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CMS Issues Final Rule for DSH Medicare Advantage Days Policy

Hall Render

On June 7, CMS issued a much-anticipated Final Rule addressing the placement of Medicare Advantage patient days within the Medicare DSH calculation. The Final Rule adopts a retroactive policy that will place Medicare Advantage days in the Medicare Fraction of the DSH calculation for discharges before October 1, 2013.

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District Court Elucidates the Meaning of “to Induce” Under the Federal Health Care Program Anti-Kickback Statute

Healthcare Law Blog

Department of Health and Human Services, Office of the Inspector General (“OIG”) concerning pharmaceutical manufacturers’ offers of cost-sharing subsidies to Medicare Part D (“Part D”) beneficiaries. The government, through Medicare, would foot the rest of the over-$111,000 bill for the year. [3] PCPA also argued that OIG Ad.

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Achieving Economic Security for Disabled People During COVID-19 and Beyond

Bill of Health

It is an intersectional movement, theory, and praxis initially conceived in 2005 by queer, trans, gender non-conforming, and racialized disabled people. Moreover, replacing existing safety net programs, like SSI, with universal basic income would simplify the administration of these programs and shrink government spending.

COVID-19 246
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HHS Issues Proposed Rule to Provide Clarity on Rights of Conscience in Healthcare

Healthcare Law Blog

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

ACA 105
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Pharmaceutical Manufacturers Ask EDVa to Allow Cost-Sharing Under the AKS

Healthcare Law Blog

Pharmaceutical manufacturers are challenging the breadth of the Federal Anti-Kickback Statute (“AKS”) in federal court, arguing that the government is harming the very vulnerable patients it aims to serve by prohibiting cost-sharing subsidies for life-saving oncology drugs. and $500.39. [4].

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Is a Federal Medical License Constitutional?

Bill of Health

Some scholars have interpreted this to mean that the federal government has the right under the Commerce Clause to regulate all medical licensure. Gupta cites the Dormant Commerce Clause doctrine, a court-invented principle which allows the federal government to strike down state laws deemed excessively burdensome to interstate trade.

Licensing 130
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A Rural Georgia Community Reels After Its Hospital Closes

Kaiser Health News

That’s the largest number of such facilities to shut down in a single year since 2005, when the Cecil G. In several of those states, including Georgia, Republican-led governments have said such a step would be too costly. .” The Cuthbert hospital was one of 19 rural hospitals in the U.S. that closed in 2020.

Hospitals 129