C&M Health Law

DECEMBER 23, 2022

Most of the Proposed Rule’s provisions will be effective on January 1, 2026. The below summary does not focus on the Medicaid and Children’s Health Insurance Program (CHIP) Fee for Service (FFS) proposals. The deadline to submit comments is March 13, 2023. Our initial takeaways are summarized below.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Healthcare Law Blog

DECEMBER 15, 2022

Specifically, CMS proposes that, beginning January 1, 2026, impacted payers would be required to: Implement and maintain a FHIR PARDD API using technology conformant with certain standards and implementation specifications in 45 CFR 170.215. CMS is not proposing to apply these requirements to drugs that are covered by the MAO.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

AUGUST 23, 2021

When we think about health care pricing variations, then, it’s not just between hospitals in a particular geography or ZIP code, but it happens within institutions based on contract negotiations with health plans. One category of household spending expected to inflate is out-of-pocket health care costs. health citizens.

COVID-19 85

COVID-19 Medical Billing Health Insurance Hospitals 85

Health Populi

JUNE 13, 2018

. “Employer health spending has grown from 6 percent of total wages in 1988 to more than 12 percent in 2018,” driven by healthcare prices growing faster than the general economy, and the adoption of new technologies, procedures, and increasingly expensive new prescription drugs, PwC observes. economy by 2026.

Medicaid 63

Medicaid Medicaid Health Insurance Medicare 63

Bill of Health

SEPTEMBER 9, 2022

While this program represented the largest intergovernmental transfer of multipurpose funds in over 40 years, one-time funds discourage elected officials from making investments that will need to be sustained beyond the program’s 2026 expiration date. This precludes rebuilding the decimated public health workforce.

Public Health 362

Public Health COVID-19 Public Health Professionals Governance 362

HIPAA Journal

APRIL 23, 2024

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has released its long-awaited Final Rule on reproductive healthcare privacy.

HIPAA 89

HIPAA Compliance Doctors Health Insurance 89

Hall Render

DECEMBER 1, 2023

A health insurance broker weighs in Wisconsin Hospital Association: Wisconsin hospitals provided $2.1 to Recruit, Train Primary Care Students UAMS Gets $17.5M

Nursing Homes 40

Nursing Homes Nurses Ransomware COVID-19 40

Hall Render

FEBRUARY 2, 2024

Mary’s welcome new board members Northeast Georgia Health System named one of nation’s top workplaces for diversity HAWAII How Adventist Health Castle achieved becoming a verified Level III Trauma Center Queen’s debuts $4.5M

Nursing Homes 40

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

Healthcare Law Blog

JANUARY 6, 2023

32] Of particular interest, the Act modifies the Federal Medical Assistance Percentages (the “FMAPs”), which are used to determine the amount of federal funds to be paid as a match to State-specific expenditures for certain social programs, such as Medicaid and the Children’s Health Insurance Program (“CHIP”).

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M What does it mean for you?

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

OCTOBER 13, 2023

David’s forges ahead with new behavioral health hospital after rezoning vote Texas rehab hospital settles ADA case UTAH Fire spurs evacuation at Intermountain hospital Intermountain, Ortho Montana break ground on new ASC U of Utah Health adds new C-suite role $17.5 Luke’s receives $1.5

Nurses 40

Nurses Hospitals Nursing Homes Doctors 40

Healthcare Law Blog

AUGUST 25, 2022

The first list of up to 10 Part D negotiation-eligible drugs will be published in 2026, the earliest “price applicability date” at which the Program takes effect. The drug publication date for 2026 will be chosen by September 1, 2023. Additional updates of note include: ACA Premium Tax Credit Eligibility. Insulin Products.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

JUNE 3, 2022

Maryland Department of Health releases the 2022-2026 State Plan to Address Alzheimer’s Disease and Related Dementias. Baystate Health names new chief information and digital officer. New Hampshire health officials report 2 new COVID-19 deaths as cases continue to drop. MASSACHUSETTS. NEW JERSEY.

COVID-19 40

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

Hall Render

JANUARY 27, 2023

NATIONAL Amazon launches $5-a-month unlimited prescription plan CMS begins publicizing disputed nursing home deficiencies CMS Readies Nursing Home Staffing Mandate Proposal, Reviews Study Recommendations Healthcare workers are unhappy with their pay Kroger Health launches clinical trial site network Local anesthetic drug supply: 132 in shortage, 13 (..)

US Department of Health and Human Services 40

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

HIPAA Journal

MARCH 17, 2023

Considering the Health Insurance Portability and Accountability Act (HIPAA) is now in its third decade, the Privacy Rule took effect 20 years ago, and compliance with the HIPAA Security Rule has been mandatory for 18 years, there have been relatively few financial penalties over the years, with just 130 imposed by OCR to resolve HIPAA violations.

HIPAA 87

HIPAA Compliance Health Insurance Governance 87

C&M Health Law

JANUARY 25, 2023

Section 4113 also requires HHS to conduct a study on program integrity related to telehealth services under Medicare Part B, including to review telehealth’s impact on future utilization of health care services (i.e., The Act also provides investments in Medicaid and the Children’s Health Insurance Program (CHIP).

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Kaiser Health News

AUGUST 12, 2022

The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t be as sweeping as the Democrats who wrote it had hoped, but it would help millions of Americans better afford their prescription drugs and health insurance.

Medicare 88

Medicare Medicare Prescription Drug Pricing Governance 88