Member
To assist members in their efforts to obtain reimbursement under their contracts with their MAO plans, we have identified and spoken with four outside law firms that have considerable experience with 340B questions and litigating against insurers on issues like these.
The departments of Health and Human Services, Labor and the Treasury issued Oct. 27 a comprehensive proposed rule intended to improve how the No Surprises Act (NSA) independent dispute resolution (IDR) process functions in response to feedback and challenges shared by stakeholders as well as in…
The Centers for Medicare & Medicaid Services (CMS) Nov. 2 released its calendar year (CY) 2024 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. The rule increases OPPS rates by a net 3.1% in CY 2024 compared to CY 2023. The rule also includes…
The Centers for Medicare & Medicaid Services (CMS) Nov. 2 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2024. The rule also includes policies related to the Medicare Shared Savings Program (MSSP) and the Quality Payment Program (QPP), both of…
Following last year’s unanimous Supreme Court decision in favor of the AHA and others, the Department of Health and Human Services Nov. 2 issued a final rule outlining the agency’s remedy for the unlawful payment cuts to certain hospitals that participate in the 340B Drug Pricing Program.
A daily ransomware tracker at TLP:GREEN for the purpose of increasing ransomware threat awareness.
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 issued its calendar year (CY) 2024 final rule for the home health (HH) prospective payment systems (PPS).
The ºÚÁÏÕýÄÜÁ¿ Association (AHA), joined by the Texas Hospital Association, Texas Health Resources, and United Regional Health Care System, today sued the federal government to bar enforcement of an unlawful, harmful, and counterproductive rule that has upended hospitals’ and health systems…
A daily ransomware tracker at TLP:GREEN for the purpose of increasing ransomware threat awareness.
A list of Human Services (HHS) Office for Civil Rights (OCR)’s claims about third-party technologies and its Bulletin, along with the realities of how these technologies function and how the new rule was issued.