Christopher Kenny

King & Spalding

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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 Proposes Quality Program Changes, Increased OPPS and ASC Medicare Payments for 2021

On August 4, 2020, CMS proposed its annual rule adjusting the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System, as well as changes to quality reporting...more

8/20/2020 / Ambulatory Surgery Centers , Centers for Medicare & Medicaid Services (CMS) , Critical Access Hospitals , Inpatient Prospective Payment System (IPPS) , Medicare , Outpatient Prospective Payment System (OPPS) , Payment Systems , 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

2018 Proposed Rules: Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System

On July 13, 2017, CMS issued the Calendar Year (CY) 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System (ASCPS) proposed rule (Proposed Rule). CMS proposes to update OPPS...more

7/24/2017 / Ambulatory Surgery Centers , Centers for Medicare & Medicaid Services (CMS) , Clinical Laboratory Testing , Drug Pricing , Hospitals , Outpatient Prospective Payment System (OPPS) , Proposed Rules , Section 340B

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