Articles and Blogs

This Week in Washington – June 16, 2017

[06/16/17]

Posted on June 16, 2017 in Federal Advocacy

Published by: Hall Render

Senate GOP Still Without AHCA Legislative Text As the countdown to the July 4 recess continues, Republicans in the Senate continue to seek consensus within their party on health care reform legislation. However, as of this writing, rank-and-file Republicans still haven’t seen legislative text on their body’s version of the American Health Care Act (“AHCA”)….Read More

2017 Group Scoring Under MIPS: Who’s In, Who’s Out?

[06/13/17]

Posted on June 13, 2017 in Health Law News

Published by: Hall Render

Physician groups composed of MIPS eligible clinicians (“MECs”[1]) may elect to have their members’ MIPS performance scored individually or as a group. This article notes a few key aspects of MIPS group scoring for 2017. MIPS Group Scoring Includes Performance Data from New Medicare-Enrolled MECs For the 2017 MIPS performance period, a new Medicare-enrolled MEC…Read More

Court Gives Preliminary Approval to $6.255 Million Settlement in Class Action Wage and Hour Dispute

[06/13/17]

Posted on June 13, 2017 in HR Insights for Health Care

Published by: Hall Render

A federal district court in California recently gave preliminary approval to a $6.255 million settlement in a class and collective action wage and hour lawsuit against a California-based medical group. The proposed settlement class includes more than 1,300 registered nurses who provided advice and education to patients of the medical group through three call centers. …Read More

Hall Render’s This Week in Washington – June 9, 2017

[06/09/17]

Posted on June 9, 2017 in Federal Advocacy

Published by: Hall Render

ACA Repeal Update Senate Majority Leader Mitch McConnell (R-KY) reiterated this week his desire to release the Senate’s version of the American Health Care Act (“AHCA”) by the end of June and have a vote before the July 4 recess. However, meeting the ambitious July 4 deadline would require the Congressional Budget Office (“CBO”) to…Read More

Integrating Behavioral Health and Primary Care: Reimbursement Considerations and Tips

[06/09/17]

Posted on June 9, 2017 in Health Law News

Published by: Hall Render

While many providers recognize there are benefits to integrating behavioral health and primary care, reimbursement for services continue to be one of the most challenging barriers to achieving integration. The Mental Health Parity and Addiction Equity Act of 2008 and the 21st Century Cures Act signed into law in December 2016 are efforts made by…Read More

Michigan Supreme Court Ruling Makes It More Difficult for Medical Providers to Collect from Insurers

[06/08/17]

Posted on June 8, 2017 in Health Law News, HR Insights for Health Care

Published by: Hall Render

On May 25, 2017, the Michigan Supreme Court dealt another blow to medical providers seeking payment for services provided to individuals injured in car accidents in Michigan. In the opinion, the court held that a medical provider does not have standing to bring a claim against a no-fault insurer for the payment of personal protection…Read More

eClinicalWorks Settlement – Impact on Providers

[06/08/17]

Posted on June 8, 2017 in Health Information Technology

Published by: Hall Render

The news of the $155 million settlement between eClinicalWorks (“eCW”), several eCW employees and the U.S. Department of Justice has left many current users of the eClinicalWorks EHR (“eCW EHR”) wondering what impact it will have upon them. First, the terms of the settlement provide several rights to current users. Second, actions taken to date…Read More

SCOTUS Clarifies Status of Retirement Plans Maintained by Church-Affiliated Hospitals

[06/06/17]

Posted on June 6, 2017 in Health Law News, HR Insights for Health Care

Published by: Hall Render

The Supreme Court of the United States (“SCOTUS”) ruled on Monday, June 5, 2017 that retirement plans maintained by religiously affiliated hospitals meet the definition of a church plan under the Employee Retirement Income Security Act of 1974, as amended (“ERISA”). As church plans, they are not subject to ERISA’s rules and regulations unless the…Read More

Calls for a Second Wind to Third Party Premium Payments with Changing Circumstances in Health Care

[06/05/17]

Posted on June 5, 2017 in Health Law News

Published by: Hall Render

On May 31, 2017, 184 legislators wrote a bipartisan letter to Secretary Tom Price of the Department of Health and Human Services (“HHS”) to request that HHS revisit and roll back a 2013 policy memo that discourages insurance companies selling Qualified Health Plans on the exchanges from accepting payments from hospitals and other third parties…Read More

Hall Render’s This Week in Washington – June 2, 2017

[06/02/17]

Posted on June 2, 2017 in Federal Advocacy

Published by: Hall Render

Senate Republicans Begin Work on AHCA Republican senators will work through June to make what are expected to be major changes to the House-passed American Health Care Act (“AHCA”). When Congress returns the week of June 5, Senate leadership is expected to distribute a first draft of their version of the health care reform bill…Read More