In October 2022, the Centers for Medicare and Medicaid Services (“CMS”) requested information from the public regarding its proposal to establish a National Directory of Healthcare Providers and Services (“NDH”). This proposal was a response to recent CMS data showing
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.
Latest from Triage Health Law - Page 9
Individuals that Lose Medicaid Coverage May Enroll in Medicare Part B Nationally and Medicare Supplement Coverage in Some States including Soon in Ohio
Pursuant to federal regulations that took effect on January 1, 2023, individuals who lose Medicaid coverage will be granted a special enrollment right to enroll in Medicare Part B coverage.[1] This special enrollment right was created in part because…
Highest French Administrative Court Lifts the Ban on CBD Flowers and Leaves
On December 29, 2022 the French Conseil d’Etat (the highest French administrative court) rendered a decision that was eagerly awaited by all those involved in the CBD industry which lifted the ban on the sale of CBD flowers and leaves…
IDR Payment Disputes are Far Outpacing Projections, Creating Backlogs
By Max Czernin & Shing Tse
The No Surprises Act (the “NSA”), which was enacted as part of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260) provides protections to privately insured patients against “surprise billing” with respect to emergency services, non-emergency services provided by out-of-network providers…
OCR Joins Chorus of Regulators Warning About Health Data Tracking Technology
Key Takeaway: Organizations must conduct a fact-based analysis to determine whether health data collection and tracking technology deployed on their websites and mobile apps complies with the federal Health Insurance Portability and Accountability Act (“HIPAA”) and other applicable laws and…
Ninth Circuit Affirms Dismissal of Non-Contracted Provider’s Lawsuit Against Managed Care Organization for Failure to Exhaust Administrative Review Process
In a recent decision, the United States Court of Appeals for the Ninth Circuit affirmed dismissal of a medical provider’s complaint against a Medicare Advantage Organization (“MAO”) because the provider failed to exhaust all administrative remedies under the Medicare Act.…
Dobbs Puts New Emphasis on Proactive Provider Transparency in Care Offerings
Months following the Supreme Court’s ruling in Dobbs v. Jackson Women’s Health Organization, the reproductive health climate remains clouded with terms lawyers—not to mention patients—never like to hear: “wait and see,” “to be decided,” “gray area,” “it depends.” Perhaps nowhere is…
California’s Senate Bill 1019 Seeks to Expand Access to Mental Health Benefits for Medicaid Enrollees
In an effort to expand access to mental health services, on September 30, 2022, California’s Governor approved Senate Bill 1019, which modifies the California Welfare & Institutions Code as it relates to Medi-Cal managed care plans (“MMCP”). No later than…
Court Rejects Vertical Merger Challenge Brought by DOJ
On Monday, September 19, 2022, D.C. District Court Judge Carl J. Nichols rejected the Department of Justice’s (“DOJ”) request to block UnitedHealth’s $13.8 billion acquisition of Change Healthcare. UnitedHealth is the largest health insurer in the United States, while Change…
Healthcare Entities Must Still Comply with 2023 Privacy Laws
By John Wyand
As we head into the fourth quarter, US businesses need to assess their progress in preparing for sweeping changes to the California Consumer Privacy Act (“CCPA”) that become effective January 1, 2023, and with compliance with four new state consumer…