News & Analysis as of

Healthcare Sequestration

King & Spalding

Budget Deal to Limit Provider-Based Status, Extend Sequestration

King & Spalding on

On October 28 and 30, 2015, the U.S. House of Representatives and U.S. Senate approved the Bipartisan Budget Act of 2015 (the Act)—a measure designed to raise the limit on Federal borrowing that would also have significant...more

McDermott Will & Emery

Congress Take Step Toward Site-Neutral Medicare Payments in Bipartisan Budget Act of 2015

McDermott Will & Emery on

On October 28, 2015, the U.S. House of Representatives approved legislation that, if enacted, would, among other things, substantially alter how and how much Medicare pays for outpatient services furnished by hospitals. The...more

K&L Gates LLP

Pennsylvania Hospitals Successfully Challenge Sequestration Reductions

K&L Gates LLP on

In a case of first impression, a Pennsylvania court recently ruled in favor of 12 independent community hospitals (the “Hospitals”) that sued health insurer Highmark Inc. (“Highmark”) for passing on its 2 percent Medicare...more

Foley & Lardner LLP

Insurer Wrongfully Passed Sequestration Cuts Through to Providers

Foley & Lardner LLP on

A Pennsylvania judge found, on May 6, 2015, that a Medicare Advantage Plan had no right under its participation agreements to pass CMS sequestration reductions through to participating providers. Judge R. Stanton Wettick Jr....more

King & Spalding

President Obama Releases 2016 Budget Proposal Ending Sequester Cuts

King & Spalding on

On February 2, 2015, President Barack Obama delivered his Fiscal Year 2016 budget proposal to Congress. The $4.066 trillion budget contains a sequestration replacement plan that would allow a 7%, or $75 billion, increase in...more

King & Spalding

Hospitals Speak Out Against Sequestration Extension

King & Spalding on

On Wednesday, February 12, 2014, the U.S. Senate passed legislation that, among other things, would further extend Medicare sequestration by one year (until 2024) in part to avoid a reduction in military pensions. Earlier in...more

King & Spalding

CMS to Congress: Sequestration of Cancer Drug Reimbursement to Continue

King & Spalding on

A June 3, 2013 letter from CMS Administrator Marilyn Tavenner to Rep. Pete Sessions (R-Tex.) states that the agency does not believe it has any discretion under the Budget Control Act of 2011 to exempt Part B cancer drug...more

Nossaman LLP

Sequester the Sequestration Cuts, Please! Why the Health Care Industry Must Brace Itself for More Change...

Nossaman LLP on

As the federal government scrambles to cut burgeoning health care costs, yet increase health care coverage to the uninsured or underinsured, the paradox of expansion, on the one hand, yet constriction, on the other, has...more

King & Spalding

CMS Releases Sequestration Details; Medicare EHR Incentive Payments Subject to Two-Percent Reduction

King & Spalding on

On March 8, 2013, CMS announced that it will apply the two-percent sequestration reduction to all Medicare provider payments with dates of service/discharge on or after April 1, 2013. The announcement also states that claims...more

King & Spalding

President Obama Issues Sequestration Order, CMS Has Yet to Publish Implementation Instructions

King & Spalding on

On March 1, 2013, President Obama issued a sequestration order directing the Office of Management and Budget (OMB) to administer across-the-board cuts to federal spending. Concurrently, OMB issued a report to Congress...more

Mintz - Health Care Viewpoints

Health Care Reform Update -- February 11, 2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearing and Mark-Ups...more

Cozen O'Connor

Election Behind Us: Looking Ahead to the Fiscal Cliff and 2013

Cozen O'Connor on

The balance of power in Washington remains intact: control of The White House and Congress remains as it was prior to the election. Notwithstanding that balance of power, we are NOT in a status quo political environment....more

King & Spalding

Congressional Research Service Finds Sequestration Would Have “Somewhat Limited” Effect on Health Reform Spending

King & Spalding on

An October 1, 2012 report from the Congressional Research Service (CRS) analyzes the impact of impending across-the-board cuts to Federal spending known as “sequestration” on implementation of the Affordable Care Act (ACA). ...more

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