News & Analysis as of

Payment Rates Rulemaking Process

King & Spalding

CMS Issues IPPS and LTCH Final Rule for FY 2023

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On August 1, 2022, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System Final Rule for FY 2023 (the Final Rule). In the Final Rule, CMS...more

King & Spalding

CMS Issues IPPS and LTCH Proposed Rule for FY 2023

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On April 18, 2022, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System Proposed Rule for FY 2023 (the Proposed Rule). In the Proposed Rule,...more

Bricker Graydon LLP

Federal court denies American Hospital Association review of CMS 2020 site-neutral payment cuts for hospital off-campus...

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On December 16, 2019, the U.S. District Court for the District of Columbia ruled that its 2019 decision invalidating the Center for Medicare and Medicaid Services’ (CMS) site-neutral payment cuts does not automatically vacate...more

Bricker Graydon LLP

CMS announces continuation of second year of site-neutral payment cuts

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Despite a court ruling against its site-neutral policy in September 2019, in the Calendar Year (CY) 2020 Medicare Outpatient Prospective Payment System (OPPS) final rule, released on November 1, 2019, the Centers for Medicare...more

Bricker Graydon LLP

DeWine signs Executive Order allowing emergency rule changes as part of Ohio’s “Behavioral Health Redesign”

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On July 30, 2019, Governor Mike DeWine signed Executive Order 2019-19D, under which the governor utilized his power to suspend the normal administrative rule-making process upon the request of a state administrative agency...more

Polsinelli

CY 2020 OPPS Proposed Rule – HHS Seeks Comments on 340B Payment Reductions and Remedies

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This past week, CMS confirmed it will continue the 2018 and 2019 underpayment policy for certain 340B covered entities unless the D.C. Court of Appeals upholds the lower court’s ruling that it is unlawful. In that case, CMS...more

Bricker Graydon LLP

CMS issues hospice payment rate final rule for FY2020

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On July 31, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized the hospice payment rule (CMS-1714-F), which is scheduled to be published on August 6, 2019. The rule updates hospice payment rates, wage index...more

Bradley Arant Boult Cummings LLP

CMS Continues Shift toward Value-Based Payments with New Home Health Groupings Model in Proposal - Healthcare Alert

On July 2, 2018, the Centers for Medicare & Medicaid Services (CMS) published its annual proposed rule outlining both payment and policy changes for home health agencies. In a press release announcing the proposed rule, CMS...more

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