Articles and Blogs

Last week, CMS issued a proposal that would change how post-acute providers are paid for their services. The proposal drew negative feedback from trade associations. A number of prominent physician organizations issued a call to action urging payers and policy providers to increase funding and training offered to primary care providers so they can effectively…Read More

The Consolidated Appropriations Act, 2021 (the “Act”) signed into law on December 27, 2020, created a new Medicare provider type called a Rural Emergency Hospital (“REH”). Critical access hospitals (“CAHs”) and rural hospitals with 50 beds or fewer could transition to REH status starting January 1, 2023. On June 30, 2022, the Centers for Medicare…Read More

Last week, CMS announced a new hospital provider status for rural hospitals. A significant number of rural hospitals have closed over the past decade. CMS created the new provider status in an effort to preserve rural hospitals. In other news, South Carolina is exploring a minor modification to its Certificate of Need (“CON”) law after…Read More

In Becerra v. Empire Health Found., the Supreme Court upheld CMS’s decision to include Medicare exhaust and secondary payor days in the Medicare Fraction of the Disproportionate Share Hospital (“DSH”) statute. Although a loss for the hospitals in Empire, the ruling may support hospitals seeking to add SSI days to the numerator of the Medicare…Read More

Beginning July 1, 2022, the Departments of Health and Human Services, Labor and Treasury (the “Departments”) will begin enforcing the Transparency in Coverage Final Rule (“TiC Rule”) broadly requiring non-grandfathered health plans, including self-insured plans, to publish the price of nearly every health care service negotiated with providers. The TiC Rule continues federal efforts to…Read More

The Centers for Medicare & Medicaid Services (“CMS”) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes regarding the quality of care and quality of life for residents. On June 29, 2022, the Quality, Safety & Oversight Group at CMS issued a memorandum entitled…Read More

Abortion is no longer a federal constitutional right. As a result of the United States Supreme Court decision in Dobbs v. Jackson Women’s Health, states may regulate abortion in a manner consistent with their own state constitutions and judicial precedent. The Dobbs decision overruled the Court’s own 1973 decision in Roe v. Wade, which had…Read More

On June 9, 2022, the Centers for Medicare & Medicaid Services (“CMS”) published a notice seeking public comment on its plan to revise the way information is collected under its voluntary Self-Referral Disclosure Protocol (“SRDP”). Specifically, the proposed rule would allow a group practice to submit a single “Group Practice Information Form” that would cover all of…Read More