Health Care
Posted by:
Brian M. Heaton and Maria Vladimirova Geltz
on April 23, 2024
On March 13, 2024, Governor Eric Holcomb signed Senate Enrolled Act 9 (“SEA 9”) into law, requiring advance reporting for certain mergers and acquisitions involving Indiana health care entities. Indiana joins a number of other states with similar reporting requirements, although the drafting of SEA…
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Posted by:
Marc T. Quigley and Matthew C. Branic
on March 26, 2024
How much is too much when it comes to damages awards for False Claims Act violations? A district court judge in Minnesota weighed in recently in United States of America ex rel. Fesenmaier v. Cameron-Ehlen Group, Inc. et al., No. 13-cv-3003 (D. Minn.), holding that the jury’s $487 million verdict…
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Posted by:
Meghan M. Linvill McNab and Andrew N. Warner
on March 26, 2024
On November 17, 2023, the Centers for Medicare & Medicaid Services ("CMS") issued a Final Rule implementing certain requirements in the Affordable Care Act regarding the disclosure of ownership, managerial and other information for Medicare and Medicaid participating nursing facilities. The Final…
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Posted by:
Stephanie T. Eckerle, Christopher J. Kulik, and Chloe N. Craft
on March 19, 2024
On January 25, 2024, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) issued new guidance to U.S. hospitals and long-term care facilities regarding their duties under the Centers for Medicare and Medicaid Services (“CMS”) regulations. Specifically, OCR…
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Posted by:
Brandon W. Shirley
on February 13, 2024
As the conflict between 340B over the scope of the 340B drug discount program enters its fourth year, Covered Entities are increasingly turning to state law for relief from restrictions on contract pharmacies because Congress and federal agencies have been unable to make meaningful progress. The…
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Posted by:
Christopher J. Kulik and Stacy Walton Long
on February 13, 2024
Each year, entities regulated under HIPAA must report breaches affecting less than 500 individuals to the Department of Health and Human Services (“HHS”) within sixty days following the end of each calendar year. This means that the deadline to report to HHS these type of breaches occurring in 2023…
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Posted by:
Meghan M. Linvill McNab and Brandon W. Shirley
on February 13, 2024
CMS published a final rule, effective January 1, 2026, implementing additional processes to advance interoperability as well as to improve prior authorization processes. The changes to prior authorization will require: (1) Medicare Advantage, Medicaid Fee-for-Service (“FFS”) and Medicaid Managed…
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Posted by:
George C. Lepeniotis and Christopher J. Kulik
on January 4, 2024
In the digital age, where information is constantly being generated, the concepts of privacy are rapidly evolving, especially in the healthcare sector. This transformation has significant implications for both healthcare providers and patients.
In this episode of the Krieg DeVault Podcast…
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Posted by:
Brandon W. Shirley and Stacy Walton Long
on November 29, 2023
The United States Office of Inspector General (“OIG”) published a unified compliance resource tool on November 6, 2023. While the General Compliance Program Guidance (“GCPG”) does not provide new substantive content, it does provide a single source of information relating to some of the greatest…
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Posted by:
Stephanie T. Eckerle and Christopher J. Kulik
on November 29, 2023
On November 2, 2023, parties including the American Hospital Association (“AHA”) sued the U.S. Department of Health and Human Services (“HHS”) Office of Civil Rights (“OCR”) in a federal court in Texas. In their complaint they challenge the enforcement of an OCR guidance bulletin (the, “Bulletin”),…
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