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Health Care / Health Reform Connect®

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Public Notice Regarding Medicare Provider Agreement Terminations

Posted by: Meghan M. Linvill McNab on September 20, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

As part of the August, 14, 2017 Inpatient Prospective Payment System (“IPPS”) Final Rule[1], the Centers for Medicare and Medicaid (“CMS”) revised the public notice requirements for Medicare provider agreement terminations.   

Previously, a Rural Health Clinic (“RHC”), Federally Qualified...


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United States Senate Narrowly Fails to Advance Health Care Reform Legislation

Posted by: Brandon W. Shirley on July 31, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

After months of negotiations, Senate Majority Leader Mitch McConnell failed to find enough Republican support to advance some form of health care reform legislation late last week. Accordingly, the Patient Protection and Affordable Care Act (“ACA”) continues to remain the law of the land, though...


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CMS Issues Proposed Rule for Updates to the Quality Payment Program

Posted by: Maggie C. Little on July 28, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

On June 30, 2017, CMS published a proposed rule with changes and policy updates to the Quality Payment Program (“QPP”) for calendar year 2018. The QPP, established under the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”), includes two pathways for participation, the Merit Based...


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HHS To Review Anti-Discrimination Rule That Applies Protections to Transgender Patients

Posted by: Brandon W. Shirley on July 28, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

A Texas District Court judge presiding over a lawsuit challenging a Federal Regulation that expands protections to transgender patients, among others (“Rule”) recently agreed to stay judicial proceedings while the Health and Human Services (“HHS”) agency reviews the Rule. The court had earlier...


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As EHR Incentive Program Sunsets, OIG Identifies Overpayments to Eligible Professionals

Posted by: Thomas N. Hutchinson and Andrew C. Walker on July 28, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

A June 12, 2017, OIG report indicates that, between 2001 and 2014, CMS paid $730 million in electronic healthcare record (“EHR”) incentive payments to eligible professionals (“EPs”) who did not comply with Federal requirements for “meaningful use” of EHRs. In other words, the OIG believes these...


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EMTALA Turns 30; CMS Enforcement and New Rules Require Hospitals' (and Physicians') Attention

Posted by: Thomas N. Hutchinson and Andrew C. Walker on July 28, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

Without surprise, not many hospital providers joined in the celebration of EMTALA’s recent 30th anniversary. A lack of shared joy notwithstanding, EMTALA remains as rigorous, nuanced, and enforced as when it was first enacted as part of the 1986 COBRA legislation.

The broad requirements of...


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Implementation of Indiana's Opioid Prescribing Law

Posted by: Laura A. Brown on July 28, 2017

Court Decision Clears Way for Broader Use of Postnuptial Agreements

Indiana’s seven day script law for new patients, Senate Enrolled Act (“SEA”) 226, went into effect on July 1, 2017.[1]  Under SEA 226, the general rule is as follows:  A prescriber may not issue more than a seven day supply of an opioid if the prescriber is prescribing to an adult patient for...


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