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South Carolina Receives Approval from CMS to Implement Medicaid Work Requirements

On December 12, 2019, CMS approved South Carolina’s proposal for a demonstration project that would add work, or community engagement, requirements as part of the eligibility determinations for the state’s Medicaid plan. ...more

CMS Publishes Proposed Rule for CY 2020 Hospital Outpatient Prospective Payment System, Includes Major Proposals on Price...

On July 29, 2019, CMS published a proposed rule revising the factors for determining Medicare payment rates under the Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgery Center (ASC) Payment...more

Federal Court Declines to Vacate Secretary’s Ultra Vires 340B Rate Cut and Remands to CMS to Fashion Proper Remedy

In a long-awaited ruling, on May 6, 2019, Judge Rudolph Contreras of the U.S. District Court for the District of Columbia declined to vacate the Secretary’s CYs 2018 and 2019 Outpatient Prospective Payment System (OPPS)...more

CMS Releases FY 2020 Medicare IPPS and LTCH PPS Proposed Rule and Proposes Key Changes to Several Regulatory Requirements

On April 23, 2019, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System Proposed Rule for FY 2020 (the Proposed Rule), which will affect...more

CMS Announces Second Enrollment Period for BPCI Advanced

CMS intends to release its second enrollment period for the Bundled Payment for Care Improvement (BPCI) Advanced payment model sometime in April 2019, allowing for eligible providers to participate beginning January 1, 2020...more

CMS Announces New Part D Modernization Model and Updates to Medicare Advantage Value-Based Insurance Design Model

January 18, 2019, CMS’s Center for Medicare and Medicaid Innovation (CMMI) announced a new payment model aimed at lowering drug prices in Medicare Part D, named the Part D Payment Modernization model (the Part D Model). In...more

OIG Report Identifies Significant Vulnerabilities in the Hospital Wage Index System

In OIG Report No. A-01-17-00500 (the OIG Report), OIG allegedly identifies “significant vulnerabilities” in the wage index system that result in inappropriately-adjusted Medicare payments. The OIG Report recommends several...more

CMS Outlines Support for Innovative Service Delivery Models and Provides Demonstration Project Opportunities

On November 13, 2018, CMS issued a letter to State Medicaid Directors, SMD #18--011 (Letter), announcing strategies to support innovative service delivery systems for adults with serious mental illness (SMI) and children with...more

CJR Annual Report of Performance Year 1: A Resounding Success?

CMS made available the First Annual Report (the Report) evaluating performance year one of the Comprehensive Care for Joint Replacement (CJR) model. Although performance year one was abbreviated (only April 1, 2016, to...more

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