Juliet McBride

Juliet McBride

King & Spalding

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

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CMS Proposes New DMEPOS Coverage Policies and Payment Rates, and Seeks to Codify HCPCS Application, Benefit Category and Payment...

On November 4, 2020, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (the Proposed Rule) outlining proposals for the coverage and payment for durable medical equipment, prosthetics, orthotics, and...more

12/22/2020  /  21st Century Cures Act , Centers for Medicare & Medicaid Services (CMS) , DMEPOS , Filing Deadlines , Food and Drug Administration (FDA) , HCPCS , Medicare , Payment Rates , Proposed Rules

D.C. Circuit Clears the Way for Hospitals to Challenge Base-Year Factual Determinations

The United States Court of Appeals for the District of Columbia Circuit recently held in Saint Francis Medical Center v. Azar that Medicare’s reopening regulation, which prohibits providers from seeking to revise payment...more

7/30/2018  /  Appeals , Centers for Medicare & Medicaid Services (CMS) , Hospitals , Medicare

Courts May Not Review CMS’s Determination to Grant or Deny a Hospital’s Expansion Application Under Stark

In a decision issued on November 21, 2017, the D.C. Circuit affirmed the district court determination that the Affordable Care Act (ACA) bars judicial review of CMS’s determination to grant or deny a hospital’s Stark Law...more

11/30/2017  /  Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Hospitals , Medicaid Expansion , Stark Law

CMS Actuary Predicts an Additional 13 Million Uninsured Under the ACA Repeal Legislation

In a report published on June 13, 2017, the independent chief actuary of CMS estimated that an additional 13 million people will be uninsured in ten years if the American Health Care Act of 2017 (ACHA), the latest ACA repeal...more

6/30/2017  /  Affordable Care Act , American Health Care Act (AHCA) , Centers for Medicare & Medicaid Services (CMS) , Health Insurance , Healthcare Reform , Medicaid

ACA Repeal and Replace Update: House Vote Expected This Week; CBO Estimates Impact of Repeal and Replace Legislation; CMS...

After narrowly passing the Budget Committee, the Republican-sponsored health reform repeal and replace bill, the American Health Care Act (AHCA), is scheduled for a floor vote for Thursday, March 23, 2017, seven years to the...more

3/30/2017  /  Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Insurance , Healthcare Reform , Medicaid , Premiums , Repeal

Projected Decline of Americans Lacking Health Insurance Over Next Decade

The CMS Office of the Actuary recently released a report estimating that the percentage of Americans lacking health insurance will decline over the next decade. The actuary’s office predicts that in 2025, 8 percent of the...more

7/28/2016  /  Centers for Medicare & Medicaid Services (CMS) , Health Insurance
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