Healthcare Law Blog

MARCH 20, 2023

The Kaiser Family Foundation surveyed forty-four state Medicaid officials about strategies to address behavioral health workforce shortages and found the following four categories to be most critical. [6] Please refer to our blog for more information on the proposed rule. 21, 2023). [5] Redefining the workforce.

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Healthcare Blog

OCTOBER 19, 2023

There are public health policies on a legislative level you are sure to recognize. These include The Affordable Care Act, which helps give Americans access to affordable health insurance, or The Clean Water Act and Safe Drinking Water Act, which ensures access to clean water and clean air. 2021, May 6). Columbia University.

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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. Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs.

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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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AIHC

AUGUST 30, 2023

As a reminder, telemarketing in healthcare must follow strict privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-191 in the United States. We couldn’t talk about websites without mentioning “Blogs”. The key to blogs is you do have to keep them updated.

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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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Healthcare Law Blog

OCTOBER 31, 2022

In May, we discussed the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”) issued by the Centers for Medicare and Medicaid Services (“CMS”). As a result, these ads must be approved by CMS before use.

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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 “). Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

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MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.

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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”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

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Healthcare Law Blog

MARCH 7, 2023

The Centers for Medicare & Medicaid Services (“CMS”), on behalf of the U.S. Department of Health and Human Services (“HHS”), recently issued a proposed rule to adopt standards under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for “health care attachment” transactions (the “Proposed Rule”).

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Healthcare Law Blog

JANUARY 6, 2023

On December 29, 2022 , President Biden signed the Consolidated Appropriations Act, 2023 (the “Act”). In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces.

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Healthcare Law Blog

DECEMBER 15, 2022

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

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Healthcare Law Blog

MARCH 8, 2023

Medical Coding ChatGPT can potentially be trained to comprehend Medicare and Medicaid codes, prepare billing reports, and process claims, which would significantly reduce the workload for coders and also provide a potential backup confirmation to reduce potential billing and coding errors.

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Provider Trust

FEBRUARY 3, 2023

In a recent webinar, ProviderTrust took a look at impactful healthcare trends to monitor in 2023 and beyond. Six health systems either reduced services, closed hospitals or practice locations, while five health systems re-engineered leadership and/or their corporate structure to save money.

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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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Health Law RX

SEPTEMBER 27, 2023

The Texas court again invalidated challenged provisions of rules implementing the Act because they improperly permitted the QPA to favor insurers and lowered payments to out-of-network providers in February 2023. For our past blogs regarding the No Surprises Act, please go to: [link].

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Healthcare Law Blog

MARCH 15, 2023

We recently discussed the guidance documents issued by the Centers for Medicare and Medicaid Services (“CMS”) detailing the proposed implementation of the Medicare Part B and Medicare Part D Prescription Drug Inflation Rebate Programs.

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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.

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Healthcare Law Blog

AUGUST 25, 2022

The drug publication date for 2026 will be chosen by September 1, 2023. The IRA includes a three-year extension of enhanced financial assistance for people enrolled in health insurance through the marketplaces under the Affordable Care Act. For more information on this final rule, see our blog. Insulin Products.

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Healthcare Law Blog

MAY 17, 2022

On January 5, 2022, we discussed the Notice of Benefit and Payment Parameters for 2023 proposed rule released by the Centers for Medicare & Medicaid Services (CMS). On April 28, 2022, CMS issued the NBPP 2023 Final Rule. Essential Health Benefits Policy for Plan Designs. Clayton County.

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Healthcare Law Blog

JANUARY 4, 2023

To mitigate coverage gaps, the Proposed Rule would add a special enrollment period for individuals who are expected to lose Medicaid or Children’s Health Insurance Program coverage. Comments on the Proposed Rule are due January 30, 2023.

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Jane Sarashon

DECEMBER 20, 2023

At the end of each year since I launched the Health Populi blog, I have put my best forecasting hat on to focus on the next year in health and health care. Economy Inflation, a top-of-mind stress and concern for mainstream Americans in 2023, is easing as we enter 2024. Consumer in the Big/Macro U.S.

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HealthLaw Prof Blog

FEBRUARY 2, 2024

Hannah Latif, The Case for Universal Prenatal Care to Combat the Birth Outcome Crisis in Undocumented Latino Communities (2023): Millions of undocumented Latino immigrants experience inadequate healthcare due to ineligibility for federally-sponsored health insurance such as Medicaid. They are also.

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Health Insurance Medicaid Medicaid 40

HealthLaw Prof Blog

FEBRUARY 27, 2024

Analisa Packham (Vanderbilt University), David Slusky (University of Kansas), Accessing the Safety Net: How Medicaid Affects Health and Recidivism (IZA Discussion Paper No. 16665) (2023): We estimate the causal impact of access to means-tested public health insurance coverage (Medicaid) on.

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