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Articles by Daniel Hettich
Saint Francis Hospital, Inc. et al v. Oklahoma Health Care Authority
Plaintiff: Saint Francis Hospital, Inc. and Tahlequah Hospital Authority doing business as Northeastern Health System Defendant: Oklahoma Health Care Authority Case Number: 4:2023cv00389 Filed: September 8, 2023 Court: US District Court for the Northern District of Oklahoma Presiding Judge: Christine D Little Nature of Suit: Civil Rights: Other Cause of Action: 42 U.S.C. ยง 1396 - Tort Negligence Jury Demanded By: None RSS Track this Docket This docket was last retrieved on September 8, 2023.
CMS Issues Retroactive Final Rule Keeping Part C Days in the Medicare Fraction of the DSH Calculation | JD Supra
On June 7, 2023, CMS issued a final rule retroactively re-adopting its policy requiring patient days attributable to Medicare Part C beneficiaries (Part C days) to be counted in the Medicare fraction of the disproportionate share hospital (DSH) payment formula for cost reporting periods beginning before October 1, 2013. This rule reinstates the same policy regarding Part C days that was invalidated under the Supreme Court decision in Azar v.
Ninth Circuit’s Unanimous Decision in Favor of Empire Health Foundation Vacating Medicare’s 2005 Disproportionate Share Regulation Regarding Unpaid Part A Days is Now Effective | King & Spalding - JDSupra
On October 28, 2020, after previously denying the Secretary of Health and Human Services’ (HHS) request for en banc review, the Ninth Circuit issued a mandate rendering effective its unanimous panel decision on behalf of Empire Health Foundation.
CMS Issues Proposed Regulation Regarding Treatment of Part C Days Prior to October 1, 2013 | JD Supra
On August 6, 2020, CMS published a proposed regulation that would require patient days attributable to Medicare Part C beneficiaries (Part C days) to be counted in the Medicare fraction of the disproportionate share hospital (DSH) payment formula for cost reporting periods beginning before October 1, 2013. This regulation would treat Part C days in the same way they were treated under the policy that the Supreme Court invalidated on procedural grounds in last year’s decision in Azar v. Allina.
Supreme Court Delivers Victory to Providers in Allina DSH Part C Case in a Decision with Broad Implications | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
Eighth Circuit Upholds CMS’s Methodology for Calculating the Volume Decrease Adjustment for Cost Reporting Periods Preceding October 1, 2017 | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
Regulation, Accreditation, and Payment Educational Call (February 2019)
Time: 3:00-4:00 PM Eastern (60 minutes) Format: Educational Call Topic: The Allina Health Services case reaches the Supreme Court -- Key Takeaways from Oral Arguments Overview: Learn about the key takeaways from oral arguments before the Supreme Court of the United States in the recent Allina Health Services case.
D.C. Circuit Clears the Way for Hospitals to Challenge Base-Year Factual Determinations | JD Supra
JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations. This Privacy Policy describes how JD Supra, LLC ("JD Supra" or "we," "us," or "our") collects, uses and shares personal data collected from visitors to our website (located at www.jdsupra.com) (our "Website") who view only publicly-available content as well as subscribers to our services (such as our email digests or author tools)(our "Services").
D.C. Circuit Says CMS’s Predicate Fact Rule Does Not Apply to Administrative Appeals | JD Supra
JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations. This Privacy Policy describes how JD Supra, LLC ("JD Supra" or "we," "us," or "our") collects, uses and shares personal data collected from visitors to our website (located at www.jdsupra.com) (our "Website") who view only publicly-available content as well as subscribers to our services (such as our email digests or author tools)(our "Services").
CMS Acquiesces to Banner Self-Disallowance Decision | JD Supra
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CMS Issues New Instructions for Completing Worksheet S-10 and Extends Deadline for Providers to Submit Updated Data for FYs 2014 and 2015 to October 31, 2017 | King & Spalding - JDSupra
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D.C. Circuit Decides Part C DSH Issue in Favor of Providers
On July 25, 2017, the United States Court of Appeals for the District of Columbia Circuit held that HHS violated the terms of the Medicare statute by failing to undertake notice-and-comment rulemaking in implementing its policy to treat Medicare Part C days as “days entitled to benefits under part A” in calculating hospitals’ disproportionate share hospital (“DSH”) calculations. See Allina Health Servs. v. Price, No. 16-5255 (D.C. Cir. July 25, 2017) (“Allina II”).
2018 Proposed Rules: Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System
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