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Chevron Deference: Is It Time for Change?

USA - February 15 2022 This term, the Supreme Court of the United States is set to rule in a Medicare reimbursement case that has sparked a fresh look at the historical…

Stuart M. Gerson, Megan E. Robertson

CMS “Splits the Baby” on Aduhelm—Medicare Coverage But Only with Evidence Development for Now

USA - January 13 2022 On January 11, 2022, the Centers for Medicare and Medicaid Services (“CMS”) published an anticipated proposed National Coverage Determination (“NCD”)…

PRRB Updates Its Rules and Mandates Electronic Filing

USA - October 6 2021 On September 30, 2021, the Provider Reimbursement Review Board (the “Board”) issued a revised set of rules that become effective November 1, 2021…

David Johnston

CMS Proposes to Reverse Course and Repeal Its Final Rule Expediting Medicare Coverage of Breakthrough Devices and Defining the Medicare “Reasonable and Necessary” Coverage Standard

USA - September 21 2021 On September 15, 2021, CMS published a proposed rule that would repeal a final rule that created an expedited pathway for Medicare coverage of…

District Court Invalidates Medicare GME Regulation and Orders CMS to Recalculate Hospitals’ Medicare Reimbursement

USA - June 7 2021 Teaching hospitals should find that their Medicare reimbursement for training physicians will be a little sweeter thanks to a decision by the United…