Regulatory

Apr 23, 2018
AHA today urged the departments of Treasury, Labor, and Health and Human Services not to finalize a proposed rule that would allow short-term, limited-duration health plans to provide coverage for up to 364 days, eliminating the current three-month limit. “This proposed rule, if finalized, would…
Apr 24, 2018
The Centers for Medicare & Medicaid Services late today issued its hospital inpatient prospective payment system proposed rule for fiscal year 2019. The rule would increase rates by 1.75% in FY 2019 compared to FY 2018, after accounting for inflation and other adjustments required by law.…
Apr 24, 2018
The Centers for Medicare & Medicaid Services late today issued its long-term care hospital prospective payment system proposed rule for fiscal year 2019. Under the proposed rule, relative to FY 2018 rates, traditional LTCH PPS rates would increase by a net of 0.2% ($6 million), while…
Apr 20, 2018
The Department of Health and Human Services and other federal agencies today proposed delaying the general compliance date for 2018 requirements under the Common Rule to Jan. 21, 2019, which would give covered entities six additional months to implement the requirements. The agencies will…
Apr 13, 2018
The Centers for Medicare & Medicaid Services is appealing a federal court decision that barred the agency from enforcing in Missouri a 2017 final rule and earlier guidance that included private insurance and Medicare payments when calculating the Medicaid shortfall component of the hospital-…
Apr 10, 2018
The CMS on April 6 finalized a rule that will update the Medicare Advantage and Part D prescription drug programs for contract year 2019.
Apr 6, 2018
A federal district court judge in Alabama yesterday ruled that the Blue Cross Blue Shield organizations named in multi-district antitrust litigation in that court must defend under a strict per se standard of review the geographic and output restrictions in the “exclusive service area” and “…
Apr 2, 2018
The Centers for Medicare & Medicaid Services today announced final changes to Medicare Advantage and Part D payment policies for calendar year 2019. CMS anticipates the MA plans and Part D sponsors will see an average revenue increase of 3.4%, excluding an expected 3.1% increase in risk…
Apr 2, 2018
AHA expresses concern with the Commission’s draft recommendation to substantially reduce payments for off-campus stand-alone emergency departments that are within 6 miles of an on-campus hospital ED.
Mar 22, 2018
The Centers for Medicare & Medicaid Services today issued a proposed rule that would exempt states with an overall Medicaid managed care penetration rate of 85% or more from most access-to-care monitoring requirements, such as requirements to analyze certain data and monitor access in fee-…