The Office of Inspector General (“OIG”) is skeptical of physician speaking engagements paid by pharmaceutical and medical device companies. In a recent Special Fraud Announcement, the OIG issued warnings to physicians who are not employees of sponsoring companies and are paid to espouse the…
While the federal Hospital Price Transparency Rule went into effect on January 1, 2021, a similar Indiana price transparency law is also set to go in effect later this month. By March 31, 2021, all hospitals and ambulatory surgical centers (“ASCs”) must post on their website certain state specific…
Private equity (or PE) continues to have a strong interest in physician practices, surgery centers, and other health care ventures.
What is PE? At its core, PE is an alternative investment class consisting of capital that is not listed on a public exchange. PE is comprised of funds and…
Athenahealth, Inc. (“Athena”), an electronic health records (“EHR”) vendor, recently paid $18.25 million to settle allegations that it violated the False Claims Act by using extravagant gifts to persuade prospects to buy its electronic medical record system. In its Complaint, the government did not…
On January 15, 2021, HHS updated its guidance on the reporting requirements for recipients of payments under the Coronavirus Provider Relief Fund (“PRF”) that exceeded $10,000 in the aggregate. This latest notice supersedes the previous guidance communicated by the agency on November 2, 2020 and…
As if to underscore Health and Human Services’ (“HHS”) commitment to electronic medical record interoperability and against information blocking, OCR closed out 2020 with a sweeping number of enforcement actions under its HIPAA Right of Access Initiative (“Initiative”). OCR also didn’t hesitate to…
As we reported previously, earlier this year, the Indiana Legislature passed House Bill 1004, which created a new law affecting physician noncompete agreements and physician separations codified at Indiana Code 25-22.5-5.5 that went into effect on July 1, 2020.
The new law sets out five provisions…
COVID-19 has undoubtedly elevated telehealth in the health care industry, and has all but assured its continuance long after the public health emergency ends. However, the exact form that telehealth may take along its pathway to becoming a permanent fixture in the health care delivery system is…
As we previously reported, on September 14, 2020 CMS Administrator Seema Verma announced, via a tweet, that CMS was withdrawing the proposed rule titled “Medicaid Fiscal Accountability Rule” (“Proposed Rule”). While the Proposed Rule was marketed as promoting transparency of the Medicaid program,…
Yesterday, the D.C. Court of Appeals (the “Appeals Court”) issued its ruling affirming summary judgment in favor of the Department of Health and Human Services (“HHS”) and against the American Hospital Association (“AHA”). The ruling clears the way for CMS’s Price Transparency Rule (“Rule”) which…
Yesterday, the D.C. Court of Appeals (the “Appeals Court”) issued its ruling affirming summary judgment in favor of the Department of Health and Human Services (“HHS”) and against the American Hospital Association (“AHA”). The ruling clears the way for CMS’s Price Transparency Rule (“Rule”) which…
On December 10, 2020 the U.S. Department of Health and Human Services, Office for Civil Rights (“HHS”) announced proposed modifications to the Health Insurance Portability and Accountability Act (“HIPAA”) Privacy Rule (45 CFR Parts 160 and 164). The proposed modifications are detailed in HHS’s…
