News & Perspectives

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  • news

    President Signs Bipartisan Budget Act

    On February 9, 2018, President Trump signed H.R. 1892, the Bipartisan Budget Act of 2018.  The new law reauthorizes federal funding for many health programs, modifies scheduled reductions in Medicaid disproportionate share hospital (DSH) allotments to states, tightens third party liability (TPL) billing requirements, and updates requirements affecting Medicare Advantage plans, accountable care organizations (ACOs), and providers’ adoption of telehealth.

    • 15. February 2018
  • news

    U.S. District Court in Missouri invalidates Final Rule of CMS dealing with reduction of disproportionate-share payments

    On February 13, 2013, U.S. District Court Judge Brian Wimes in Missouri ruled that a CMS final rule that would require Missouri Hospitals’ DSH allotments to be reduced by any Medicare or commercial insurance was invalid. This ruling is one of several decisions in an ongoing battle by states in response to a CMS policy issuance in 2010 announcing the reduction, and a final rule in effect since June 1. 

    • 15. February 2018
  • news

    Federal Court in Tennessee invalidates billing threshold for enhanced Medicaid payments to physicians

    On January 24, 2018, a Federal District Court in Tennessee held that the Centers for Medicare and Medicaid Services (CMS) improperly included a billing threshold requirement in a final rule concerning whether physicians received an enhanced Medicaid rate for primary care services under a provision of the Affordable Care Act (ACA). 

    • 6. February 2018
  • news

    PCG continues 2nd year of collaboration with Illinois State Board of Education (ISBE) and Chicago Public Schools (CPS)

    PCG's Chicago office hosted eight CPS high school students as part of CPS's Office of College and Career Readiness Job Shadow Day. All eight students are in the entrepreneurism/business career pathway. PCG's participation in Job Shadow Day continues to strengthen the collaborative effort between PCG, ISBE, and CPS to support students' college and career readiness.

    • 2. February 2018