Healthcare Law Blog

JUNE 20, 2022

On June 15, 2022, in a win for hospitals, the Supreme Court issued its opinion in American Hospital Association et. hospitals participate, requires drug manufacturers to provide outpatient drugs to participating providers at heavily discounted rates. Several hospital groups sued to challenge this reduction in the U.S.

Hospitals 52

Hospitals Payment Systems Medicare Medicare 52

Hall Render

FEBRUARY 24, 2022

Following this reporting, impacted providers and teaching hospitals will have the opportunity to review reported payments and investments and to dispute any incorrect reports until May 15, 2022. Until this reporting year, the term “Covered Recipients” has referred only to physicians (excluding medical residents) and teaching hospitals.

Hospitals 40

Hospitals Payment Systems Nurses Compliance 40

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

Natalia Mazina

APRIL 25, 2023

Medicare reimbursement cut In 2018, CMS implemented a 28.5% reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). Ultimately, the hospitals prevailed in the Supreme Court.

US Department of Health and Human Services 52

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

Hall Render

JULY 14, 2023

On Friday, June 20, 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 (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Physical Therapy 3.30

Medicare 52

Medicare Medicare Payment Systems Governance 52

CMS.gov

NOVEMBER 15, 2018

Thu, 11/15/2018 - 20:38. These changes, part of the implementation of the Bipartisan Budget Act of 2018, are effective January 1, 2019. Within the Quality Payment Program, we’ve implemented several options to help clinicians in both small and rural practices successfully participate in the Merit-based Incentive Payment System (MIPS).

Medicare 50

Medicare Medicare Payment Systems Medicaid 50

AIHC

JANUARY 28, 2022

Medicare Uncompensated Care Payments & DSH Hospitals' charity care and bad debt, together known as uncompensated care, is used to calculate disproportionate-share hospital payments. This is calculated based on the hospital’s relative share of uncompensated care nationally.

Medicare 52

Medicare Medicare Hospitals Payment Systems 52