Health Care
By: Brandon W. Shirley and Marc T. Quigley
on March 12, 2021
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…
Read More 
By: and
on March 12, 2021
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…
Read More 
By: Thomas N. Hutchinson and Brian M. Heaton
on March 12, 2021
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…
Read More 
By: Robert A. Anderson and Marc T. Quigley
on February 10, 2021
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…
Read More 
By: Andrew W. Breck and Meghan M. Linvill McNab
on February 10, 2021
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…
Read More 
By: Stacy Walton Long and
on January 27, 2021
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…
Read More 
By: Brandon W. Shirley and Amanda K. Schipp
on January 14, 2021
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…
Read More 
By: Meghan M. Linvill McNab and Amanda K. Schipp
on January 14, 2021
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,…
Read More 
By: Robert A. Anderson and
on December 30, 2020
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…
Read More 
By: Robert A. Anderson and
on December 30, 2020
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…
Read More 
|