Articles and Blogs

E-Commerce Giant Poised to Disrupt Health Care Supply Chain

[08/21/17]

Posted on August 21, 2017 in Health Law News

Published by: Hall Render

Amazon is taking strides to enter one of the most complex of industries: health care. In late 2016, Amazon began investigating the possibilities of leveraging its supply chain to meet health care consumers’ needs. Amazon Business, Amazon’s current supply chain platform, has already transformed the supply chain industry, generating over $1 billion in sales in…Read More

Home Health CY 2018 PPS Proposed Rule: Here Comes a New Payment Model

[08/17/17]

Posted on August 17, 2017 in Health Law News

Published by: Hall Render

The single largest and most unexpected change proposed in the 2018 Proposed PPS Rule is the announcement that the Home Health Groupings Model (“HHGM”) will be implemented as of January 1, 2019. Although the Centers for Medicare & Medicaid Services (“CMS”) released a detailed technical report on the HHGM last fall, the industry did not anticipate…Read More

CMS Proposes Significant Changes to the CJR Model and the Cancellation of the AMI, CABG and SHFFT Episode Payment Models

[08/16/17]

Posted on August 16, 2017 in Health Law News

Published by: Hall Render

On August 15, 2017, CMS released for public inspection a proposed rule that would: Cancel the AMI, CABG and SHFFT episode payment models that are currently scheduled to begin on January 1, 2018. Cancel the cardiac rehabilitation incentive payment program that is currently scheduled to begin on January 1, 2018. Revise various aspects of the…Read More

Seventh Circuit: Whistleblowers Cannot Build FCA Claims upon Public Information and Speculation

[08/14/17]

Posted on August 14, 2017 in False Claims Act Defense

Published by: Hall Render

The public disclosure bar remains one of the most important tools for disposing of False Claims Act (“FCA”) claims. The Seventh Circuit’s recent decision in United States ex rel. Bellevue v. United Health Services of Hartgrove, Inc. clarified the effect of the 2010 amendments to the public disclosure bar and affirmed the dismissal of whistleblower allegations…Read More

340B in 2017 and Beyond: What Covered Entities and Contract Pharmacies Need to Know

[08/11/17]

Posted on August 11, 2017 in Health Law News

Published by: Hall Render

Just over half a year into the new administration, significant developments have occurred that may permanently alter the landscape of the 340B drug discount program (“340B Program”), developments so significant that the mainstream news media has started to take notice.[1] As 340B Program participating “Covered Entities” and their contract pharmacy partners work to develop their…Read More

Federal Court Sends EEOC’s Mandatory Flu Vaccine Case to Trial on Religious Discrimination Claim

[08/11/17]

Posted on August 11, 2017 in HR Insights for Health Care

Published by: Hall Render

Health care employers today regularly impose flu vaccines on their employees. One hospital in North Carolina now faces a trial over whether it violated Title VII of the Civil Rights Act of 1964 in treating differently a group of employees who refused to get vaccinated. The Hospital’s Flu Vaccine Policy and Religious Exemption In 2016,…Read More

Health Provider News – August 11, 2017

[08/11/17]

Posted on August 11, 2017 in Health Law News

Published by: Hall Render

NATIONAL 7 statistics on physician compensation — average sign on bonus is $18k Elderly may be blocked from suing nursing homes for neglect, abuse 25% of Physicians Dissatisfied with Provider Compensation Rates 9 hospitals, health systems opening or planning ASCs — July 2017 Non-physician providers, support staff a driving factor behind more profitable physician groups,…Read More

Department of Justice Announces $42 Million Settlement for Alleged False Claims Act Violations

[08/08/17]

Posted on August 8, 2017 in Health Law News

Published by: Hall Render

Recently, the Department of Justice (“DOJ”) announced it had entered into a $42 million settlement (“Settlement”)[1] with the owners of a California acute care hospital (“Parent Company”) to resolve allegations that the Parent Company had violated the False Claims Act by submitting false claims to Medicare and MediCal (California Medicaid) programs. The Parent Company is…Read More

Hall Render’s This Week in Washington – August 4, 2017

[08/04/17]

Posted on August 4, 2017 in Federal Advocacy

Published by: Hall Render

CMS Issues 2018 Hospital Payment Rule On August 2, CMS announced the fiscal year (“FY”) 2018 Medicare Inpatient Prospective Payment System and Long-Term Care Hospital (“LTCH”) Prospective Payment System final rule, which will provide acute care hospitals with a total increase in Medicare spending on inpatient hospital payments of $2.4 billion in FY 2018. The…Read More

Health Provider News – August 4, 2017

[08/04/17]

Posted on August 4, 2017 in Health Law News

Published by: Hall Render

NATIONAL Health system and physician group alignment: The strategies that don’t work — and those that do New Senate bill seeks to reduce restrictions on telemedicine use The vital role of hospital technology selection in achieving post-merger alignment Amazon has a secret health tech team called 1492 working on medical records, virtual doc visits OIG…Read More