Articles and Blogs

Health Provider News – October 12, 2018

[10/12/18]

Posted on October 12, 2018 in Health Law News

Published by: Hall Render

NATIONAL Healthcare job growth continues; hospitals add 12K positions in September 12 recent hospital, health system outlook and credit rating actions MGMA18: Physicians frustrated over lack of advanced APMs Want your medical records? Better be prepared to call—and pay up Hospitals and physician groups take on risk in BPCI Advanced model 10 informative Q&As with…Read More

Organ Procurement and Transplantation: From the Basics to the Issues

[10/08/18]

Posted on October 8, 2018 in Health Law News

Published by: Hall Render

To be paid by Medicare, Organ Procurement Organizations (OPOs) and transplant centers must be members of the United Network for Organ Sharing (UNOS), which manages the Organ Procurement and Transplantation Network (OPTN). Transplant centers and OPOs must comply with multiple oversight agencies and requirements, including OPTN policies and guidelines and the Medicare Conditions of Participation…Read More

Health Provider News – October 5, 2018

[10/05/18]

Posted on October 5, 2018 in Health Law News

Published by: Hall Render

NATIONAL Verma puts Medicaid insurers on notice, says CMS will begin ‘targeted audits’ While surgery centers support CMS payment proposal, hospital groups submit harsh criticism Supreme Court to hear DSH payments case Banner Health, Ascension executives join hundreds of hospital CEOs defending 340B program MGMA shares physician practice keys to success MGMA18: Underwhelming MIPS payments…Read More

DOJ Approves Merger Between Cigna and Express Scripts, Paving the Way for Increased Vertical Integration Between Payers and PBMs

[10/04/18]

Posted on October 4, 2018 in Health Law News

Published by: Hall Render

On September 17, 2018, the U.S. Department of Justice (“DOJ”) approved the $52 billion vertical merger between health insurer Cigna Corp. (“Cigna”) and pharmacy benefit manager (“PBM”) Express Scripts. The Cigna-Express Scripts merger is just one in a string of recent health insurer/PBM acquisitions. For more on these transactions, click here. As the largest unaffiliated PBM…Read More

Department of Labor Issues Six New FMLA and FLSA Opinion Letters

[10/04/18]

Posted on October 4, 2018 in HR Insights for Health Care

Published by: Hall Render

They’re at it again! On August 28, 2018, the Department of Labor’s Wage and Hour Division issued six opinion letters. This was the second batch of opinion letters from the Wage and Hour Division in a matter of months. The Wage and Hour Division, which hadn’t published new opinion letters since 2010, previously issued three…Read More

Bias-Based Comments Have Consequences

[10/03/18]

Posted on October 3, 2018 in HR Insights for Health Care

Published by: Hall Render

A recent denial of summary judgment by a U.S. District Court in New York reminds us that bias-based comments can have serious consequences for hospitals and other employers, including that their employment decisions may be undermined. The ruling also suggests that, in certain situations, requiring a waiver of claims may be considered retaliatory. Facts and…Read More

Hall Render’s This Week in Washington – September 28, 2018

[09/28/18]

Posted on September 28, 2018 in Federal Advocacy

Published by: Hall Render

Congress Sends Health Funding Package to President Congress completed the funding package for the 2019 Labor-HHS appropriations measure, which hikes funding for most Health and Human Services (“HHS”) agencies. On Wednesday, the House of Representatives voted, 361 to 61, to pass legislation to provide $178.1 billion in discretionary funding for the departments of Defense, Labor,…Read More

Health Provider News – September 28, 2018

[09/28/18]

Posted on September 28, 2018 in Health Law News

Published by: Hall Render

NATIONAL How providers can innovate to combat physician burnout CMS: Innovative new payment models are coming—and some will be mandatory Lack of consistent process hinders data sharing among HHS agencies, report finds Apple Watch Should Pave Way for More Medical Gadgets, FDA Says Pharma lobby mounts last-ditch effort to fix prescription ‘doughnut hole’ Less Than…Read More

CMS Proposes to Simplify Coding and Documentation Requirements for E/M Services but with a Catch

[09/28/18]

Posted on September 28, 2018 in Health Law News

Published by: Hall Render

On July 12, 2018, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for the Calendar Year (“CY”) 2019 Medicare Physician Fee Schedule (“Proposed Rule”). Among many other changes, CMS proposed numerous modifications to the required documentation for evaluation and management (“E/M”) visits in order to alleviate the administrative burden on practitioners and to…Read More

Illinois Supreme Court Upholds Constitutionality of Property Tax Exemption Statute for Hospitals

[09/26/18]

Posted on September 26, 2018 in Health Law News

Published by: Hall Render

Hospitals in Illinois received good news last week when, after years of litigation in state court, the Illinois Supreme Court in Oswald v. Hamer[i] upheld the constitutionality of Section 15-86 of the Illinois Property Tax Code, which addresses tax exemptions for hospitals. While this decision allays recent uncertainty surrounding hospital property tax exemptions and gives…Read More