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Senate Finance Committee Advances Telemedicine Bill On May 18, the Senate Finance Committee passed the bipartisan CHRONIC Care Act (S. 870), which contains a number of telemedicine-related provisions. The measure allows Medicare to pay for remote stroke diagnosis and treatment, ACOs to provide telemedicine and Medicare Advantage plans to offer telemedicine as a supplemental... READ MORE

Executive Summary: Dahlstrom v. Sauk-Suiattle Indian Tribe, No. C16-0053JLR, 2017 WL 1064399 (W.D. Wash. Mar. 21, 2017) On March 21, 2017, a federal judge agreed with the Sauk-Suiattle Indian tribe (the “Sauk-Suiattle” or the “Tribe”) that it could not be sued under the federal False Claims Act (“FCA”) due to the tribe’s immunity from... READ MORE

On May 18, 2017, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule (the “Final Rule”) effectively postponing the start date of CMS’s new episode payment models (“EPMs”) and the Cardiac Rehabilitation Incentive Payment Model (“CR Incentive Model”) from July 1, 2017 until January 1, 2018. The Final Rule also delayed... READ MORE

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In a May 15, 2017 7-1[1] decision authored by Hon. Justice Kagan, the U.S. Supreme Court held that the Kentucky Supreme Court’s “clear statement rule” – that an agent can deprive her principal of the rights of access to the courts and trial by jury through an arbitration agreement only if expressly provided in... READ MORE

Hall Render is pleased to congratulate Benjamin Waters on his selection to the 2017 Pennsylvania Rising Stars list. The designation is reserved for the top up-and-coming Pennsylvania attorneys who are 40 or younger or have been in practice fewer than 10 years. This list is highly exclusive, recognizing no more than 2.5 percent of Pennsylvania attorneys. Attorneys... READ MORE

On May 12, 2017, a massive cyber attack affecting health care organizations across the world prompted the United States Department of Health and Human Services (“HHS”) to issue a warning to U.S. health care organizations. The attack apparently first began in England, causing information systems at health care organizations throughout the country to become infected... READ MORE

Senate Begins Work on AHCA Senate Republicans began working on the House-passed American Health Care Act (“AHCA”) this week. Several expected changes to the measure include increasing funding for rural hospitals that lose subsidies under Affordable Care Act (“ACA”) repeal, providing a larger share of tax credits to lower income consumers nearing Medicare age... READ MORE

On May 10th and May 12th, respectively, CGS Administrators, LLC (“CGS”) and Wisconsin Physician Services, Inc. (“WPS”) issued clarifications related to the MACs’ Local Coverage Determinations (“LCDs”) for polysomnography and other sleep studies. Click here for background on these LCDs. Due to efforts by state hospital associations, the MACs recognized that some hospitals relied... READ MORE