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Health Law News

Health Provider News – September 21, 2018

[09/21/18]

Posted on September 21, 2018 in Health Law News

Published by: Hall Render

NATIONAL How ASC facilities turn their smaller operations into safer operations Private equity pushes into healthcare Walmart wants to bring its ‘everyday low prices’ to health care Only 18% of physicians say value-based payments will improve care, survey finds Half Of U.S. Doctors Have Pay Tied To ‘Value-Based Metrics’ HHS launches ASC safety database... READ MORE

CMS Allows Medicare Advantage Plans to Implement Step Therapy for Part B Drugs – Will It Really Lower Drug Costs or Simply Increase Administrative Burdens?

[09/19/18]

Posted on September 19, 2018 in Health Law News

Published by: Hall Render

On August 7, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a Memorandum (“Memorandum”) announcing a policy change to allow Medicare Advantage (“MA”) plans to implement step therapy programs for physician-administered and other Part B drugs. Step therapy is a type of prior authorization for drugs in which a health plan requires... READ MORE

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Here at Last: OIG Allows Limited Risk Sharing for Hospitals and Manufacturers

[09/19/18]

Posted on September 19, 2018 in Health Law News

Published by: Hall Render

In the era of value-based care, health care providers and manufacturers are increasingly examining risk sharing opportunities in the treatment of patients. On September 17, the Department of Health and Human Services Office of Inspector General (“OIG”) published Advisory Opinion 18-10 whereby it approved a proposed risk sharing initiative with defined guardrails. The Advisory... READ MORE

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Hurricane Florence: HHS Responds to a Public Health Emergency by Issuing HIPAA Privacy Rule Waiver and Equal Access Guidance

[09/19/18]

Posted on September 19, 2018 in Health Law News

Published by: Hall Render

As Hurricane Florence inaugurates the U.S. hurricane season with fierce winds and torrential rains, health care providers are preparing to care for patients under demanding and dangerous conditions. Effective communication is always challenging and critically important when natural disasters like hurricanes strike. The Health Insurance Portability and Accountability Act (“HIPAA”) Privacy Rule (the “Privacy... READ MORE

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Court Vacates 60-Day Rule for Medicare Advantage Plans, Creates Uncertainty for Same Rule Applicable to Medicare-Enrolled Providers

[09/17/18]

Posted on September 17, 2018 in Health Law News

Published by: Hall Render

Nearly a decade has passed since the U.S. Congress enacted the Patient Protection and Affordable Care Act (the “ACA”). Since March 2010, we have seen federal court rulings on numerous challenges to the ACA itself and the executive branch’s efforts to enforce the ACA. One such challenge resulted on September 7, 2018 in the... READ MORE

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OIG Requests Information from Stakeholders to Expand Anti-Kickback Statute and Civil Monetary Penalty Safe Harbors

[09/14/18]

Posted on September 14, 2018 in Health Law News

Published by: Hall Render

On August 27, 2018, the Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) published a Request for Information (“RFI”) regarding the Anti-Kickback Statute (“AKS”) and Civil Monetary Penalties Law (“CMP”). The RFI, published as a result of HHS’s desire to transition the current health care system to one that pays... READ MORE

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Health Provider News – September 14, 2018

[09/14/18]

Posted on September 14, 2018 in Health Law News

Published by: Hall Render

NATIONAL Hospitals are fed up with drug companies, so they’re starting their own Here’s why Amazon and Apple are betting on medical clinics Drug company involving senior living parent companies now has name, CEO, financing, Rx targets National study finds hospital CEO compensation rates outpacing clinical employees Amazon, Google, Microsoft to Make Waves in... READ MORE

Hall Render’s This Week in Washington – September 7, 2018

[09/07/18]

Posted on September 7, 2018 in Health Law News

Published by: Hall Render

Medicaid Bills Advance in the House On September 7, the House Energy and Commerce Health Subcommittee advanced a series of health care-related bills that full Committee Chairman Greg Walden (R-OR) hopes to move to the floor before the end of September. Among the bills marked up by the subcommittee this week was the ACE Kids... READ MORE

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Health Provider News – September 7, 2018

[09/07/18]

Posted on September 7, 2018 in Health Law News

Published by: Hall Render

NATIONAL General surgeon shortage growing and 5 other things to know about the healthcare workforce How 5 lawsuits could change US healthcare industry Nurses at many HCA hospitals say they are willing to strike over pay, staffing, security Could a Nationwide Ob-Gyn Shortage Spark Digital Health Innovation? 8 healthcare leaders share physician alignment strategies... READ MORE

OIG’s First Audit of Open Payments Program: Compliance Rate High, but Data Needs Improvement

[09/07/18]

Posted on September 7, 2018 in Health Law News

Published by: Hall Render

Recently, the Department of Health and Human Services Office of Inspector General (“OIG”) released findings of an audit of the Centers for Medicare and Medicaid Services (“CMS”) Open Payments program. The OIG audit revealed that of 11.9 million records published on the Open Payments website for 2015, only less than one percent were missing... READ MORE

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