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CMS’s Hospital Readmissions Reduction Program May Not Be Used to Deny Individual Commercial Claims

The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that reduces payments to hospitals with excess readmissions. This performance program penalizes hospitals up to three percent of...more

CMS Releases Additional Section 1135 Waivers and Flexibilities to Assist the U.S. Healthcare System with COVID-19 Patient Surge

On March 30, 2020, CMS issued additional Section 1135 blanket waivers to provide the American healthcare system with additional flexibility to respond to the COVID-19 pandemic. CMS is authorized under Section 1135 of the...more

Is Your Hospital Ready for a Pandemic?

On January 21, 2020, the Centers for Disease Control and Prevention (“CDC”) confirmed the first case of a new coronavirus, “2019-nCoV” or “Wuhan coronavirus,” in the United States. The patient—like the other four, confirmed...more

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