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Hospitals wanted to block 2020 site-neutral payment cuts. A judge just said no.

December 18, 2019


A federal judge on Monday rejected a request from the American Hospital Association and others to block site-neutral payment cuts to off-campus hospital facilities, which are scheduled to take effect Jan. 1, 2020.

Congress just unveiled an FY 2020 funding deal to avoid a government shutdown

December 17, 2019


Congressional negotiators on Monday released a nearly $1.4 trillion spending agreement that would fund the federal government, including health agencies, through the end of fiscal year 2020 and includes several health care provisions—such as measures to permanently repeal three Affordable Care Act taxes, delay cuts to Medicaid disproportionate-share hospital payments, raise the minimum tobacco purchasing age, and more.

After technical glitches, CMS extends open enrollment for federal exchange plans

December 17, 2019


CMS on Monday announced that it has relaunched and extended the Affordable Care Act's open enrollment period until Wednesday, amid reports of technical glitches on HealthCare.gov that impeded users' ability to sign up for federal exchange plans.

CMS might have overpaid MA plans by $6.7B in 2017, HHS' OIG says

December 17, 2019


CMS might have improperly paid Medicare Advantage plans an estimated $6.7 billion in 2017 after the plans added diagnoses to beneficiaries' files that in some instances were not supported by medical records, according to an HHS Office of Inspector General report released last week.

Moody's says nonprofit hospital market should improve in 2020

December 17, 2019


Moody's Investors Service in a recent report said nonprofit hospitals and health systems should see an increase in revenue in 2020, upgrading the sector to a stable outlook.

Advocates, policymakers call for ACA open enrollment extension, citing technical issues

December 16, 2019


Democratic policymakers and health care advocates are urging the Trump administration to extend the Affordable Care Act's open enrollment period, which ended Sunday, citing reports of widespread glitches with HealthCare.gov.

How 10 former NFL players allegedly committed $3.9M in health care fraud

December 16, 2019


The Department of Justice on Thursday announced that it has charged 10 former NFL players with fraud for allegedly submitting false claims for medical equipment totaling $3.9 million to a health benefits program for former players.

CMS will reimburse hospitals for 2019 site-neutral payment cuts—but will implement the cuts in 2020

December 16, 2019


CMS on Thursday announced plans to reimburse hospitals for site-neutral payment cuts the agency made to off-campus hospital facilities in 2019—but CMS separately said it still intends to implement site-neutral payment cuts in 2020.

House approves Pelosi's Rx pricing bill, rejects GOP alternative

December 13, 2019


The House on Thursday voted 230-291 to pass House Speaker Nancy Pelosi's (D-Calif.) bill intended to lower prescription drug prices in the United States, and voted 201-223 to reject a bill introduced by House Republicans that was intended to serve as an alternative to Pelosi's measure.

CMS OKs Medicaid work requirements in another nonexpansion state

December 13, 2019


CMS on Thursday approved two separate Medicaid waiver requests from South Carolina, a state where officials have not expanded Medicaid under the Affordable Care Act, to impose work requirements on certain Medicaid beneficiaries and change eligibility limits for adults with minor children.

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