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Health Law News

Clinical Diagnostic Labs Enter a New Collection and Reporting Period as Medicare Payment Updates Continue

[01/18/19]

Posted on January 18, 2019 in Health Law News

Published by: Hall Render

January 1, 2019 marked the start of a new data collection period for laboratories pursuant to the Medicare Clinical Diagnostic Laboratory Tests Payment System Final Rule (“CLFS Rule”).¹ The CLFS Rule establishes the Centers for Medicare & Medicaid Services’s (“CMS’s”) new private payor-based rate-setting system for clinical diagnostic laboratory tests (“CDLTs”) paid under the... READ MORE

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Health Provider News – January 18, 2019

[01/18/19]

Posted on January 18, 2019 in Health Law News

Published by: Hall Render

NATIONAL Medicaid gets new acting director Healthcare leaders on communicating effectively with other C-suite executives Hospitals are turning to telehealth to manage scarce physician resources ACOs want deadline extended for CMS’s Pathways to Success applications Intermountain Healthcare-led generic drug venture CivicaRx garners new members including NYU Langone, Memorial Hermann, Oschner Telemedicine Licensure Compact is... READ MORE

Health Provider News – January 11, 2019

[01/11/19]

Posted on January 11, 2019 in Health Law News

Published by: Hall Render

NATIONAL Prescription Drug Spending Higher at 340B Hospitals, Study Finds Medicaid chief out after 3 months: 3 things to know How artificial intelligence will shape the physician toolkit in 2019 Health care experts call new federally-required hospital price listings ‘not very consumer-friendly’ HHS releases voluntary cybersecurity guidance DOJ Recovers $2.5B in Healthcare Fraud, False... READ MORE

Impact Analysis: Federal Court Blocks 2018 Cuts to 340B Drug Discount Program Payments

[01/11/19]

Posted on January 11, 2019 in Health Law News

Published by: Hall Render

On December 27, 2018, a federal judge ruled in favor of hospital associations and hospitals challenging the reduction in reimbursement for drugs purchased at a discount under the 340B Program established in the 2018 Outpatient Prospective Payment System final rule (“2018 OPPS Rule”). Judge Rudolph Contreras of the United States District Court in Washington,... READ MORE

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MT WHY?: How a Master Trust Indenture Can Simplify Your Life

[01/11/19]

Posted on January 11, 2019 in Health Law News

Published by: Hall Render

Master Trust Indentures or “MTIs” have historically been implemented by hospitals and health systems as a way to pool the credit of multiple entities (the members of the “obligated group”) and create a “master trust” consisting of revenues or other assets pledged by the obligated group members under the MTI. An MTI allows the... READ MORE

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The DOJ Is Not Backing Down: FCA Cases Recover More Than $2.8 Billion in 2018

[01/09/19]

Posted on January 9, 2019 in Health Law News

Published by: Hall Render

The Department of Justice (“DOJ”) reported it collected more than $2.8 billion in False Claims Act (“FCA”) settlements and verdicts in 2018.¹ This is significantly down from the record $5.69 billion recovered in 2014 and from the $3.6 billion – $4.7 billion in 2015 through 2017. This can primarily be explained by the absence... READ MORE

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Supreme Court Finds Circuit Split “Wholly Groundless”

[01/09/19]

Posted on January 9, 2019 in Health Law News

Published by: Hall Render

In Justice Kavanaugh’s first written opinion since he joined the Supreme Court, he addressed one of the most common disputes associated with arbitration agreements: who decides what issues should be arbitrated? In Henry Schein, et al. v Archer & White and Sales, Inc.,¹ the Supreme Court held that it is the arbitrator, not the court,... READ MORE

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NPDB Provides New Guidance

[01/09/19]

Posted on January 9, 2019 in Health Law News

Published by: Hall Render

In October of 2018, the National Practitioner Data Bank (“NPDB”) revised the NPDB Guidebook to provide additional guidance on a number of issues. Some of the revisions will be welcomed by the health care industry, but others do not provide as much additional clarity on issues as might be desired. Following is a discussion of... READ MORE

Health Provider News – January 4, 2019

[01/04/19]

Posted on January 4, 2019 in Health Law News

Published by: Hall Render

NATIONAL 12 hospital construction projects worth $1B or more in 2018 Amazon gets into health insurance — and more 2019 health-tech predictions from top experts How Northwell Health and Ascension executed massive rebranding campaigns and what other health systems can learn Hospitals hike minimum wage in geographic clusters Healthcare accounted for bigger portion of... READ MORE

Health Provider News – December 21, 2018

[12/21/18]

Posted on December 21, 2018 in Health Law News

Published by: Hall Render

NATIONAL Federal judge rules Obama’s health care overhaul unconstitutional Amazon explored buying at-home medical test company Amy Abernethy to join FDA as principal deputy commissioner 4 biggest Anti-Kickback settlements involving hospitals in 2018 12 latest healthcare industry lawsuits, settlements Will interstate compacts turn into national licensure? What doctors need to know about MACRA’s new... READ MORE