Articles and Blogs

The graduate medical education (“GME”) landscape continues to evolve, even as the basic structure of Medicare GME reimbursement remains in place. Recently, noteworthy proposals and changes include proposed legislation that would provide for 15,000 new residency positions over five years to increase the number of residents in training and a change to the regulations that alters…Read More

For the past several years, the Internal Revenue Service (“IRS”) has been devoting considerable attention to worker classification issues involving the misclassification of employees as independent contractors.  These misclassifications are important to the IRS and the federal government because they often lead to underreporting and underpayment of taxes.  Traditionally, the IRS has sought to address…Read More

Confidentiality Requirements Challenged by the NLRB Last summer, the NLRB created another stir among private employers when it found that an employer’s form used during confidential investigations of workplace issues was unlawfully broad and interfered with employee rights.  We wrote about this development in our August 7, 2012 HR Insights article Confidential Investigations – Challenged…Read More

Treating Employees the Same – Always Required? Employers have always been advised to treat their employees the same, and if they don’t, it can be evidence of unlawful discrimination.  This issue came up in a recent case involving an employer that required a black employee who was involved in an altercation to go for a drug…Read More

The Centers for Medicare & Medicaid Services (“CMS”) recently released a Survey and Certification Letter updating the State Operations Manual (“SOM”) guidelines  on surveys of deemed status long-term care (“LTC”) providers when the provider has been found to have a condition level instance of noncompliance, including immediate jeopardy (“IJ”), in a complaint survey.  This change in…Read More

PCORI Offers Funding to Develop Research Network On April 23, the Patient-Centered Outcomes Research Institute (“PCORI”) announced funding up to $68 million in efforts to build a research network to support comparative effectiveness studies.

We’re All Getting Old The U. S. Census Bureau predicts that by 2050 nearly 20 million workers or about 20% of the national workforce will be 65 or older.  That represents an increase of 75% while the number of workers ages 25 to 54 is predicted to grow by only 2%. The health care workforce…Read More

Executive Summary On April 17, 2013, the Office of Inspector General (“OIG”) issued an updated version of its Self-Disclosure Protocol (“Protocol”).  In 1998, the OIG published the original Protocol to establish a process for health care providers to voluntarily identify, disclose and resolve instances of potential fraud involving federal health care programs, particularly with respect…Read More

HHS Inspector General Revises Self-Disclosure Protocol On April 17, the HHS Office of Inspector General (“OIG”) released a revised self-disclosure protocol (PDF) called the OIG Provider Self-Disclosure Protocol.  The protocol describes what a hospital must confide to the government in order to avoid prosecution or get a possible reduction in penalties.

The U.S. Food and Drug Administration (“FDA”) wants to give manufacturers of medical devices in vitro diagnostics (“IVDs”) and biological products the authority to use certain symbols and images on their product labeling to convey safety information and instructions for use. A proposed rule published April 19 would revise the agency’s regulations at 21 CFR…Read More