Articles and Blogs

DSH Medicare Advantage

CMS Issues Final Rule for DSH Medicare Advantage Days Policy

[06/08/23]

Posted on June 8, 2023 in Health Law News

Published by: Hall Render

On June 7, CMS issued a much-anticipated Final Rule addressing the placement of Medicare Advantage patient days within the Medicare DSH calculation. The Final Rule adopts a retroactive policy that will place Medicare Advantage days in the Medicare Fraction of the DSH calculation for discharges before October 1, 2013. The numerator of that fraction... READ MORE

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Providers Victorious in DSH Medicare Advantage Days Case

[07/31/17]

Posted on July 31, 2017 in Health Law News

Published by: Hall Render

On July 25, 2017, the Court of Appeals for the District of Columbia issued a provider-friendly decision in Allina Health Services v. Price, Case No. 16-5255 (more commonly known as Allina II), reversing the negative decision the hospitals received at the district court level. The court’s reversal stems from its reasoning that the “pre-2004... READ MORE

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