Articles and Blogs

Over the years, we have “followed” the NLRB’s analysis of employer social medial policies. You can catch up on this evolution by accessing our past HR Insights blogs. Employee’s “Like” of Another’s Facebook Rant Is Protected The evolution continues. On October 21, in an unpublished opinion, the Second Circuit (with district courts in Connecticut,... READ MORE

Executive Summary On October 28, 2015, the Food and Drug Administration (“FDA”) revised its June 30, 2015 guidance delaying the enforcement of key track and trace requirements of the Drug Supply Chain Security Act (“DSCSA”) for Dispensers1 (including pharmacies, health systems and physician offices) until March 1, 2016 (“Guidance”). Previously, on June 30, 2015,... READ MORE

On October 12, 2015, three Texas hospitals filed suit against the Department of Health and Human Services (“HHS”), the Secretary of HHS (“Secretary”) and the Centers for Medicare & Medicaid Services (“CMS”) seeking to reverse CMS’s decision to grant the request of a Texas physician-owned hospital (“POH”) to expand the hospital’s current facility by... READ MORE

Yesterday, the House passed a sweeping budget bill that impacts Medicare coverage of services provided in off-campus hospital departments.  Currently, Medicare pays for items and services provided in both on- and off-campus hospital outpatient departments as hospital services when those departments are in compliance with 42 CFR §413.65 (the Medicare “provider-based rule”).  With some... READ MORE

Executive Summary The Centers for Medicare & Medicaid Services (“CMS”) has engaged StrategicHealthSolutions, LLC (“Strategic”) as a Supplemental Medical Review Contractor (“SMRC”) to conduct post-payment claim reviews of selected Part A and Part B claims for blepharoplasty and other eyelid procedures.  READ MORE

Executive Summary On October 1, 2015, the Centers for Medicare & Medicaid Services (“CMS”) published a proposed rule that would overhaul the clinical diagnostic lab test (“CDLT”) payment system by linking the clinical lab fee schedule (“CLFS”) to private payor payment rates (“Proposed Rule”).  Under the Proposed Rule, each applicable laboratory will be required... READ MORE

In SSM Health Care of Wisconsin, Inc. (“SSM“) v. City of Fitchburg (“City”), the Wisconsin Court of Appeals affirmed a circuit court’s grant of summary judgment that held that some of SSM’s personal property in a sleep center and a renal center is exempt from property taxes under Wis. Stat. § 70.11(4m)(a). Wisconsin Statute... READ MORE

Executive Summary On September 9, 2015, Deputy Attorney General Sally Quillian Yates of the Department of Justice (“DOJ”) issued to various divisions within the DOJ and released to the public a Memorandum addressing individual accountability for corporate wrongdoing.  This Memo is the latest in a long-running series of DOJ memorandums addressing corporate misconduct.  READ MORE

Background On September 8, 2015, the Department of Health and Human Services (“HHS”), through the Office for Human Research and Protection (“OHRP”), proposed several significant changes to the Federal Policy for the Protection of Human Subjects (the “Common Rule”).  In its notice of proposed rulemaking (“NPRM”), HHS and 15 other federal agencies and departments... READ MORE

According to a recent study by the British Medical Journal (“BMJ”) titled Access, Quality, and Costs of Care at Physician Owned Hospitals in the United States: Observational Study (“Study”), physician-owned hospitals (“POHs”) generally do not treat a higher volume of the most profitable patients (commonly referred to as “cherry-picking”) than other hospitals1.  The Study... READ MORE