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Much has been made about the vaccination problems relating to COVID-19. There is no downplaying that.
However, there has been a couple shining stars locally when it comes to getting the job done. Last week, both the Brooks-TLC Hospital System Inc. in Dunkirk and UPMC Chautauqua were mentioned by state Gov. Andrew Cuomo for their work in getting the job done.
That’s no easy task, according to those close to the process. “There is no way of predicting when supplies will arrive,” said Christopher Kotowski, Brooks-TLC director of pharmacy, “but we’re able to vaccinate eligible community members oftentimes within a matter of hours of a new shipment.” ....

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Additional Hospitals File Complaint Against HHS Secretary Regarding Medicare DSH Payments

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December 21, 2020
In the District of Columbia District Court on Monday, Brooks-TLC Hospital System Inc. and 14 other hospitals filed a complaint against the Secretary of the Department of Health and Human Services (HHS), Alex M. Azar, requesting judicial review and declaratory and injunctive relief regarding a previously vacated rule that the plaintiffs alleged has resulted in miscalculated disproportionate share hospital (DSH) payments under Medicare and alleging that HHS violated the Medicare Act by not engaging in notice-and-comment rulemaking. The case largely echoes one filed late last month, by a different set of hospital plaintiffs.
DSH payments are calculated through the Medicaid fraction “the numerator of which is the number of the hospital’s patient days for such period which consist of patients who (for such days) were eligible for medical assistance under a State plan approved under (the Medicaid statute, title XIX of the So ....

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