Christopher Kenny

King & Spalding

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CMS Issues Guidance for Medicare Contractors to Pay For Section 1115 Day

On March 16, 2023, CMS issued Change Request 12669, which contains instructions for Medicare Administrative Contractors (MACs) to begin the process of retroactively reimbursing DSH hospitals for inpatient days attributable to...more

3/22/2023 / Centers for Medicare & Medicaid Services (CMS) , Medicaid , Medicare , Medicare Administrative Contractors (MAC) , New Guidance

CMS Proposes for the Third Time to Exclude Section 1115 Uncompensated Care Pool Days from Medicare DSH

On February 24, 2023, CMS issued a proposed rule that would modify the Medicare Disproportionate Share Hospital (DSH) payment regulation to limit the universe of Section 1115 demonstration beneficiaries who can be “regarded...more

3/1/2023 / Appeals , Centers for Medicare & Medicaid Services (CMS) , DSH , EHB , Insurance Industry , Medicaid , Medicare , Proposed Rules

CMS Extends Timeline to Finalize Updated Medicare Rules for Hospitals to June 2020

In 2016, CMS issued a proposed rule to update the requirements that hospitals and critical access hospitals must meet to participate in Medicare and Medicaid programs....more

6/12/2019 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicaid , Medicare , Proposed Rules , Time Extensions

GOP Repeal and Replace Healthcare Bill Advances After Committee Votes

On March 8, 2017, the two House Committees responsible for healthcare policy related to the Affordable Care Act (ACA) held marathon-like deliberations to mark-up their respective portions of the Republicansponsored health...more

3/11/2017 / Affordable Care Act , Cadillac Tax , Employer Mandates , Health Insurance , Health Savings Accounts , Healthcare Reform , Medicaid , Repeal , Tax Credits , Ways and Means Committee

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