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Health Care / Health Reform Connect®

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Bipartisan Budget Act Includes Important Changes to Fraud and Abuse Penalties

Posted by: Thomas N. Hutchinson, Andrew C. Walker, and Brandon W. Shirley on May 1, 2018

The Bipartisan Budget Act of 2018 (“BBA”) was signed into law February 9 and funds the federal government through March 23. Additionally, the legislation contains significant health care policy changes. Of important note are dramatic increases to civil and criminal penalties for federal health...


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CMS Proposes Four Rules – SNF, IRF, Hospice, IPF

Posted by: Robert A. Anderson and Meghan M. Linvill McNab on May 1, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On April 27, 2018, CMS announced four (4) new proposed rules to “advance administrative burden reduction, Medicare modernization, and the Meaningful Measures Initiative.”   These proposed regulations apply to the following payment systems: (i) Skilled Nursing Facilities Prospective Payment...


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CMS Revises the MLN Telehealth Services Booklet

Posted by: Stephanie T. Eckerle and Brandon W. Shirley on March 27, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

In February 2018, the Center for Medicare and Medicaid Services (“CMS”) revised its MLN Booklet on Telehealth Services (the “Telehealth Booklet”).[1]  Medicare continues to be fairly restrictive in terms of reimbursing telehealth services. While the Telehealth Booklet does not announce any...


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Indiana Legislature Modifies Medical Consent and POST Statutes

Posted by: Robert A. Anderson and Stacy Walton Long on March 27, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

The Indiana Legislature recently made several significant and common sense changes to Indiana’s medical consent statute (I.C. 16-36-1-1 et. seq.) and added a new section to the Indiana Code about Physician Orders for Scope of Treatment (POST) forms (I.C. 16-36-6-21), both of which are effective...


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Legislation Streamlining Prior Authorization Requirements for Commercial Health Insurance Plans Becomes Law

Posted by: Amy M. Levander and Laura A. Brown on March 26, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On March 14, 2018, Governor Eric J. Holcomb signed into law a measure that provides for significant streamlining of the prior authorization requirements for health care services covered by commercial health insurance plans in Indiana that are not otherwise governed by ERISA.  House Enrolled Act...


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Bill Requiring Practitioners to Check INSPECT Before Prescribing Passes House, Senate; Gov. Holcomb to Sign

Posted by: Amy M. Levander, Andrew C. Walker, and Laura A. Brown on March 20, 2018

Governor Eric Holcomb is expected to sign legislation aimed at curbing Indiana’s growing opioid crisis, one of Governor Holcomb’s top agenda items for the 2018 legislative session. Senate Enrolled Act 221 (“SEA 221”) requires prescribers to have access to and utilize INSPECT, a state-sponsored...


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CMS Reminder Regarding Services Rendered by Hospitals to Patients Staying in Other Facilities

Posted by: Leah S. Mannweiler and Meghan M. Linvill McNab on March 19, 2018

Court Decision Clears Way for Broader Use of Postnuptial Agreements

The Centers for Medicare and Medicaid Services (“CMS”) recently issued guidance (MLN Matters SE17033 – Revised) re-emphasizing that Medicare should not pay an acute care hospital for services furnished to a Medicare beneficiary, when the beneficiary is still an inpatient of another facility,...


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