The lengthy dispute known as Azar vs. Allina Health Services has again progressed in the courts.  On June 3, 2019, the Supreme Court decided to uphold the D.C. Circuit decision that concluded CMS did not meet the notice and comment requirement for significant policy changes. 

As this will eventually have a national impact on DSH payments via the SSI rate, for multiple prior fiscal years, it is still too early to know how CMS will implement any actions resulting from the Supreme Court decision.

Hospitals may be working independently or with counsel, and may eventually be required to provide data or have the need to validate CMS’ determinations regarding resetting of the SSI rates to reflect the Allina case.

If your organization needs support with the SSI / Medicare Part C data requirements or needs assistance making financial projections for your new SSI rate, please contact us. LBMC brings the strength of an experienced healthcare team with deep resources and a reputation as an effective advisor.