Jennifer Simmen Lewin

Jennifer Simmen Lewin

King & Spalding

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Latest Posts › Centers for Medicare & Medicaid Services (CMS)

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American Hospital Association’s Lawsuit Challenging CMS’s Price Transparency Final Rule Set for Summary Judgment Hearing in April

On December 4, 2019, the American Hospital Association and several hospital associations and hospitals (“Plaintiffs”) filed suit against the Secretary of Health and Human Services (“HHS”) to challenge the Centers for Medicare...more

3/25/2020  /  Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Final Rules , First Amendment , Hospitals , Price Transparency , Public Health Service Act , Statutory Authority

CMS Issues Medicare Physician Fee Schedule Final Rule for CY 2018

On November 2, 2017, CMS issued a Final Rule that updates payment policies, payment rates, and quality provisions under the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2018. In addition to establishing...more

11/8/2017  /  Centers for Medicare & Medicaid Services (CMS) , Medicare , Physician Fee Schedule

CMS Issues IPPS and LTCH PPS Final Rule for FY 2018

On August 2, 2017, CMS issued the Fiscal Year (FY) 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Final Rule (Final Rule) that updates...more

8/9/2017  /  Centers for Medicare & Medicaid Services (CMS) , DSH , Hospitals , Inpatient Prospective Payment System (IPPS) , Long Term Care Facilities , Medicaid , Medicare , Value-Based Purchasing

GAO Releases Report on Evaluation Methodology in Hospital Value-Based Purchasing Program

On June 30, 2017, the Government Accountability Office (GAO) released a report on the Hospital Value-Based Purchasing (HVBP) program, which evaluates hospital performance on quality and efficiency measures, and provides...more

7/6/2017  /  Centers for Medicare & Medicaid Services (CMS) , GAO , Hospitals , Quality of Care Standards , Value-Based Purchasing

Nurse Anesthetists Sue Novitas Solutions and CMS Over Medicare Reimbursement Policy on Chronic Pain Management

On April 11, 2017, the American Association of Nurse Anesthetists (AANA), an organization representing more than 50,000 Certified Registered Nurse Anesthetists (CRNAs), filed a complaint for declaratory and injunctive relief...more

5/12/2017  /  Centers for Medicare & Medicaid Services (CMS) , Medical Reimbursement , Medicare , Nurses

HHS Announces New Medicare-Medicaid Accountable Care Organization Model

On December 15, 2016, HHS announced an Accountable Care Organization (ACO) initiative for beneficiaries who are dually eligible for Medicare and Medicaid. The Medicare-Medicaid ACO Model (Model) builds on the Medicare Shared...more

12/27/2016  /  ACOs , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Medicaid , Medicare , Medicare Shared Savings Program
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