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Health Law News

Health Provider News – July 26, 2019

[07/26/19]

Posted on July 26, 2019 in Health Law News

Published by: Hall Render

NATIONAL More mega-mergers in Q2 drive healthcare mergers and acquisitions activity to near-historic levels Mounting battle between Amazon’s PillPack and Surescripts over access to patient data Outmigration of cardiology — Logistical challenges for ASCs + how hospitals are bracing for volume loss 2 payment models incentivizing cost-effective joint replacements Noteworthy CMS announcements, actions in... READ MORE

Evaluating Ligature Risk Prevention Requirements and Regulations: The Challenges of Protecting Patients Without Restricting Access

[07/22/19]

Posted on July 22, 2019 in Health Law News

Published by: Hall Render

Effective July 1, 2019, The Joint Commission (“TJC”) implemented new and revised requirements regarding suicide prevention for all TJC-accredited hospitals and behavioral health entities. The seven new and revised requirements, part of TJC’s elements of performance (“EPs”) under National Patient Safety Goal (“NPSG”) 15.01.01, are designed to improve quality and safety of care for... READ MORE

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CMS Proposed Mandatory Payment Models for Radiation Oncology and ESRD

[07/22/19]

Posted on July 22, 2019 in Health Law News

Published by: Hall Render

On July 10, 2019, CMS issued proposed rulemaking titled Medicare Program; Specialty Care Models to Improve Quality of Care and Reduce Expenditures. The rule proposes to implement two new mandatory Medicare payment models – the Radiation Oncology Model and the End-Stage Renal Disease (“ESRD”) Treatment Choices Model. Comments on this proposed rule are due... READ MORE

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Health Provider News – July 19, 2019

[07/19/19]

Posted on July 19, 2019 in Health Law News

Published by: Hall Render

NATIONAL Mandatory bundled radiation oncology demo seeks to upend payment Premera Reaches $10M Settlement with 30 States Over 2014 Data Breach Study: Doctor burnout costs health care system $4.6 billion a year Uber, Lyft see $15B opportunity in healthcare: 4 things to know Hospital execs turning to EHRs, patient portals to improve patient experience... READ MORE

What You Need to Know about Florida’s Partial Repeal of Its Certificate of Need Law

[07/12/19]

Posted on July 12, 2019 in Health Law News

Published by: Hall Render

On June 26, 2019, Florida Governor Ron DeSantis signed into law a bill dramatically limiting substantial portions of Florida’s Certificate of Need (“CON”) program. The new law takes effect in two phases. Effective July 1, 2019, general hospitals, comprehensive rehabilitation and “tertiary”[i] health services, such as pediatric cardiac catheterization, pediatric open-heart surgery and neonatal... READ MORE

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Additional Telehealth Benefits Coming to Medicare Advantage in 2020

[07/12/19]

Posted on July 12, 2019 in Health Law News

Published by: Hall Render

Thanks to a final rule issued by the Centers for Medicare & Medicaid Services (“CMS”) this spring, Medicare Advantage (“MA”) plans will now be able to offer additional telehealth benefits to enrollees starting in 2020. Historically, MA plans have been able to offer more telehealth services compared to Original Medicare as part of their... READ MORE

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Health Provider News – July 7, 2019

[07/12/19]

Posted on July 12, 2019 in Health Law News

Published by: Hall Render

NATIONAL Readmissions penalty doing little to slow the spinning of hospitals’ revolving doors Joint replacement penalties for rehospitalizations may have hit their limit 3 things to know about physician salary The Impact of a Hospital Post-Acute Care Program on Value-Based Care 10 health systems with strong finances What Telemedicine’s Growth Rate Means for the... READ MORE

Thinking of Forming a New For-Profit Health Care Enterprise? Why a Benefit Corporation May Be Right for Your Organization

[07/10/19]

Posted on July 10, 2019 in Health Law News

Published by: Hall Render

For-profit businesses are generally organized and operated to maximize shareholder value. For this reason, for-profit organizations have inherent limitations in pursuing goals or purposes that conflict with increasing the bottom line for shareholders. While for-profit companies have traditionally had these limitations, in recent years, many for-profit organizations have been presented with a new legal... READ MORE

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Health Provider News – July 8, 2019

[07/08/19]

Posted on July 8, 2019 in Health Law News

Published by: Hall Render

NATIONAL How to avoid the legal risks of telemedicine HHS OCR Clarifies When Health Plans Can Share PHI Under HIPAA Brigham and Women’s, Emory and more join radiology AI pilot program Hospital groups argue CMS wage index proposal flawed How 4 health IT leaders balance strategy with execution: key thoughts from Ed Marx, Dr.... READ MORE

Location Matters Update: CMS Postpones Exact Match Billing Rule – AGAIN

[07/02/19]

Posted on July 2, 2019 in Health Law News

Published by: Hall Render

In a previous article, we reported on CMS’s implementation of new billing edits that will Return to Provider any hospital UB-04 claims that identify a service location that is not an exact match to a Medicare-enrolled location identified in Provider Enrollment, Chain and Ownership System (“PECOS”). As previously reported, those edits were scheduled to be... READ MORE

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