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Rural Hospitals and Doctors Get HHS Assistance with New Payment Model

On August 11, 2020, the CMS Innovation Center, the office within HHS with authority to create and test healthcare payment systems, announced a new payment model – the Community Health Access and Rural Transformation (CHART)...more

CMS Issues Proposed Rule for ESRD Prospective Payment System

On July 6, 2020, CMS issued a proposed rule under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS). The rule proposes to update payment policies and rates for renal dialysis services furnished to...more

OIG Releases Its Strategic Plan for Oversight of COVID-19 Response and Recovery

On Tuesday, May 26, 2020, OIG released its Strategic Plan for Oversight of COVID-19 Response and Recovery (the Strategic Plan). The Strategic Plan addresses the use and disbursement of the resources HHS has made available in...more

CMS Issues New Round of Waivers and Rule Changes In Response to COVID-19

Last week CMS issued a new round of regulatory waivers and rule changes in response to the COVID-19 public health emergency, including its Interim Final Rule with comment period, CMS-5531-IFC. The key changes relax certain...more

State of California Greenlights Up to $1 Billion for COVID-19 Response

California Gov. Gavin Newsom (D) signed a spending package of more than $1 billion on Tuesday, March 17, 2020, to help California hospitals and communities grappling with the COVID-19 pandemic. Both houses of the...more

HHS Issues Notice of Violation to California for its Universal Abortion Coverage Mandate

On Friday afternoon, January 24, 2020, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) issued a Notice of Violation to the state of California demanding that the state stop imposing...more

Tenth Circuit Upholds HHS Risk Adjustment Methodology

On December 31, 2019, a 3-0 panel of the United States Court of Appeals for the Tenth Circuit upheld the methodology adopted by HHS to administer the risk adjustment program under the Affordable Care Act (ACA). See New Mexico...more

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