CMS Finalizes Medicare Part C and Part D Program Changes for Contract Year...
On January 8, 2014, we noted several proposed changes to the Medicare Part C and D programs as delineated in CMS’ January 8th proposed rule (hereinafter “Proposed Rule”). On Monday, May 19, 2014, CMS...
View ArticleSettlement With DOJ Opens a New Chapter For Tuomey
The cautionary tale of Tuomey (summaries can be found here and here), which illustrated the risks for hospitals structuring arrangements with physicians, is finally coming to a close. When the U.S....
View ArticleBipartisan Budget Act Eliminates Provider-Based Reimbursement for Some HOPDs
Many hospitals may have to reassess their plans to develop new off-campus hospital outpatient departments (HOPDs). The Bipartisan Budget Act of 2015 (the Act), signed into law by President Obama on...
View ArticleWith New Primary Care Compensation Model, CMS Continues Efforts to Promote...
Beginning in January 2017, primary care physicians and their practices (PCPs) will be able to participate in a multi-payer payment reform and care delivery transformation aimed at strengthening...
View ArticleCMS Issues Proposed Rule on MACRA Physician Payment Systems
The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule (the “Proposed Rule”) establishing two physician payment systems introduced by the Medicare Access and CHIP...
View ArticleHouse Approves Site-Neutral Payment Relief for Some Hospitals but Bill Faces...
On June 7, the House passed H.R. 5273, the Helping Hospitals Improve Patient Care Act of 2016 which, in part, modifies the Medicare payment rules for certain hospital outpatient departments (HOPDs)...
View ArticleCMS Releases Proposed Rules Implementing Section 603
On July 6, CMS released its long-awaited proposed rules implementing Section 603 of the Bipartisan Balanced Budget Act of 2015 (Proposed Rules). As we’ve discussed previously, Section 603 effectively...
View ArticleMACRA and Medicare Payment Reform: CMS Plans Increased Flexibility on...
On Thursday, CMS announced that it intends to allow providers to “pick their pace of participation” for the first compliance year of Medicare’s new payment reform model emphasizing quality patient...
View ArticleCMS Releases Final Rule Implementing Site Neutral Payment Rule for Hospital...
On November 1, CMS released final rules implementing Section 603 of the Bipartisan Balanced Budget Act of 2015 (the Final Rule). Section 603 effectively reduces Medicare compensation paid to certain...
View ArticlePresident Obama Signs 21st Century Cures Act Into Law
On December 13, 2016, President Barack Obama signed H.R. 34, the 21st Century Cures Act (the Act), into law. This sweeping healthcare law addresses the discovery, development and delivery of new drugs...
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