On October 14, the Centers for Medicare and Medicaid Services (CMS) announced that it has expanded its list of telehealth services approved for Medicare beneficiaries during the COVID-19 Public Health Emergency (PHE). The eleven telehealth services CMS just added are
Triage Health Law
Triage Health Law, published by Squire Patton Boggs, focuses on legal issues at the intersection of healthcare and competition law. The blog covers topics such as hospital mergers and antitrust implications, regulatory frameworks like Certificates of Public Advantage, enforcement of interlocking directorates under the Clayton Act, and the impact of government actions on healthcare regulatory agencies like the FDA. It also addresses labor market concerns in healthcare, including scrutiny of non-compete agreements and workforce mobility. The blog provides analysis relevant to healthcare providers, insurers, policymakers, and legal counsel navigating complex regulatory and compliance challenges in the healthcare sector.
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DOJ Prioritizes Health Care Fraud in the Pandemic
The Department of Justice (“DOJ”) recently announced its largest ever health care fraud and opioid enforcement action. In a coordinated effort, DOJ charged 345 defendants with more than $6 billion in fraud losses for submitting false and fraudulent claims to…
CMS Delays Publication of Final Rule Implementing Stark Law Changes to 2021.
As we reported last October, CMS and the OIG issued proposed rules aimed at updating the Stark Law, Anti-Kickback Statute, and Civil Monetary Penalties Law as part of HHS’ Regulatory Sprint to Coordinated Care. In part, the proposed rules…
Orthopedic Clinic Settles with HHS OCR for $1.5 Million over Claims of Systemic HIPAA Noncompliance
The US Department of Health and Human Services’ Office for Civil Rights (“OCR”) recently announced a settlement with Georgia-based Athens Orthopedic Clinic PA (the “Clinic”) to resolve multiple alleged violations of the Privacy and Security Rules under the Health Insurance…
Department of Labor Issues Updated Families First Coronavirus Response Act Regulations, But Does Little To Resolve Employer Uncertainty (US)
The Families First Coronavirus Response Act (FFCRA) was enacted on March 18, 2020. The sweeping federal legislation provides emergency paid sick leave (EPSL) and expanded paid Family and Medical Leave (EFML) to certain covered workers impacted by the COVID-19 pandemic.…
UK End of Transition – Moves to Provide Clarity for Industry
The work of UK health and regulatory authorities has mainly been targeted on COVID-19 work over recent months but there has been an increasing focus on End of Transition work in recent week’s and given that the Brexit transition period…
HHS Eases Federal Substance Use Disorder Confidentiality Rules
Last month the Substance Abuse and Mental Health Services Administration (“SAMHSA”) finalized amendments to the federal Confidentiality of Substance Use Disorder Patient Records regulation, 42 C.F.R. Part 2 (“Part 2”). The changes purport to better facilitate substance use disorder (“SUD”)…
Kamala Harris – Where the Vice Presidential Nominee Stands on Key Healthcare Issues
On Tuesday, August 11, 2020, presumptive Democratic presidential nominee Joe Biden announced Sen. Kamala Harris (D-CA) as his vice presidential running mate. Since joining Congress in 2017, Sen. Harris has largely served as a bridge between progressive and moderate Democratic positions…
Public Records Show Agencies Are Vigorously Enforcing New COVID-19 Requirements Against Healthcare Providers
Since the COVID-19 outbreak began, healthcare providers have faced a slew of new regulatory requirements. As many healthcare providers know, enforcement agencies have taken starkly different approaches in terms of how often, and how vigorously, they enforce these requirements. Recent…
Supreme Court Ruling Limits Insurer and Employer Contraceptive Obligations
Earlier this month the Supreme Court of the United States upheld a regulation adopted under the Trump administration significantly cutting back the requirement that insurers and group health plans provide coverage for contraceptives without cost sharing under the Affordable Care…