Articles and Blogs

A Marijuana Wake-Up Call on Accommodating Employees with Disabilities

[04/15/19]

Posted on April 15, 2019 in HR Insights for Health Care

Published by: Hall Render

New Jersey’s Law Mirrors Michigan’s and That of Other States Must employers accommodate off-duty use of marijuana? A recent appellate decision in New Jersey serves as a warning to Michigan employers about that question and even raises the specter of having to accommodate positive drug tests for non-disabled employees and applicants. For health care employers…Read More

Diamonds in the Rough: 4 Examples of Adaptive Reuse Health Care Projects

[04/12/19]

Posted on April 12, 2019 in Health Law News

Published by: Hall Render

As more hospitals and hospital systems merge and consolidate, as well as focus their time and attention on providing more outpatient care, recent market trends suggest adaptive reuse projects will become increasingly relevant to health care providers. As a follow-up to a recent Hall Render article defining “adaptive reuse” and outlining the incentives and challenges associated…Read More

Hall Render’s This Week in Washington – April 12, 2019

[04/12/19]

Posted on April 12, 2019 in Federal Advocacy

Published by: Hall Render

Congressional Leaders Discuss Health Care Priorities Congress’ top leaders, Senate Majority Leader Mitch McConnell (R-KY) and House Speaker Nancy Pelosi (D-CA), announced they are not embracing “Medicare for All” as a priority at the American Hospital Association’s annual Washington conference. Both leaders reinforced that each chamber will pursue largely separate health care agendas in the…Read More

Health Provider News – April 12, 2019

[04/12/19]

Posted on April 12, 2019 in Health Law News

Published by: Hall Render

NATIONAL Hospitals add 13,600 jobs in March Walmart increasingly comparing physicians over cost 10 CEOs reshaping healthcare: Forbes What the HIPAA-compliant Alexa skills mean for the future of voice in healthcare PBM group says HHS drug rebate proposal would increase costs more than predicted The Best Places to Work in Health Care and Biopharma CMMI’s…Read More

Hall Render’s This Week in Washington – April 5, 2019

[04/05/19]

Posted on April 5, 2019 in Federal Advocacy

Published by: Hall Render

Health Cost Reduction Package Slated for Summer Release Speaking on the Senate floor on Thursday, Sen. Lamar Alexander (R-TN), Chairman of the Health, Education, Labor, and Pensions (“HELP”) Committee, said he plans to move a wide-ranging legislative package through his panel seeking to curb health care costs. Sen. Alexander, along with HELP ranking member Sen….Read More

The 340B Crystal Ball: New Clarity on 340B Prices and the Program’s Future

[04/05/19]

Posted on April 5, 2019 in Health Law News

Published by: Hall Render

It’s no April Fools’ joke. On April 1, 2019, the Health Resources & Services Administration Office of Pharmacy Affairs (“HRSA”) unveiled a long-awaited website that gives providers participating in the 340B drug pricing program (“340B Program”) direct access to information about the maximum amounts that pharmaceutical companies may charge for certain drugs. This moves the…Read More

Health Provider News – April 5, 2019

[04/05/19]

Posted on April 5, 2019 in Health Law News

Published by: Hall Render

NATIONAL Hospital associations urge appeals court to reverse ACA ruling ‘Patient Dumping’ Still a Problem Despite Law Hospitals are largest employers in 16 states CMS finalizes nontraditional MA benefits, use of encounter data Physician Compensation Plateaued in 2018, Falling Less than 1% Feds get pressure to upgrade, expand HIPAA transactions These are the best –…Read More

Critical Considerations of Implied Certification Under the FCA

[04/04/19]

Posted on April 4, 2019 in False Claims Act Defense

Published by: Hall Render

In a recent case out of Kansas, the Tenth Circuit reiterated the importance of the FCA’s materiality and scienter requirements that the Supreme Court set forth in Escobar: FCA claims must satisfy materiality and knowledge requirements—both of which are rigorous and strictly enforced. A whistleblower must prove knowledge in an implied certification case—it cannot be…Read More

Hall Render’s This Week in Washington – March 29, 2019

[03/29/19]

Posted on March 29, 2019 in Federal Advocacy

Published by: Hall Render

Conversation Shifts Back to Health Care in Washington Health care became a major discussion point for lawmakers after this week started with the Trump administration’s declaration that it supports a federal judge’s ruling that the entire Affordable Care Act (“ACA”) should be thrown out. This signals a shift in the Justice Department’s prior position that…Read More

CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019

[03/29/19]

Posted on March 29, 2019 in Health Law News

Published by: Hall Render

In a previous article, we reported on new billing edits that CMS is implementing, which 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”). Those edits were scheduled to be activated starting…Read More