Natalia Mazina

APRIL 25, 2023

reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). Further litigation related to the remedies for the past payment cuts is continuing in the US District Court for the District of Columbia. 10,272 (Mar. Sanofi Aventis U.S. 2023) 58 F.4th

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Payment Systems 52

MedTrainer

JANUARY 12, 2024

Affordable Care Act (2010): The ACA introduced the concept of value-based care, emphasizing quality and patient outcomes over quantity of services. MACRA (2015): The Medicare Access and CHIP Reauthorization Act (MACRA) introduced the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Compliancy Group

NOVEMBER 16, 2022

healthcare system since 2010’s Affordable Care Act. One of these incentives is the Merit-Based Incentive Payment System, or MIPS. Until the passage of the CURES Act in 2016, MACRA was the most significant legislative overhaul of the U.S. MIPS is composed of four performance categories, on which providers are graded.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Medisys Compliance

AUGUST 4, 2022

Proposed ESRD Payment System. This rule also proposes an update to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities for calendar year (CY) 2023. Direct nursing services include registered nurses, licensed practical nurses, technicians, social workers, and dietitian.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. CMS is finalizing this proposal.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

HIT Consultant

NOVEMBER 2, 2021

In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. Victor Sterling, Principal Industry Consultant at SAS.

Medicare 52

Medicare Medicare Medicaid Medicaid 52