Articles and Blogs

CMS Issues 2018 Hospital Payment Rule On August 2, CMS announced the fiscal year (“FY”) 2018 Medicare Inpatient Prospective Payment System and Long-Term Care Hospital (“LTCH”) Prospective Payment System final rule, which will provide acute care hospitals with a total increase in Medicare spending on inpatient hospital payments of $2.4 billion in FY 2018. The…Read More

NATIONAL Health system and physician group alignment: The strategies that don’t work — and those that do New Senate bill seeks to reduce restrictions on telemedicine use The vital role of hospital technology selection in achieving post-merger alignment Amazon has a secret health tech team called 1492 working on medical records, virtual doc visits OIG…Read More

On July 7, 2017, the Survey and Certification Group at Centers for Medicare & Medicaid Services (“CMS”) issued a memorandum, “Revision of Civil Money Penalty (“CMP”) Policies and CMP Analytic Tool” (“S&C Memo”) detailing revisions to policies and the analytic tool used to assess and determine CMPs for skilled nursing facilities. The stated goal is to…Read More

On July 25, 2017, the Court of Appeals for the District of Columbia issued a provider-friendly decision in Allina Health Services v. Price, Case No. 16-5255 (more commonly known as Allina II), reversing the negative decision the hospitals received at the district court level. The court’s reversal stems from its reasoning that the “pre-2004 standard…Read More

The Office of Inspector General (“OIG”) and the Centers for Medicare & Medicaid Services (“CMS”) recently published work plans and reports detailing their intent to increase enforcement and audits of eligible providers who received meaningful use EHR incentive payments. Eligible providers should anticipate increased government scrutiny of past and future meaningful use EHR incentive payments and…Read More

Senate Votes Down ACA Repeal Attempt In the early morning of July 28, the Senate voted down (49-51) a last ditch effort by Senate Republican leadership to repeal the ACA. Republican leadership and the White House were hoping to pass a “skinny” ACA repeal bill that would have eliminated the individual mandate and blocked the…Read More

NATIONAL 4 legislative updates impacting ASCs Senate health care bill: Where we are now Telehealth Licensure Compact for Nurses Gets the Green Light Healthcare CEO pay climbs steadily since ACA passage Hospital Stocks Slide After HCA Healthcare’s Earnings Stumble Analysis: 6 medical specialties with at least $1.5M more ROI than investment bankers Economic Pressures Weigh…Read More

It is no secret that physician recruitment in rural areas can be challenging for hospitals and other health care entities. Though some doctors may be drawn to living in areas with less hustle and bustle, many prefer areas with larger populations and more opportunities. Rural health care needs are sometimes difficult to address, but there…Read More

On July 13, 2017, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for the Calendar Year (“CY”) 2018 Medicare Physician Fee Schedule (“Proposed Rule”). Among many other changes, CMS proposed to reduce the payment rate, again, for certain non-excepted (non-grandfathered) off-campus provider-based hospital departments (“PBDs”) by changing its so-called MPFS Relativity…Read More

U.S. Citizenship and Immigration Services (“USCIS”) announced on July 24, 2017 that it would resume premium processing for certain cap-exempt H-1B petitions effective immediately. Premium processing allows petitioners to pay a fee to receive a decision from USCIS within 15 calendar days. Without premium processing, wait times can extend for long periods, which delays start…Read More