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Hospitals and Health Systems – Medicare

Nov 26, 2018

President Trump’s Plan to Reduce Medicare Drug Costs

Labeling Medicare a “rigged system,” President Trump has outlined a plan that he believes would allow it to lower drug prices covered under its Part B coverage. Specifically, the proposal would permit Medicare to implement a new reimbursement scheme that would reduce drug prices to achieve parity with costs in other nations.» Read More

Sep 28, 2018

Continued Uncertainty of Provider-Based Status in Space Sharing Arrangements

Space sharing and co-location arrangements have been popular service delivery models for hospitals and independent physician practices.  These arrangements enhance patient convenience, improve continuity of care and present cost sharing benefits to the parties involved.  However, Medicare rules related to hospital provider-based department status and the Pennsylvania Department of Health (DOH) Guidance Regarding Hospital Outpatient Department – Shared Space arrangements have severely limited what space sharing arrangements will continue to qualify under Medicare’s Hospital Outpatient Department (HOPD) billing rules.» Read More

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