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Hospital Fined $85,000 By OCR For Failure To Provide Timely Access To Patient Records
Today, in the first settlement of its kind, the Office for Civil Rights at the U.S. Department of Health and Human Services ("OCR") announced that Bayfront
United States
12 Sep 2019
As A Public Charge Rule Is Finalized by DHS, Concern Over Upcoming DOJ Rule Grows
Last Fall, we wrote about a proposed regulation issued by the Department of Homeland Security that involved one of our favorite topics: the intersection of immigration and health care law.
United States
21 Aug 2019
D.C. Circuit Reverses District Court In DSH Case
We have long covered the handful of lawsuits that have been filed over the past several years concerning Medicaid disproportionate share hospital ("DSH") payment policies.
United States
20 Aug 2019
Senate Finance Committee Proposes Significant Drug Pricing Reforms in Medicaid
We do expect there to be further revisions and amendments before PDPRA makes is to the Floor for a vote.
United States
16 Aug 2019
CMS Proposes To Eliminate Its Medicaid Access Monitoring Standards
Last week, CMS issued a proposed rule as part of a broader Administration-wide initiative to reduce regulatory and administrative burdens.
United States
30 Jul 2019
Latest FCA Settlement Involving Massachusetts Lab Highlights Federal/State Cooperation
Late last month the U.S. Attorney's Office for the District of Connecticut issued a press release regarding the latest False Claims Act (FCA) settlement involving the healthcare industry
United States
17 Jul 2019
Medicaid And Non-Emergency Medical Transportation
On June 19, the House of Representatives passed the funding bill for the Department of Health and Human Services for fiscal year 2020.
United States
10 Jul 2019
Hijacking "Netflix": Why Louisiana's And Washington's HCV Deals Are Not Really Like Netflix
From "Netflix and Chill" to the "Netflix Subscription Model", Netflix is apparently just as good at describing the way we consume media as it is for describing the way Medicaid will pay for prescription drugs.
United States
2 Jul 2019
New Employee Benefit Rules Expand Health Reimbursement Arrangement Options For Employers
On June 13, 2019, the Internal Revenue Service (IRS), Department of Labor and Department of Health and Human Services (HHS)
United States
2 Jul 2019
New Jersey Seeking Applications For 108 New ATCs
The New Jersey Department of Health's Medical Marijuana Program announced on Monday that it was seeking applications to license up to 108 additional Alternative Treatment Centers (ATCs).
United States
18 Jun 2019
New Executive Order Could Restrict Medicaid Coverage For Non-U.S. Citizens Seeking Immigration Benefits
We have written in the past about the link between Medicaid and immigration. Last October, we described a proposed rule issued by the Department of Homeland Security
United States
17 Jun 2019
Tom Barker Testifies Before Energy & Commerce On Medicaid DSH
On June 4, 2019, the House of Representatives' Committee on Energy and Commerce, Subcommittee on Health, held a hearing entitled "Investing in America's Health Care."
United States
13 Jun 2019
Robbing Peter To Pay Paul: Problems In Enforcing The Medicaid Secondary Payer Requirements
One of the things that gets drummed into your head working with Medicaid is this: Medicaid is a payer of last resort. Medicaid can only pay for a health care service
United States
11 Jun 2019
CMS Clarifies Spread Pricing Reporting Requirements For Medicaid MCOs
We have talked previously on this blog about ongoing efforts by the Administration to reform drug pricing
United States
11 Jun 2019
Senate Finance Committee Issues Report On Medicaid Supplemental Payments
The other class of non-DSH supplemental payments that the Committee adresses is demonstration supplemental payments.
United States
31 May 2019
Massachusetts Senate Ways And Means Budget Maintains Drug Price Rebate Language
On May 7, 2019, the Ways and Means Committee of the Massachusetts Senate reported its final budget (S.4), which includes within it authority for the Commonwealth's Executive Office of HHS...
United States
31 May 2019
Recent HHS-OIG Reports Suggest Future Medicaid Reforms
The Department of Health and Human Service's Office of Inspector General (OIG) has issued a couple of reports lately on Medicaid coverage of prescription drugs and we thought we'd highlight them here.
United States
29 May 2019
CMS Final Rule Requires Prescription Drug Pricing Transparency In DTC Advertising
On May 8, 2019, the Centers for Medicare & Medicaid Services ("CMS") finalized the regulation ("Final Rule" or "DTC Rule") requiring direct-to-consumer ("DTC")
United States
28 May 2019
HHS To Reduce Top HIPAA Fines Based On "Level Of Culpability"
In a Notification of Enforcement Discretion Regarding HIPAA Civil Money Penalties issued on April 23, 2019, the Department of Health and Human Services (HHS)
United States
21 May 2019
Government Attorneys Discuss Health Care Enforcement Priorities At BBA White Collar Crime Conference
Opioids, off-label marketing, and the home health industry will remain priorities for federal and state attorneys enforcing health care laws
United States
14 May 2019
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