Articles and Blogs

Health Provider News – August 25, 2017

[08/25/17]

Posted on August 25, 2017 in Health Law News

Published by: Hall Render

NATIONAL Deloitte: Many states establishing Medicaid APMs, but few evaluated for effects on outcomes Doctors loathe their EHRs, right? Not these physicians Is Amazon about to take over the pharmacy industry? HHS proposes another 340B penalty rule delay For-profit hospital operators likely to experience weak patient admissions through 2018 Governors Preparing Bipartisan Health Care Plan…Read More

Proposed Incentives for Behavioral Health Providers to Adopt Electronic Health Records

[08/24/17]

Posted on August 24, 2017 in Health Law News

Published by: Hall Render

With the intention of improving care for individuals receiving substance use disorder treatment and mental health care by better coordinating care, Senators Rob Portman (R-OH) and Sheldon Whitehouse (D-RI) introduced the Improving Access to Behavioral Health Information Technology Act (“Act”), a bipartisan bill designed to grant incentives to behavioral health organizations to adopt electronic health…Read More

The Physician Pipeline and Counting Residents: Too Little and Too Much

[08/24/17]

Posted on August 24, 2017 in Health Law News

Published by: Hall Render

While federal efforts in recent years may have incrementally increased the number of medical residents in training in the United States, still too few residents are being trained to meet expected demand for physicians. This article examines a recent United States Government Accountability Office (“GAO”) report that outlines the federal efforts to expand graduate medical…Read More

New Guidance: FDA Allows Waiver of Informed Consent for Minimal Risk Research

[08/22/17]

Posted on August 22, 2017 in Health Law News

Published by: Hall Render

On July 25, 2017, the Food and Drug Administration (“FDA”) issued guidance (the “Guidance”) stating that it does not intend to object to an Institutional Review Board’s (“IRB”) wavier of the informed consent requirements for human subjects research involving no more than minimal risk. The Guidance, effective immediately, aligns the FDA’s policy on the waiver of…Read More

Medical Residency Programs Potentially Liable Under Title IX—For Resident AND Non-Resident Employees!

[08/22/17]

Posted on August 22, 2017 in HR Insights for Health Care

Published by: Hall Render

As we reported in a previous article, the Third Circuit recently decided in Doe v. Mercy[1] that: 1) the medical residency program of the facility being sued in that case was an “educational program or activity” under Title IX; and 2) the medical resident had standing to sue under Title IX even though the resident…Read More

Countdown to Phase II Compliance: The Facility Assessment for Long-Term Care Facilities – Review of Facility Resident Population and Resources Required

[08/22/17]

Posted on August 22, 2017 in Long-Term Care, Home Health & Hospice

Published by: Hall Render

This is another article in a series discussing the complete overhaul of Part 483 to Title 42 of the Code of Federal Regulations, the Requirements for States and Long-Term Care Facilities (“Final Regulations”) by the Centers for Medicare & Medicaid Services (“CMS”). Hall Render published an overview of Final Regulations components as well as Parts 1, 2,…Read More

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