American Medical Compliance

DECEMBER 21, 2023

As featured in Companies Market Cap, the top 10 publicly traded healthcare companies have revenue of $39 billion to $359 billion as of 2023. This shows that there’s a continual focus on health and wellness. Beyond these immediate consequences, it can result in exclusion from vital government programs.

Compliance 97

Compliance HIPAA Telemedicine Health Insurance 97

Hall Render

JANUARY 26, 2024

A majority of CEOs are taking steps to reinvent their companies to address megatrends like technological change, change in customer preferences and government regulation. 18% of health care CEOs plan on reducing their headcount in 2024 based on the use of generative AI. PWC released the results of its Global CEO Survey. per Beckers.

Health Insurance 40

Health Insurance Governance 40

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”). Enrollee Participation in Plan Governance (§ 422.107).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

MedTrainer

JANUARY 31, 2024

federal government enacted the Federal False Claims Act (FCA) in 1863 during the American Civil War. It was passed to combat fraud by government contractors during the conflict and set the stage for future compliance regulations. In 2023, the OIG provided updated guidance with a promise of updates to industry-specific guidance in 2024.

Compliance 52

Compliance Fraud Governance ACA 52

Health Law Advisor

JUNE 12, 2023

Jackson Women’s Health Organization overturning Roe v. Wade , the federal government, pursuant to President Biden’s Executive Order (the EO) took several steps to protect reproductive health privacy, some of which we previously discussed here. Introduction Following the Supreme Court decision in Dobbs v.

HIPAA 98

HIPAA Health Insurance Governance 98

Healthcare Law Blog

MARCH 10, 2023

While much recent focus has been made on a somewhat similarly-focused law, the “Healthcare Consolidation and Contracting Fairness Act of 2022” or “AB 2080” (see our healthcare law blog analysis earlier in 2022 regarding the proposed legislation), it was SB 184 and not AB 2080 that was passed in advance of the September 2022 legislative recess.

Governance 52

Governance Licensing Health Insurance Medicare 52

Healthcare Law Blog

AUGUST 3, 2023

As we previewed in our blog article in March on the establishment of California’s new Office of Health Care Affordability (OHCA), OHCA has issued proposed regulations available on the OHCA website, that provide anticipated details on OHCA’s advance review authority regarding certain transactions in the healthcare space.

Governance 52

Governance Licensing Health Insurance Hospitals 52

Healthcare Law Blog

OCTOBER 20, 2023

California’s Proposed AI Legislation in Health Care AB 1502 On February 17, 2023, California Assemblymember Pilar Schiavo introduced California Assembly Bill 1502. Health & Safety Code § 1345(f). [3] 3] A “health insurer” includes a range of insurers which are regulated under California’s Insurance Code. [4]

Health Insurance 52

Health Insurance Nurses Governance 52

Hall Render

MAY 2, 2023

As the COVID-19 pandemic took its toll, the year 2020 ushered in declarations of a National Emergency (“NE”) and a Public Health Emergency (“PHE”). The PHE is set to expire on May 11, 2023. 7 was signed by President Biden on April 10, which ends the NE on May 11, 2023 as well. In addition, H.J.

Public Health 40

Public Health COVID-19 COVID-19 Vaccine ACA 40

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. Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries.

Compliance 52

Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare Law Blog

JANUARY 2, 2024

At long last, the cost and market impact review (CMIR) regulations promulgated by the California Office of Health Care Affordability (OHCA) have been approved by the California Office of Administrative Law (OAL). OHCA must notify the submitter within 60 days of the filing if OHCA intends to conduct a CMIR.

Governance 59

Governance Licensing Hospitals Health Care Access 59

MedTrainer

SEPTEMBER 8, 2023

The breach occurred in 2013 when four unencrypted laptops containing the electronic protected health information (ePHI) of over 4 million patients were stolen from an Advocate Health administrative building. Many healthcare facilities rely on reimbursements from government programs such as Medicare and Medicaid. Patient privacy.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Similar to other states, Idaho has its own unique regulations and requirements that healthcare providers and organizations must adhere to.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 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 “). The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

ACA 105

ACA Medicaid Medicaid Compliance 105

Healthcare Law Blog

MARCH 20, 2023

While digital health support tools provide essential supplemental care, payors continue to seek to address the indispensible need for licensed practitioners to provide mental health support to the growing number of patients in need of mental health care. Please refer to our blog for more information on the proposed rule.

Medicaid 52

Medicaid Medicaid Licensing ACA 52

Healthcare Law Blog

MAY 9, 2023

The growth of private equity and other financial sponsor investments in the health care industry has led many states across the country to adopt expansive oversight authority over health care transactions.

Licensing 52

Licensing Public Health Health Insurance Governance 52

Healthcare Law Blog

MARCH 8, 2023

Since its launch in November 2022, ChatGPT (“GPT” stands for Generative Pre-trained Transformer), a type of artificial intelligence model, has gained over a million users. ChatGPT is used by entities in a wide variety of industries.

HIPAA 52

HIPAA Licensing Compliance Health Insurance 52

SQA

JUNE 10, 2021

ANVISA has also released a set of 106 proposals for Regulatory Projects that will compose the 2021-2023 Regulatory Agenda. There are 11 regulatory projects for the medical devices’ field: Implementation of the National Implant Registry (RNI) in Brazil’s public and private health services. Health Canada – Biologics.

FDA 52

FDA COVID-19 COVID-19 Vaccine Compliance 52