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16 Jul 2015, 10:52 am
On July 15, 2015, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare physician fee schedule (MPFS) for CY 2016 – the first rulemaking since the Medicare Access and CHIP Reauthorization Act of 2015” (MACRA) repealed the sustainable growth rate (SGR) formula. [read post]
8 Aug 2018, 2:40 pm
The Departments of Treasury, Labor, and Health and Human Services have issued a final rule that expands the availability of short-term, limited duration insurance policies that are exempt from Affordable Care Act (ACA) qualified health plan standards (e.g., the requirement to provide essential health benefits, prohibition on preexisting condition exclusions, lifetime and annual dollar limits, guaranteed availability and guaranteed renewability). [read post]
10 Oct 2017, 12:29 pm
The Health Resources and Services Administration (HRSA) has adopted its proposal to delay the effective date of its final rule revising the calculation of the 340B “ceiling price” that may be charged to covered entities and related civil money penalties. [read post]
8 Jul 2015, 1:57 pm
On July 8, 2015, the Centers for Medicare & Medicaid Services (CMS) published its proposed rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2016. [read post]
30 Jan 2017, 1:33 pm
The Health Resources and Services Administration (HRSA) has published a final rule to implement civil money penalty (CMP) provisions added to section 340B of the Public Health Service Act under the Affordable Care Act. [read post]
29 Aug 2017, 10:41 am
The Trump Administration is proposing to once again push back the effective date of a January 2017 final rule making changes to the calculation of the 340B “ceiling price” that may be charged to covered entities and related civil money penalties. [read post]
22 Jan 2024, 4:33 pm
The Department of Health and Human Services Office of the National Coordinator for Health Information Technology (ONC) has published its first final rule on Health Data, Technology and Interoperability. [read post]
5 Oct 2015, 1:03 pm
The Office of the National Coordinator for Health Information Technology (ONC) has released its final Federal Health IT Strategic Plan for 2015-2020. [read post]
5 Dec 2018, 11:54 am
The Health Resources and Services Administration (HRSA) has announced that it will implement its January 5, 2017 340B drug pricing program rule on January 1, 2019. [read post]
31 Oct 2018, 12:05 pm
After multiple implementation delays, the Health Resources and Services Administration (HRSA) now seeks to move up the effective date of its January 5, 2017 rule on 340B drug pricing program ceiling price calculation and civil monetary penalties (CMPs). [read post]
23 Jan 2018, 4:36 am
The Substance Abuse and Mental Health Services Administration (SAMHSA) has issued a final rule addressing the disclosure of substance use disorder patient records that is intended to facilitate health care activities while protecting patient privacy. [read post]
13 Dec 2018, 10:10 am
The Office for Civil Rights (OCR) is requesting public input on reforms to Health Insurance Portability and Accountability Act (HIPAA) privacy and security rules to promote care coordination and the health system’s transformation to value-based health care while protecting the privacy and security of individuals’ protected health information (PHI). [read post]
3 Oct 2016, 9:29 am
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Physician-Focused Payment Model Technical Advisory Committee (PTAC) to provide recommendations on arrangements that meet the criteria for a physician-focused payment model (PFPM) under the reformed system for updating the Medicare physician fee schedule. [read post]
28 Oct 2019, 1:09 pm
As previously reported, the Department of Health and Human Services has published highly anticipated proposed changes to align the regulations under the Physician Self-Referral Law, the federal Anti-Kickback Statute, and the Civil Monetary Penalties Law with value-based health care arrangements. [read post]
16 Jul 2015, 7:00 am
CMS has announced that it is extending its Medicare Prior Authorization for Power Mobility Devices (PMDs) demonstration for three years, through August 31, 2018. [read post]
13 Oct 2020, 9:59 am
On October 5, 2020, the White House issued President Trump’s Executive Order on Saving Lives Through Increased Support for Mental- and Behavioral-Health Needs (the “Executive Order”), which seeks to provide federal support to address mental and behavioral health concerns arising from the COVID-19 pandemic. [read post]
28 Dec 2013, 6:22 am
Therefore, if we look only to the ACA itself, and the HHS regulations under it, large employers would, in fact, save money by dropping their health-insurance plans. [read post]
8 Dec 2023, 10:02 am
Under the terms of the resolution agreement, however, HHS can still pursue civil monetary penalties against LaFourche for the violations if OCR finds LaFourche failed to comply with any of the requirements of its corrective action plan or otherwise violates HIPAA. [read post]
29 Jun 2022, 11:21 am
Attorneys’ Offices in New Hampshire, Maine, and Vermont, and special agents with HHS-OIG, DEA, and the FBI. [read post]
12 Mar 2018, 5:37 pm
His NIW application contained 34 exhibits (Exhibit A to HH). [read post]
