Healthcare Law Blog

JANUARY 26, 2023

The PHS Act requires post-graduate physician training programs that do not perform induced abortions to be deemed accredited and protects governmental payments provided as reimbursement for carrying out health related activities. Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

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Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

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Health Populi

DECEMBER 4, 2019

With new rules emanating from the White House this month focusing on health care price transparency, health care costs are in the spotlight at the Centers for Medicare and Medicaid Services.

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CMS.gov

NOVEMBER 26, 2018

Proposed Changes to Lower Drug Prices in Medicare Advantage and Part D. Mon, 11/26/2018 - 15:36. Medicare Part D. Proposed Changes to Lower Drug Prices in Medicare Advantage and Part D. Part D uses private insurance plans to cover drugs that are picked up at a pharmacy. Jeremy.Booth@c…. Alex Azar and Seema Verma.

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Health Populi

NOVEMBER 1, 2018

Among people who have health insurance, managing the costs of their medical care doesn’t rank as a top frustration. Instead, attending to health and wellbeing, staying true to an exercise regime, maintaining good nutrition, and managing stress top U.S. health-insured adults in July 2018.

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Health Law RX

DECEMBER 21, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is signaling that it is cracking down on healthcare organizations that fail to identify and address cybersecurity vulnerabilities as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA Rules).

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HIPAA Ransomware Compliance Medicaid 52

HIPAA Journal

JULY 24, 2023

HHS was one of the first Departments to have an Office of Inspector General in 1976 due to billions of dollars being lost each year to Medicaid fraud. The list now covers more than just Medicare and State Health Care Programs and includes programs such as CHIP, TRICARE, and Veterans Affairs. What is the HHS OIG Exclusions List?

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Healthcare Law Today

FEBRUARY 6, 2023

As of 2019 almost 95% of such persons had Medicare coverage and about half of those also had some sort of supplemental health insurance coverage. 2 See Trust for America’s Health: The State of Obesity: Policies for a Healthier America, 2022 (September 2022). See 2020 Profile of Older Americans (Published May 2021).

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US Department of Health and Human Services Electronic Medical Records Medicare Medicare 52

Health Populi

FEBRUARY 14, 2018

of health spending per person. Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. That equates to 18.4%

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Health Insurance Medicare Medicare Medicaid 79

Health Populi

AUGUST 24, 2020

Ranking top for great or high harm, three in four physicians said that the, “loss of health insurance because of employment changes caused by COVID-19” would cause great harm to patients. Furthermore, nine in ten companies plans to offer virtual care for telemental health, a fast-growing aspect of virtual care.

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Healthcare Law Blog

APRIL 24, 2023

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others.

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Kaiser Health News

JULY 11, 2023

The public school system here had to scramble in 2018 when the local hospital, newly purchased, was converted to a tax-exempt nonprofit entity. The takeover by Tower Health meant the 219-bed Pottstown Hospital no longer had to pay federal and state taxes. POTTSTOWN, Pa. —

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Hospitals Medicaid Medicaid Medical Billing 66

Health Populi

JUNE 13, 2018

The 6% trend is equal to that of 2018, illustrating a flat scenario, roughly the same trend seen in 2016 at 6.2%. Even with moderating medical trend growth, the Centers for Medicare and Medicaid Services (CMS) expect that healthcare spending will account for 20% of the U.S. economy by 2026.

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Health Populi

MAY 14, 2019

The mainstreaming of SDoH speaks to the awareness that health is made where we live, work, play, pray, learn and shop… beyond the health”care” system of hospitals, doctors’ offices, and prescription drug dispensaries. adults between 18 and 64 years of age in December 2018.

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Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”).

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Florida Health Care Law Firm

DECEMBER 9, 2021

On January 1, 2022, a new federal law, “ Requirements Related to Surprise Billing, Part I ” (“The Rule”), goes into effect for health care providers and facilities and for providers of air ambulance services. The Rule will restrict excessive out-of-pocket costs to consumers which resulting from surprise billing and balance billing.

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Health Populi

MARCH 1, 2018

To optimize communication strategies for attracting Medicare Advantage enrollment , a Mid-Atlantic health plan studied the media and social consumption patterns for older people, learning that the target population was more tech-savvy than presumed.

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Health Populi

FEBRUARY 11, 2019

That wand has begun to initiate its magic in the physician community, based on a wonderful essay in JAMA published 20 December 2018 titled, Social Determinants of Health in the Digital Age: Determining the Source Code for Nurture. Yet it’s older people who are more at-risk for SD0H challenges. .”

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Health Populi

JANUARY 18, 2019

As the Harvard Chan-POLITICO study points out, prescription drug costs are top-of-mind for health consumers in America. Research published in JAMA Internal Medicine in December 2018 found that as out-of-pocket costs for insulin have increased over the past few years, many patients use less insulin than needed.

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Prescription Drug Pricing Health Insurance Doctors Medicare 64

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Mary’s unveils new name, but mission remains unchanged UCHealth sues thousands of patients every year. What they say sets them apart.

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CMS.gov

JUNE 11, 2018

Mon, 06/11/2018 - 12:04. Medicaid & CHIP. However, it is important for our beneficiaries across the country to know that the Centers for Medicare & Medicaid Services (CMS) is exploring all of our options to address this national crisis. out of 1,000 Medicaid beneficiaries are impacted by OUD. CMS Opioids Roadmap.

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Health Populi

JULY 16, 2018

HealthyCapital develop a Health Management Retirement Index to calculate an individual’s percentage of retirement healthcare costs that can be funded by savings from improved health. Health Populi’s Hot Points: In the U.S.,

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Health Insurance Medicaid Medicaid Doctors 54

HIPAA Journal

MAY 29, 2023

It has been 27 years since President Clinton signed the Health Insurance Portability and Accountability Act (HIPAA) into law, but compliance is still proving a challenge for many HIPAA-regulated entities. reduction in total penalties compared to 2018, falling from $28.7 million in 2018 to just $1.6 million in 2022.

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New Jersey Healthcare Blog

JANUARY 12, 2022

1791(c), the Department of Human Services, Division of Aging Services, Office of the State Health Insurance for the Aged and Disabled, readopted a rule regarding the Senior Gold Prescription Program Manual. 10:37 (Community Mental Health Services Act) with technical amendments. On October 18, 2021, at 53 N.J.R.

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Hall Render

APRIL 28, 2023

on EHR upgrade New SSM Health children’s developmental center opening today Illinois Capitol bills would give more money to community health centers Illinois physician selected for year-long NASA Mars simulation HSHS St. renovation Police: Man facing arson charges after setting 3 fires inside Florida hospital St.

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Nurses Nursing Homes COVID-19 Hospitals 40

Healthcare IT News - Telehealth

DECEMBER 16, 2020

The virtual trial, to be sure, is not a new concept: One team of researchers counted more than 1,100 trials listed on ClinicalTrials.gov employing connected digital products for remote data collection in both 2017 and 2018, the organization observed.

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COVID-19 Hospitals Doctors Health Insurance 207

HIPAA Journal

JANUARY 9, 2023

The Health Insurance Portability and Accountability Act was signed into law in 1996 and while there have been some significant HIPAA updates over the last two decades, the last set of major HIPAA updates occurred in 2013 with the introduction of the HIPAA Omnibus Final Rule.

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HIPAA COVID-19 COVID-19 Vaccine Compliance 107

Hall Render

JULY 14, 2023

to do so Confusion remains over when abortion is legal to save life What happens when a health insurance company fails After court rulings, Oklahoma doctors are still confused about when abortion is legal to save a patient’s life OREGON Legacy Health to sell off labs as part of financial recovery effort OHSU $4.9B

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Health Populi

MAY 6, 2018

Universal health care was covered in a section on 28 April 2018, and coverage on financial inclusion was bundled into the 5th May edition. Over time, America’s approach to health care provision fragmented by plan sponsor, whether U.S.

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Redox

FEBRUARY 7, 2019

According to Deloitte’s 2018 Survey of US Physicians , only 23% of patients have had video visits and just 14% of physicians have video visit capability. Oddly, even with its place in the general public’s lexicon, telemedicine utilization is still rather low. CMS expanding reimbursable telemedicine and remote patient monitoring services.

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Healthcare Law Blog

JANUARY 25, 2023

Introduction: Defining Interprofessional Consultation In a January 5, 2023, letter to state health officials, the Centers for Medicare & Medicaid Services (“CMS”) clarified a Medicaid and Children’s Health Insurance Program (“CHIP”) policy on the coverage and payment of interprofessional consultations (the “Guidance”).

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Medicaid Medicaid Medicare Medicare 52

Hall Render

MARCH 17, 2023

‘Not what we were looking for,’ CEO says Data shows mental health, education declines for Hoosier kids Joint venture to build specialty hospital in Fort Wayne Bills would cut hospital services in Indiana not just reduce costs Ascension St. in Indiana aging-in-place work. nursing home Massachusetts hospitals spent $1.5B

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US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

JUNE 9, 2023

million from Miracle Day Arkansas Hospice Takes Over LifeTouch Hospice Arkansas hospitals say they are struggling; report questions those claims Arkansas law allows physician assistants to be rendering providers for Medicaid Arkansas rural hospitals work to keep their doors open Panda Express Pledges $1.2M

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Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. New Mexico Health Connections v. United States Dep’t of Health & Human Servs. ,

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ACA US Department of Health and Human Services Health Insurance Medicaid 52

Health Populi

FEBRUARY 21, 2019

National health spending in the U.S. every year from 2020 to 2027, the actuaries at the Centers for Medicare and Medicaid Services forecast in their report, National Health Expenditure Projections, 2018-2927: Economic And Demographic Trends Drive Spending And Enrollment Growth , published yesterday by Health Affairs.

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Health Populi

MAY 8, 2019

prescriptions per person in 2018, two in three of which treated chronic conditions. In a call with analysts this week in which I participated, Murray Aitken discussed the report which looks back at 2018 and forward to 2023 with scenarios about what the U.S. Americans consumed 17.6 Welcome to Medicine Use and Spending in the U.S. ,

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Prescription Drug Pricing Medicare Medicare Health Insurance 59

Health Populi

JANUARY 24, 2019

Health care surely doesn’t feel like the best retail experience, and that’s especially true for health plans. Health insurance plans? Health care was the top issue driving voters to the 2018 mid-term elections. Not so much. Finally, patients are political.

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Medicaid Medicaid Doctors Health Insurance 65