Articles and Blogs

Health Care Reform

Breaking: HRSA Releases Preliminary Version of Proposed 340B Omnibus Guidance

[08/27/15]

Posted on August 27, 2015 in Health Law News

Published by: Hall Render

On August 27, 2015, the Health Resources and Services Administration (“HRSA”) released a notice of proposed 340B Drug Pricing Program Omnibus Guidance.  This notice (a copy of which can be found here) proposes to establish long-awaited and significant guidance for covered entities enrolled in, and drug manufacturers participating in, the 340B Program.  Once finalized... READ MORE

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King v. Burwell – ACA Death Spiral Averted

[06/26/15]

Posted on June 26, 2015 in Health Law News

Published by: Hall Render

In an eagerly awaited, mightily impactful health care decision, King v. Burwell (U.S. No. 14-114 June 25, 2015), the Supreme Court of the United States (the “Supreme Court”) held that individuals eligible for tax credits to subsidize their purchase of health insurance in health care marketplaces created by the Affordable Care Act (“ACA”) may... READ MORE

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Medicaid Managed Care Rule Overhaul: First Proposed Revisions in Over a Decade

[06/05/15]

Posted on June 5, 2015 in Health Law News

Published by: Hall Render

Health care providers and practitioners in most states are well aware that most Medicaid and CHIP enrollees are members of managed care organizations (“MCOs”). As states have increasingly contracted with and relied on MCOs for their growing Medicaid and CHIP populations, including enrollees who need and use long-term care services, the Centers for Medicare... READ MORE

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CMS Approves First Physician-Owned Hospital Expansion Request

[11/03/14]

Posted on November 3, 2014 in Health Law News

Published by: Hall Render

On October 31, 2014, the Centers for Medicare & Medicaid Services (“CMS”) issued a final notice approving Lake Pointe Medical Center’s (“Lake Pointe”) request for an exception to the Affordable Care Act’s (“ACA’s”) expansion limitations imposed on physician-owned hospitals. Background Under the ACA’s amendments to the Stark Law, a physician-owned hospital cannot expand the... READ MORE

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CMS Seeks Comments on Dispute Resolution and Corrections Process for Sunshine Act Payments

[05/09/14]

Posted on May 9, 2014 in Health Law News

Published by: Hall Render

According to a Federal Register notice published on May 5, physicians and teaching hospitals will soon be able to register with the Centers for Medicare and Medicaid Services (“CMS”) to receive notices from and access to CMS’s Open Payments database.  The Open Payments database will contain information about payments and other transfers of value that... READ MORE

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States Continue Consideration of Medicaid Expansion and Insurance Exchanges

[03/04/13]

Posted on March 4, 2013 in Health Law News

Published by: Hall Render

On February 26, 2013, Chris Christie, the Governor of New Jersey, announced his support of the Affordable Care Act’s Medicaid Expansion.  Christie is the eighth Republican governor to announce support of the expansion for his/her state.  The Medicaid Expansion will be fully funded by the federal government for the initial three years of the... READ MORE

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CMS Releases Updated Medicare Shared Savings Program FAQs

[08/14/12]

Posted on August 14, 2012 in Health Law News

Published by: Hall Render

This installment of Hall Render’s Health Law Broadcast series on health care reform is designed to provide you with the insight, analysis and practical suggestions with respect to the various reform initiatives that will affect your organization. The Centers for Medicare and Medicaid Services (“CMS”) recently published an updated list of Medicare Shared Savings... READ MORE

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The Supreme Court Rules that the Affordable Care Act Is Constitutional; the Individual Mandate Survives

[06/28/12]

Posted on June 28, 2012 in Health Law News

Published by: Hall Render

This installment of Hall Render’s Health Law Broadcast series on health care reform is designed to provide you with the insight, analysis and practical suggestions with respect to the various reform initiatives that will affect your organization. The Supreme Court issued its much anticipated opinion today by upholding the Affordable Care Act. The individual mandate... READ MORE

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Primary Care Physician Medicaid Payment Bump – Proposed Rule

[06/14/12]

Posted on June 14, 2012 in Health Law News

Published by: Hall Render

This installment of Hall Render’s Health Law Broadcast series on health care reform is designed to provide you with the insight, analysis and practical suggestions with respect to the various reform initiatives that will affect your organization. On May 11, 2012, the Centers for Medicare and Medicaid Services (“CMS”) published a proposed rule (“Proposed... READ MORE

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501(c)(3) Hospitals: Financial Assistance and Collections Policies

[05/22/12]

Posted on May 22, 2012 in Health Law News

Published by: Hall Render

This installment of Hall Render’s Health Law Broadcast series on health care reform is designed to provide you with the insight, analysis and practical suggestions with respect to the various reform initiatives that will affect your organization. Under the Patient Protection and Affordable Care Act (“PPACA”), charitable hospitals are required to implement specified financial... READ MORE

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