Are Healthcare Provider Challenges to Medicaid Cuts Dead?

By Stephen D. Rose
Health Care Attorney and Owner
Garvey Schubert Barer

With the demise of the Boren Amendment, healthcare providers and Medicaid recipients have searched for an effective avenue to challenge state proposed Medicaid rate reductions that threaten access to healthcare services by Medicaid beneficiaries. With the implementation of the Affordable Care Act and significant expansion of Medicaid beneficiaries expected in the very near future, whether healthcare providers and Medicaid recipients can challenge Medicaid rate reductions takes on added importance. On May 24, 2013, the Ninth Circuit drastically reduced the legal avenues that can be taken to challenge Medicaid rate reductions. Managed Pharmacy Care v. Sebelius, ___ F.3d ___ (9th Cir. 2013) (Managed Pharmacy Care), significantly weakened the ability of healthcare providers and Medicaid recipients to challenge Medicaid rate reductions. Read article

California Healthcare News Feed

Pacific Hospital Long Beach – Reducing Hospital-Acquired Infections Across the Board

By Francisco Floressantos, Director of Marketing
Pacific Hospital of Long Beach
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Adults Students in Seminar Raising Hands

Teaching Managers to be Leaders: A Practical, Hands-on Approach

By Marcey Uday-Riley, MSW, CPT
Partner
IRI Consultants
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Elderly Patient Holding Hands with Nurse

HealthCare Partners: Ahead of the Curve in Care Coordination

By Nora Haile
Contributing Editor
California Healthcare News
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