Articles and Blogs

On October 9, 2019, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule (the “Proposed Rule”) to amend the regulations interpreting the Stark Law. The Proposed Rule revises material portions of the Stark Regulations and includes critically necessary guidance on leasing arrangements subject to the Stark Law. This article provides a... READ MORE

NATIONAL Here’s 26 facts you might not know about how hospitals operated 100 years ago HHS may make changes to Stark Law, anti-kickback rules: 5 details More states exit Healthcare.gov to run their own insurance marketplaces The key to streamlined care transitions? Interfacility relationships, according to 2 health IT experts MGMA 2019: Making the... READ MORE

NATIONAL What ‘Significant’ AseraCare Ruling Means for Home Health Providers State-by-state breakdown of new ASCs in 2019 so far Is Walmart Setting Its Sights on the Healthcare Market? Researchers tackle data breaches that threaten healthcare 25% of total US health care spending estimated to be waste HHS releases regulations to overhaul the Stark Law... READ MORE

On September 6, 2019, OIG issued Advisory Opinion No. 19-05 (“the Opinion”) regarding the proposed purchase of real estate from an entity owned and managed, in part, by an excluded individual. The facts that gave rise to the Opinion involved a community health center receiving federal grant funding and Medicare reimbursement which was looking... READ MORE

On October 9, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released a much anticipated proposed rule (“Proposed Rule”) aimed at modernizing and streamlining the Federal Stark Regulations. The Proposed Rule is one component of the Department of Health and Human Services (“HHS”) recently launched “Regulatory Sprint to Coordinated Care” and is intended... READ MORE

On October 9, 2019, the Health and Human Services Office of Inspector General (“OIG”) released a proposed rule pertaining to various Anti-Kickback Statute and Civil Monetary Penalties Law new regulations and modifications (“Proposed Rule”). The Proposed Rule is one component of the Department of Health and Human Services’s (“HHS’s”) recently launched “Regulatory Sprint to... READ MORE

On September 30, 2019, the Centers for Medicare & Medicaid Services (“CMS”) published notice of a proposed survey (“Survey”) of drug acquisition costs for all hospitals participating in the 340B drug discount program (“340B Program”). The Survey would require reporting of acquisition cost data on 340B discounted drugs, referred to as specified covered outpatient... READ MORE

On October 2, 2019, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced that a Texas dental practice (“Practice”) will settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) by paying a civil penalty of $10,000 and adopting a corrective action plan. A patient of... READ MORE

 NATIONAL CMS discharge rule requires patient, post-acute care data access Why Amazon Care may be the new model for corporate healthcare How CEOs approach their critical choices: 3 insights CMS releases final discharge planning rule that includes record access requirements CMS Rule: Hospitals to Inform Patients of Post-Acute Quality Data CMS unveils new rules... READ MORE

The Eastern District of Texas affirmed the Government’s right to dismiss FCA actions over a whistleblower’s objections. The Court held that the Government may dismiss claims to avoid the costs of extended litigation. The United States Declined to Intervene Health Choice Alliance, LLC filed an FCA action alleging that the defendants defrauded the United... READ MORE