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HHS Issues Interim Final Rule Implementing Certain Provisions of the No Surprises Act | Holland & Knight LLP

HHS Issues Interim Final Rule Implementing Certain Provisions of the No Surprises Act | Holland & Knight LLP
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The Alliance for Regenerative Medicine: German Parliament Approves Legislation to Accelerate Access to Life-Changing Cell and Gene Therapies

The Alliance for Regenerative Medicine: German Parliament Approves Legislation to Accelerate Access to Life-Changing Cell and Gene Therapies
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German Parliament Approves Legislation to Accelerate Access

German Parliament Approves Legislation to Accelerate Access
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Another Group of Hospitals Challenge Medicare Payment Rates for Outlier Patients

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On Friday, a group of three hospitals filed a case in District of Columbia District Court against the Department of Health and Human Services. The suit alleged systemic underpayment of inpatient stays by Medicare according to the Inpatient Prospective Payment System (IPPS).
According to the complaint, filed by Sharp Chula Vista Medical Center, Grossmont Hospital, and Sharp Memorial Hospital, the IPPS reimburses hospitals according to a formula that determines reimbursement without regard to the amount the facility actually charges for the service. The formula includes factors such as a preset difficulty level or Diagnosis Related Group, a base line cost factor, adjustments for cost of living in the area where the hospital is located, modifiers for teaching facilities, and other factors, resulting in a payment that can be reasonable for the average patient. ....

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CMS Releases FY 2022 IPPS and LTCH Proposed Rule | Holland & Knight LLP

Highlights
The Centers for Medicare & Medicaid Services (CMS) on April 27, 2021, released the Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule, which will affect discharges occurring on or after Oct. 1, 2021.
The Proposed Rule would update the payment policies and annual payment rates for the inpatient payment system, update various quality programs and evaluate New Technology Add-On Payment (NTAP) applications, among other changes.
Comments on the Proposed Rule are due by June 28, 2021, and a final rule is expected by Aug. 1, 2021.
The Centers for Medicare & Medicaid Services (CMS) on April 27, 2021, released the Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule, which will affect discharges occurring on or after Oct. 1, 2021. A CMS fa ....

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