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MedPAC Recommends Cuts to Urban Hospital’s Medicare Payments

On April 5, the Medicare Payment Advisory Commission (MedPAC) issued a unanimous recommendation to decrease some urban outpatient hospitals’ Medicare payments, while increasing rural hospital payments to improve emergency...more

4/11/2018  /  Hospitals , Medicare , MedPAC

Energy and Commerce Committee Leaders Investigate Allegations of Patient Safety Issues at Hospitals

Last week, leaders of the U.S. House Committee on Energy and Commerce (the “Committee”) sent letters to CMS and four hospital accreditation organizations, expressing concerns regarding the rigor of the accreditation survey...more

Court Says HHS Must Justify Methodology for Outlier Payments

On August 18, 2017, the United States Court of Appeals for the District of Columbia ruled that HHS had inadequately justified its inclusion of data from hospitals that allegedly “turbo-charged” their cost-to-charge ratio when...more

Settlement Creates Uncertainty in Determining EMTALA Obligations

On June 23, 2017, a South Carolina-based hospital system, AnMed Health, agreed to pay $1,295,000 to settle allegations that it violated the Emergency Medical Treatment and Labor Act (EMTALA). The HHS OIG alleged AnMed held...more

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