Compliance & Legal
American Hospital Association is among the providers against the rule that would cut drug reimbursement.
The rule would reduce the time providers wait to receive prior authorization from payers to a maximum of 72 hours.
If the rule is finalized, the agency estimates an overall net cost savings of $3.2 billion over five years.
Work requirements have been struck down in lower courts, and the incoming Biden administration may nix them altogether.
The American Telemedicine Association said the newly released final rules move the healthcare industry closer to a value-based care model.
Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.
The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS says.
The allegations were brought by a whistleblower former employee who will receive about $1.5 million as her share of the recovery.
The numbers are up from 2019 Week 1, but there are also more days in this year's snapshot period.
Congress has already decided it doesn't want the entire law to fall, says Justice Sonia Sotomayor.