10.10.19Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued proposed rules related to the Stark Law, creating new value-based exceptions to better fit the industry’s shift towards paying providers for value instead of volume. At the same time,
Continue Reading HHS proposes Stark Law, Anti-Kickback Statute reforms to support value-based and coordinated care
10.10.19In September 2019, U.S. District Judge Rosemary Collyer overturned a Centers for Medicare and Medicaid Services (CMS) rule, implemented by the Trump administration, which reduced the reimbursements for off-site hospital visits. This rule was adopted as part of the calendar
Continue Reading CMS loses on off-campus reimbursement reductions
10.09.19In September 2019, the Department of Health and Human Services Office of the Inspector General (OIG) posted a favorable advisory opinion, 19-05, permitting a community health center to purchase real estate from an excluded individual. The OIG decided not
Continue Reading OIG provides guidance on purchasing land from excluded individuals
10.09.19In September 2019, the Department of Health and Human Services Office of the Inspector General (OIG) posted a favorable advisory opinion, 19-05, permitting a community health center to purchase real estate from an excluded individual. The OIG decided not
Continue Reading OIG provides guidance on purchasing land from excluded individuals
10.01.19To broaden provider access to patients’ substance use records, the Department of Health and Human Services (HHS) recently proposed reforms to the 42 CFR Part 2 regulations.
Currently, 42 CFR Part 2 restricts access to patient records from substance use
Continue Reading HHS proposes reforms to 42 CFR Part 2 to improve substance use disorder treatment
10.01.19In newly issued Advisory Opinion No. 19-04, the U.S. Department of Health and Human Services Office of Inspector General (OIG) addressed whether a technology company’s online healthcare directory for searching and booking medical appointments would violate the federal Civil
Continue Reading OIG sets parameters for online healthcare directory
09.30.19The Securities and Exchange Commission announced last week that it voted to adopt a new rule that extends the “test-the-waters” accommodation (which was previously available only to Emerging Growth Companies) to all issuers.
Under the new rule, Rule 163B under
Continue Reading All companies can now test where the water is warm
09.27.19A lawsuit arising from False Claims Act (FCA) allegations was resolved last week when compounding pharmacy Diabetic Care Rx LLC, or Patient Care America (PCA), two of its executives and private equity firm Riordan, Lewis & Haden Inc. (RLH) entered
Continue Reading What PE firms, healthcare investors need to know about False Claims Act liability
09.26.19The Secure and Fair Enforcement Banking Act, or the SAFE Banking Act, passed the House of Representatives by a vote of 321 to 103.
The Act was originally proposed to protect banks that work with companies in the marijuana industry.
Continue Reading SAFE Banking Act passes the House of Representatives
09.20.19The Centers for Medicare and Medicaid Services (CMS) recently issued a final rule with comment period expanding CMS’s authority to revoke or deny providers’ and suppliers’ Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollment based upon their affiliation with
Continue Reading CMS expands disclosure requirements and increases enforcement powers in affiliation rule
