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Provider-Based Status Post-BBA: CMS Offers Limited Answers, Requests More Feedback

USA - July 20 2016 For those in the hospital industry hoping for additional clarity regarding the operation and billing of provider-based departments (PBDs), the CY…

Susan Feigin Harris, Ernessa B. McKie, Kristen McDermott Woodrum.

Medicaid and CHIP Managed Care Final Rule: It’s All About Consistency

USA - May 5 2016 The Centers for Medicare & Medicaid Services (CMS) recently issued a 1,425-page regulation (Rule) on managed care in Medicaid and the Children's…

Susan Feigin Harris.

The 2017 Exchange Regulations: Network Adequacy Challenges Remain

USA - March 10 2016 The Centers for Medicare and Medicaid Services (CMS) recently issued the final 2017 Benefit and Payment Parameters Rule (Final Rule) and concurrently…

Susan Feigin Harris.

King v. Burwell: “thy name is an opinion on the Affordable Care Act”

USA - June 26 2015 The U.S. Supreme Court in King v. Burwell, upheld the availability of subsidies to individuals who purchase health insurance on either a state or…

Susan Feigin Harris.

Medicaid managed care Proposed Rules: the intersection of private insurance and government programs

USA - June 8 2015 Approximately a quarter of all Medicaid expenditures is spent on the more than half of all beneficiaries (approximately 39 million by 2011 figures…

Susan Feigin Harris.