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U.S. District Court of D.C. Sets Aside the Accumulator Adjustment Rule

USA - May 23 2022 On May 17, 2022, the U.S. District Court for the District of Columbia ruled in favor of the plaintiff pharmaceutical manufacturer trade group in…

Alison Fethke, Margaux J. Hall, Sharon Jaquez

CMS Issues Final Rule Redefining Medicare Part D “Negotiated Price” As Pharmacy’s Lowest Possible Reimbursement

USA - May 10 2022 On April 29, 2022, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule revising the way Medicare determines the “negotiated…

Chandler Gray, Margaux J. Hall, Gregory F. Malloy

CMS Publishes Federal Fiscal Year 2023 Hospital Payment Proposed Rule

United Kingdom, USA - April 22 2022 On April 18, 2022, the Centers for Medicare & Medicaid Services (“CMS”) published its annual proposed rule for the federal fiscal year (“FY”) 2023…

David O. Ault, Christine Moundas, James Harold (Harry) Richards, Alex J. Talley

U.S. District Court of D.C. Invalidates Decision Denying Hospital Reimbursement for Indigent Bad Debt Based on Third-Party Information

USA - April 5 2022 On March 29, 2022, the U.S. District Court for the District of Columbia issued a favorable decision for the plaintiff hospitals in Sentara Hospitals v…

Gregory Hardy, James Harold (Harry) Richards

D.C. District Court Sets Aside Medicare Low-Wage Index Redistribution Rule

USA - March 10 2022 On March 2, the U.S. District Court for the District of Columbia issued a favorable decision for the plaintiff hospitals in Bridgeport Hospital, et…

Emma Coreno, Alex J. Talley