CMS Asks 1st Circ. To Undo Hospital Reimbursement Ruling

Law360, New York (October 12, 2017, 3:25 PM EDT) -- The Centers for Medicare & Medicaid Services has urged the First Circuit to reverse a lower court’s ruling in favor of hospitals that have accused the agency of unlawfully instituting a “clarification” that alters a Medicaid reimbursement policy so the hospitals are paid less.

CMS said Tuesday the lower court erred in its determination that the change warranted notice-and-comment procedures, as it was merely a clarification to the existing regulation text about the Disproportionate Share Hospital program, which reimburses hospitals that treat a disproportionate amount of...
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