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On August 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment and polices when patients are discharged from hospitals from October 1, 2017, to September 30, 2018.
Press release

CMS finalizes 2018 payment and policy updates for Medicare hospital admissions
Final rule supports transparency, flexibility, program simplification and innovation in the Medicare program

Press release

2018 Health Insurance Exchanges Issuer County Map