Current News
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U.S. Supreme Court Decides That States Can Seek Reimbursement for Future Medical Expenses from Medicaid Beneficiaries’ Injury Settlements
On June 6, 2022, the U.S. Supreme Court held, in a seven-to-two decision, that the Medicaid statute permits a state to seek reimbursement from settlement payments allocated for future medical care.
- 5. July 2022
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5th Circuit Court of Appeals Upholds Provider Fee That States Pay Under the Affordable Care Act (ACA) to Receive Federal Reimbursement for Managed Care Organization (MCO) Payments
On Friday, July 31, 2020, the U.S. Court of Appeals for the Fifth Circuit overturned a lower court decision and upheld the provider fee that states are required to pay under Section 9010 of the ACA, on behalf of MCOs, in order for the states to receive federal reimbursement for payments to the MCOs.
- 31. July 2020
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U.S. Court of Federal Claims awards nearly $1.6 billion to a class of health insurers under a provision of the Affordable Care Act (ACA)
On October 22, 2019, Chief Judge Margaret M. Sweeney held that a class of health insurers were entitled to nearly $1.6 billion from the U.S. government pursuant to a provision of the ACA.
- 31. October 2019
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Recent federal court happenings affecting Medicare reimbursement
On September 16, 2019, a federal district court judge in the District of Columbia removed a policy of the Centers for Medicare and Medicaid Services (CMS) that lowered the amounts off-campus, hospital-based clinics can receive for treating Medicare patients.
- 2. October 2019