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Public Consulting Group to Take Part in Four Sessions at SXSWedu

Public Consulting Group (PCG) today announced that it has been selected to present at SXSWedu, the leading education conference in Austin, Texas, in March, for the second year in a row. This year, PCG will lead four innovative sessions, once again bringing together thought leaders and experts from across the country to highlight innovation, best practices, and collaboration across a breadth of fields...

22. January 2018
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    Federal departments put out proposed rule to expand access to short-term health plans that are not ACA-compliant

    On February 20, 2018, the Department of the Treasury (Treasury), the Department of Labor (DOL), and the Department of Health and Human Services (HHS) jointly promulgated a proposed rule on Short-Term, Limited-Duration Insurance (STLDI) plans. The proposed regulatory changes seek to carry out the directions given in Executive Order 13813, “Promoting Healthcare Choice and Competition Across the United States,” to expand access to STLDI plans. STLDI plans are excluded from the definition of individual health insurance coverage and, therefore, are not required to meet the coverage and consumer protection requirements of the Affordable Care Act (ACA).

    • 22. February 2018
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    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
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    U.S. District Court in Missouri invalidates Final Rule of Centers for Medicare and Medicaid Services (CMS) dealing with reduction of disproportionate-share (DSH) 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
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    Federal District 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