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HTMLFinal Rule on Section 1557 of the ACA Has Implications for Digital Health Industry
Stephen E. (Steve) Gillette, Alexis S. Gilroy, Kevin D. Lyles, Cristiana Spontoni, Soleil E. Teubner; Jones Day;
Legal Alert/Article
August 25, 2016, previously published on Augsut 2016
On May 18, 2016, the Department of Health and Human Services ("HHS") issued a final rule implementing Section 1557 of the Patient Protection and Affordable Care Act ("ACA"), which prohibits discrimination on the grounds of race, color, national origin, sex, age, or disability in...

 

HTMLMedicare to Refine and Expand its Value-Based Insurance Design Model
Jordan T. Cohen; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
August 24, 2016, previously published on August 15, 2016
On August 10, 2016, the Centers for Medicare and Medicaid Services (CMS) released a memorandum through its Center for Medicare and Medicaid Innovation announcing changes to the Medicare Advantage Value-Based Insurance Design (MA-VBID) model for 2018.

 

HTMLLatest OCR HIPAA Settlement Provides Lessons for Covered Entities
Kate F. Stewart; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
August 24, 2016, previously published on August 11, 2016
Capping off a busy month of HIPAA settlements, on August 4, the Office for Civil Rights (“OCR”) announced a $5.55 million settlement with Advocate Health Care Network (“Advocate”), the largest fully-integrated healthcare system in Illinois. The settlement is the largest...

 

HTMLMedicare Home Health Payment Update: Florida and Other States are Required to Submit Their Home Health Claims for Pre-Claim Review
Erin Smith Aebel, Rachel B. Goodman; Shumaker, Loop & Kendrick, LLP;
Legal Alert/Article
August 24, 2016, previously published on August 11, 2016
The Centers for Medicare and Medicaid Services ("CMS") is implementing a new pre-claim review process for home health claims in five (5) states, including Florida. Other affected states are Illinois, Texas, Michigan, and Massachusetts. CMS’ stated goal is to make sure home health...

 

HTMLThe Government Enters into Largest HIPAA Settlement to Date; What HIPAA Covered Entities and Business Associates Need to Know
Kelly A. Leahy; Shumaker, Loop & Kendrick, LLP;
Legal Alert/Article
August 18, 2016, previously published on August 9, 2016
Advocate Health Care Network, which operates 12 hospitals and more than 200 other treatment centers in Chicago and central Illinois, has agreed to the largest settlement to date with the Office for Civil Rights (“OCR”) for multiple potential violations of the Health Insurance...

 

Adobe PDFSite Neutral Medicare Payments for Off-Campus Hospital Clinics
Joel M. Hamme, Barbara Straub Williams; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
August 17, 2016, previously published on July 11, 2016
This memorandum is an update on implementation of Section 603 of the Bipartisan Budget Act of 2015 (BBA 2015)1, which provides for “site neutral” Medicare reimbursement for certain off-campus outpatient clinics. On July 6, 2016, the Centers for Medicare and Medicaid Services (CMS)...

 

HTMLAdvocate Health Care Settles Potential HIPAA Penalties for $5.55 Million
Bose McKinney Evans LLP;
Legal Alert/Article
August 16, 2016, previously published on August 5, 2016
The following information was released by the HHS Office for Civil Rights in Action on August 4, 2016.

 

HTMLAre Consulting Physicians Required to Intervene?
Paula J. Lozano; Cole Scott Kissane P.A.;
Legal Alert/Article
August 16, 2016, previously published on July 14, 2016
In Florida medical malpractice lawsuits, plaintiffs’ attorneys often sue not only the providers involved in the direct care of the patient, but also providers who were remotely in contact with the patient’s care. Plaintiffs’ attorneys often take the position that if an insurance...

 

HTMLAnother Jury Acquits in One of the First Few Prosecutions of Health Care Executives Following DOJ’s Yates Memo
Laurence J. Freedman, Bethany Hills, Samantha P. Kingsbury; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
August 15, 2016, previously published on July 27, 2016
Last month, we reported on a Massachusetts federal court jury’s decision to acquit the former CEO of Warner Chilcott in one of the first prosecutions of a health care executive following the Department of Justice’s (“DOJ”) Yates Memo. Last week, another Massachusetts federal...

 

HTMLNew Materials Help Covered Entities Comply with Nondiscrimination Rules
Bridgette Keller; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
August 15, 2016, previously published on July 25, 2016
Last week, the Department of Health and Human Services (“HHS”) released new materials for covered entities to use to comply with Section 1557, the nondiscrimination provision of the Affordable Care Act. Section 1557 strengthens protections for populations that have been most vulnerable...

 


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