CMS announces final regulations interpreting the Physician Payment Sunshine Act *

USA - February 18 2013
On February 1, 2013, the Centers for Medicare & Medicaid Services (CMS) published the final regulations interpreting the physician payment "sunshine"…

Co-authors: Eric Greig, Jeremy M. Alexander, Christopher S Olson.

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Congress delays Medicare physician pay cut with American Taxpayer Relief Act of 2012, but reduces payments to other Medicare providers *

USA - January 16 2013
On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act of 20121 (the Act or ATRA), legislation passed to avert the…

Co-authors: Eric Greig, Jeremy M. Alexander, Esther R. Scherb.

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Medicaid expansion under the Affordable Care Act: implications of the US Supreme Court decision *

USA - July 31 2012
While much of the commentary following the Supreme Court’s ruling in National Federation of Independent Business v. Sebelius (No. 11-393) focused on the decision to uphold the minimum coverage provision of the Affordable Care Act (ACA), the Court’s limitation on the federal government’s ability to withdraw a state’s existing Medicaid funding could have an equally meaningful impact on the implementation and results of the ACA.

Co-authors: Eric Greig.

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CMS proposes major changes to overpayment reporting requirements, extending liability to ten years *

USA - March 7 2012
On February 16, 2012, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule (“Proposed Rule”) to implement Section 6402(a) of the Patient Protection and Affordable Care Act (“ACA”), the 2010 legislative provision requiring Medicare providers and suppliers, Medicaid managed care organizations, Medicare Advantage organizations, and Prescription Drug Plan sponsors to report and return overpayments of Medicare or Medicaid funds under specific timelines.

Co-authors: Daniel Meron, Eric Greig, Katherine A. Lauer, Christopher S Olson, Esther R. Scherb.

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Affordable Care Act enhances CMS authority potentially impacting future Medicare payments to providers and suppliers *

USA - September 6 2011
Medicare Administrative Contractors (MACs) are beginning the process of revalidating enrollment of all Medicare providers and suppliers according to the more stringent screening criteria required by the Patient Protection and Affordable Care Act (ACA).

Co-authors: Katherine M. Gigliotti, Esther R. Scherb.

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