. Beginning in FY 2014, Medicare DSH...more

Payment Matters: American Taxpayer Relief Act of 2012: Physician Cuts Averted, Hospitals to Carry Portion of Price Tag

by Kristen Cilento Carter | Ober|Kaler on 1/17/2013

Avoiding sending American taxpayers over the so-called “fiscal cliff,” Congress enacted the American Taxpayer Relief Act of 2012 (the “Act”) [PDF] that was signed into law on January 2, 2013. Of biggest note, the Act included...more

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

by Susan Feigin Harris | BakerHostetler on 1/15/2013

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

Payment Matters: Providers Again Win in Medicare Disproportionate Share Adjustment Challenge

by Thomas W. Coons | Ober|Kaler on 12/13/2012

In a 2011 decision, Northeast Hospital Corp. v. Sebelius, 657 F. 3d 1 (D.C. Cir. 2011), the United States Court of Appeals for the District of Columbia Circuit ruled for the providers in a challenge to the Secretary’s...more

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