Archive for the ‘Reimbursements’ Category
In the health policy world, 2012 was a big year. The Supreme Court upheld the Affordable Care Act, and President Obama’s re-election further solidified the law’s future. Medicare played a significant role in the presidential campaign, and budget sequestration added a new threat to providers’ Medicare payments. The Prescription Drug User Fee Act was reauthorized, and an outbreak of meningitis caused by tainted drugs from a compounding pharmacy in Massachusetts raised new questions about FDA oversight.
What health policy issues will make the biggest mark on 2013? To answer that, we asked American Health Line subscribers to weigh in. We received an overwhelming response, with answers from representatives of academia, advocacy organizations, legal groups, the media and think tanks. As Ilisa Halpern Paul, managing government relations director at DrinkerBiddle & Reath, said, “It looks to be another interesting and dynamic year in health policy.”
CMS on April 5 agreed to a settlement with about 2,200 hospitals to end lawsuits related to an error in reimbursement rates, according to parties involved in the deal, the Los Angeles Times reports.
In the suits, the hospitals allege that Medicare committed a mathematical error in 1998 when it adjusted certain reimbursements for inpatient hospital care to reflect area wages. Congress requested the change in the Balanced Budget Act of 1997 to ensure adequate reimbursements for urban and rural hospitals. According to the lawsuits, the error caused thousands of hospitals to receive significant underpayments.
The Supreme Court yesterday declined to rule on a California lawsuit that could determine whether Medicaid beneficiaries and providers can sue states over reimbursement cuts, the Los Angeles Times reports (Savage/Megerian, Los Angeles Times, 2/23). The justices sent the case back to a lower appellate court, noting the complexity of the case and the fact that some circumstances have changed since it originally was filed (Doyle, Sacramento Bee, 2/23). Read the rest of this entry »