CMS Finalizes Hospital Price Transparency Requirements, Disclosure of...
On November 15, the Trump Administration released a final rule requiring hospitals to publicly disclose hospital charges, including negotiated prices with third-party payers by January 1, 2021. We...
View Article[Webinar] Stark and Anti-Kickback Proposed Rules: Where Are We Headed Now? -...
Members of Nelson Mullins' healthcare team will host a 90-minute webinar to discuss the Department of Health and Human Services' and Centers for Medicare & Medicaid Services' new Stark and...
View ArticleCMS Proposes Enhanced Scrutiny over Medicaid Supplemental Payments
On November 18, 2019, the Centers for Medicare & Medicaid Services (CMS) proposed changes to federal Medicaid rules that, if implemented, would affect billions of dollars of Medicaid payments...
View ArticleHospital Price Transparency Rule Finalized; Health Plan Transparency Rule...
The Centers for Medicare and Medicaid Services (CMS) has issued a final rule to require every hospital licensed in the United State to make public a robust set of standard charges for every item or...
View ArticleCMS Issues Controversial Health Care Pricing and Insurance Coverage...
On November 15, the Centers for Medicare and Medicaid Services (CMS) issued a final rule requiring public disclosure of hospital charges. Along with the Departments of Health and Human Services, Labor...
View ArticleCMS Releases Medicaid and CHIP T-MSIS Analytic Files
CMS has been working with the states to improve Medicaid and CHIP data collection regarding beneficiaries, providers, fee-for-service claims, managed care claims and liable third parties. To improve...
View ArticleCMS Issues Final Regulations For Hospital Price Transparency
On November 15, 2019, the U.S. Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) announced final regulations implementing greater price transparency...
View ArticleBlog: Sixteen New Items Added to OIG Work Plan in November 2019 – Focus on...
The Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan describes audits, reviews and other work statutorily required or otherwise undertaken by the OIG. Monthly updates to the...
View ArticleHealthcare Company Investments and Acquisitions
In recent years, acquisitions of and investments in healthcare companies have been on the rise, particularly driven by increasing private equity investment activity. These investments can provide...
View ArticleCMS Finalizes Hospital Price Transparency Rule and Proposes New Transparency...
On November 15, 2019, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule that will require hospitals to make public a list of their standard charges for items and services...
View ArticleTwo Recent Federal Court Decisions Split on Family Rehabilitation Precedent:...
Two United States District Courts in Louisiana and Illinois issued split decisions within two weeks of each other on the dire financial issues facing providers every day under the discretionary “penal...
View ArticleAnalyzing the Proposed 2019 Stark Reforms
The United Stated Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking (NPRM) containing proposed changes to the Physician Self-Referral Law (“Stark Law,” or...
View ArticleHHS Announced New Price Transparency Rules
On November 15, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule requiring pricing information to be made publicly available. The 2020 Outpatient Prospective Payment...
View ArticleNew Safe Harbors In A Storm of Risk and Regulations: A Review of the OIG’s...
In an effort to modernize and clarify a statute that looms large in the minds of health care providers across the nation, the Office of Inspector General (OIG) of the Department of Health and Human...
View ArticleOne Step Forward, Two Steps Back: Utah’s Medicaid Expansion
Editor’s Note: In a new post for The Commonwealth Fund’s To the Point blog, summarized below, Manatt Health examines Utah’s efforts to pair Medicaid expansion in the state with enrollment caps that are...
View ArticleVolume Value Take 2
The CMS proposed regulation issued on October 17, 20191 provides much needed clarity on the question of when compensation is deemed to vary with the volume or value of referrals or other business...
View ArticleCMS Kicks the Can Down the Road
Delays inclusion of the US territories under the Medicaid Drug Rebate Program until April 1, 2022 - CMS issued an Interim Final Rule that further delays the inclusion of the US territories in the...
View ArticleHHS Proposes Sweeping Changes to AKS and Stark Law, Part 5: Proposed Changes...
As we previously reported, the Department of Health & Human Services (HHS) recently issued two proposed rules intended to reduce the regulatory burden associated with the Anti-Kickback Statute...
View ArticleStark Law and Anti-Kickback Statute Proposed Rules Would Facilitate Donations...
On October 17, 2019, the Department of Health & Human Services (HHS) published proposed rules in the Federal Register that would amend existing and create new exceptions to the physician...
View ArticleHHS to Ease Fraud and Abuse Rules Part 5: CMS Proposes Value-Based...
As discussed in an Oct. 9 alert, the Department of Health and Human Services announced two proposed rules to significantly amend the Physician Self-Referral Law (Stark Law), the federal Anti-Kickback...
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