Articles and Blogs

D.C. District Court

Hospitals Win Battle Over Site-Neutral Pay Cuts


Posted on September 18, 2019 in Health Law News

Published by: Hall Render

CMS was dealt a blow from the D.C. District Court on September 17, 2019 when the court determined the agency’s “site neutral” payment policy in the CY 2019 Outpatient Prospective Payment System (“OPPS”) Final Rule exceeded its statutory authority to adjust payments under the OPPS. Refusing to accept the government’s argument that the plaintiffs... READ MORE

Tags: , , , , , , ,

Court Takes Broad View of Medicare DSH Eligibility for § 1115 Waiver Program Days


Posted on August 9, 2019 in Health Law News

Published by: Hall Render

Recently, the D.C. District Court ruled that HHS must include certain waiver programs in its Medicare disproportionate share calculations. This is a significant ruling because many states have experimented with different ways to provide health care to low-income populations. As a result, hospitals serving these populations may be entitled to increased payments.[1] Background Under... READ MORE

Tags: , , , , ,