Innovaare Compliance

JANUARY 15, 2024

This blog delves into the details of these changes and their implications for plan sponsors and beneficiaries. 2] The current Coverage Gap Discount Program (CGDP), pursuant to the Affordable Care Act 2010 , [3] will be sunset on December 31, 2024. The transformational changes in 2025 are highlighted below.

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MedTrainer

MARCH 28, 2024

In this blog, we’ll outline the many roles that impact healthcare compliance , the pros and cons of each role’s management responsibilities, and what each is accountable for in concert with the others. But that’s only one aspect of this complex – and sometimes confusing – process.

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Health Populi

MARCH 10, 2023

Rhys-Davies knows this so well, speaking out of his experience in caring for his wife until she succumbed to Alzheimer’s disease in 2010. As of February 2023, Sequence was serving about 24,000 consumers. Keep staying tuned to the Health Populi blog as I continue to grow and learn more in the field on our home as site of care.

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Hospitals Telemedicine 62

Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured. First, while the U.S.

COVID-19 157

COVID-19 Public Health ACA Health Insurance 157

Health Care Law Brief

APRIL 12, 2023

The Final Rule is effective June 5, 2023. 2010) (quoting S. We discuss the Supreme Court’s denial of writ of certiorari challenging the 60 Day Rule in a previous blog post.) 79452 (2022)). 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. rather than a ‘limited duty to inquire.”

Medicare 52

Medicare Medicare Overpayments Overpayment 52

Healthcare Law Blog

JANUARY 26, 2023

On January 5, 2023, the U.S. Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking entitled “Safeguarding the Rights of Conscience as Protected by Federal Statutes” (the “ Proposed Rule “).

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ACA Medicaid Medicaid Compliance 105

Healthcare Law Blog

JANUARY 6, 2023

On December 29, 2022 , President Biden signed the Consolidated Appropriations Act, 2023 (the “Act”). 13] Rural providers of ambulance services in these areas are entitled to the increased payments for services furnished before January 1, 2023. [14] The 2023 Medicare Physician Fee Schedule final rule provides for an approximately 4.5%

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

Healthcare IT Today

FEBRUARY 7, 2024

In September 2023, according to Zebley, “ATA Action submitted comprehensive recommendations to the DEA to create a Special Registration process that would work in conjunction with the existing registration process. This requirement languished for the past 15 years, probably because the DEA had a multitude of competing priorities.

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Telemedicine Doctors COVID-19 Medicare 119

Bill of Health

FEBRUARY 29, 2024

Strikingly, the glacier area in Nepal decreased 24% from 1980-2010, and glacial retreat has decreased mountain slope stability. Temperature rise is causing acute climate hazards such as landslides, avalanches, floods, heatwaves, and forest fires, as well as chronic hazards including droughts, glacial retreat, and glacial outburst floods.

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Informed Consent Governance Compliance Public Health 201

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. from the CY 2023 payment despite the 3% payment update.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Health Law Advisor

SEPTEMBER 1, 2023

On August 29, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the ten (10) Medicare Part D drugs selected for the first round of negotiations of the Medicare Drug Price Negotiation Program (Program)—a few days before the September 1, 2023, statutory deadline imposed by the Inflation Reduction Act (IRA).

Medicare 69

Medicare Medicare Licensing Medicaid 69

Healthcare Law Blog

MAY 11, 2023

Court of Appeals for the Fifth Circuit on March 31, 2023. The DOJ also filed a motion for a stay on April 12, 2023. On April 20, 2023, Judge O’Connor deferred ruling on the request for a stay on the nationwide injunction. Current Status of ACA Preventative Care Ruling In response to the ruling, the U.S.

ACA 52

ACA Health Insurance Patient Advocacy 52

Healthcare Law Blog

JULY 21, 2023

On July 19, 2023, the Federal Trade Commission and Department of Justice jointly published long-anticipated proposed merger guidelines (the “Proposed Merger Guidelines”), which had been expected since President Biden issued an Executive Order Promoting Competition in the American Economy in the summer of 2021. What’s New? What Hasn’t Changed?

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Nurses Hospitals 52

Drug & Device Law

JULY 31, 2023

We have blogged several times about the somewhat esoteric issue of whether intangible items – chiefly computer software, website algorithms, and other electronic information – is treated as a “product” for purposes of imposing strict liability on their creators. 2023 WL 2655586, at *3 (Cal. Jacobs , 2023 WL 2655586, at *4.

Governance 52

Governance Payment Systems Hospitals Licensing 52

Drug & Device Law

DECEMBER 4, 2023

2010) (citations and quotation marks omitted). “[W]e have exercised restraint” and “opt for the interpretation that restricts liability, rather than expands it, until the Supreme Court of [the affected state] decides differently.” 2010). “[E]ven if we were torn between two competing yet sensible interpretations of [state] law. . .,

Fraud 52

Fraud FDA Hospitals Doctors 52

Drug & Device Law

FEBRUARY 20, 2023

2023 WL 1192538 (Mag. 27, 2023), which we discussed here , addressed at length the plaintiff’s attempt to rely on “alternatives” that “existed,” but “were not yet cleared by the FDA for the purpose of treating” the plaintiff’s condition. As we’ve said many times before, the Blog does not do the other side’s research for them.

FDA 59

FDA Licensing Hospitals Governance 59

Drug & Device Law

APRIL 10, 2023

That’s why this defense oriented blog has inveighed against claims solely for “ medical monitoring ” ever since it was founded. 3d , 2023 WL 2577257 (N.H. 3d , 2023 WL 2577257 (N.H. March 21, 2023). 2023 WL 2577257, at *1. 2023 WL 2577257, at *2 (citations and quotation marks omitted) (emphasis original).

Malpractice 59

Malpractice Governance Hospitals 59

Drug & Device Law

NOVEMBER 27, 2023

We’ve blogged a couple of times before about turncoat experts, so the recent decision in Hawkins v. 2023 WL 7292164 (D.D.C. 6, 2023), attracted our interest. 2023 WL 5624710 (D. 31, 2023); Cannon v. 2023 WL 7477903 (N.D. 16, 2023); McCoy v. 2023 WL 4551081 (S.D. 2023 WL 2974480 (W.D.

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Drug & Device Law

DECEMBER 11, 2023

2023 WL 2027835, at *3 (Mag. 26, 2023), adopted , 2023 WL 2021880 (W.D. 15, 2023); Torres v. Polypropylene Hernia Mesh Products Liability Litigation , 2023 WL 3972499, at *1-2 (S.D. Ohio June 13, 2023) (citations and quotation marks omitted). Ohio May 1, 2023); In re Davol, Inc./C.R. See also Todd v.

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Malpractice Hospitals Doctors 102

HealthLaw Prof Blog

AUGUST 29, 2023

Jennifer Smith (Florida A&M University), 2009-2010 National Health Law Moot Court Competition: Problem, 31 J. 2023): The presentation of the moot court problem and introduction in the Journal of Legal Medicine allowed law students, legal practitioners, and academics.

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