Health Care Law Blog

JANUARY 11, 2021

According to HHS, the Final Rule was intended to provide greater flexibility for healthcare providers to participate in value-based arrangements, ease unnecessary compliance burdens, and maintain safeguards to protect patients and Federal healthcare programs from fraud and abuse.

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Federal Healthcare Regulations Healthcare Providers Healthcare 52

NASHP

AUGUST 30, 2023

section 1395x(kkk)(2) and any amendments thereto, or regulations or guidance issued under federal law, and amendments thereto; and Meets other requirements of the hospital licensing authority deemed necessary of the health and safety of individuals provided rural emergency hospital services.

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Hospitals Regulations Federal Healthcare Nursing 97

HIT Consultant

NOVEMBER 16, 2023

What You Should Know: – eHealth Exchange , a health information network (HIE), has announced a new incentive program aimed at encouraging healthcare providers and payers to adopt Networked FHIR. The program is open to all non-federal healthcare providers and payers in the United States.

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Federal Healthcare Healthcare Providers Healthcare 52

HIT Consultant

MARCH 8, 2022

The end of the PHE is one of those rare events where everyone—ranging from hospitals, insurers, and the Centers for Medicaid and Medicare to federal and state marketplaces, human services agencies, and advocacy groups—is in this together, with one common mission: All Americans must have affordable health insurance, so society, as a whole, prospers.

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Medicaid Primary Care Care Transition Federal Healthcare 98

p3care

NOVEMBER 14, 2022

The illegal billing issues and frauds in Medicare, Medicaid, and other Federal Healthcare programs are carter by OIG. According to the Office of General Inspector (OIG), getting familiar with the rules and regulations is another way to avoid the trap. You get aware of the illegal billing practices by getting engaged with OIG rules.

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Regulations Prevention Medicare Medicaid 100

HIT Consultant

DECEMBER 1, 2022

The complexities of federal healthcare compliance will only continue to grow as more vaccines, medications, and regulations are introduced to the market. However, with the integrated adoption of IoT SaaS, healthcare providers can simplify the compliance process with automated reporting and alerts.

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Healthcare Patient Safety Hospitals Nursing 98

Home Health Care

NOVEMBER 21, 2024

Brent’s experience working with state and federal healthcare policy makers and managed care organizations will be invaluable as we continue to grow and execute our strategic plans. Brent brings a wealth of health care knowledge from over 20 years of leadership at Centene Corporation.

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Medicaid Medicare Home Care Performance improvement 45

HIT Consultant

JANUARY 9, 2025

Atropos Evidence Network: Access to the industry’s largest federated healthcare data network, with over 300 million patient records. Green Button: A tool that simplifies the process of asking clinical questions and generating RWE. Forge: A low-code research platform for rapid cohort creation and advanced patient studies.

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Federal Healthcare Health Data Healthcare 52

Etactics

FEBRUARY 2, 2024

The List of Excluded Individuals/Entities is the database that contains the organizations and individuals banned from participating in federal healthcare programs. For one, you are likely to find your claims coming back as rejected by the federal healthcare program. In fact, there is an entire list dedicated to the issue.

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Federal Healthcare Medicaid Medicare Healthcare 52

HIT Consultant

SEPTEMBER 14, 2022

Federal agencies: catalysts of change. Federal healthcare providers, such as the Veterans Health Administration (VHA), Defense Health Agency, and Indian Health Service are uniquely positioned to lead this transformation. These agencies serve a large portion of the U.S. Private sector innovation.

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Telemedicine Doctors Federal Healthcare Integration 52

Sheppard Health Law

JANUARY 17, 2024

Among other things, the Requestor: (i) did not itself provide any services that were eligible for reimbursement under any Federal healthcare program to any of its clients, (ii) did not have an ownership or investment interest in any entity that provided items or services paid for by any Federal healthcare program, and (iii) received compensation from (..)

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Medicare Federal Healthcare Healthcare 52

Cloud Blogs

APRIL 5, 2023

Cloud scale analytics driving operational excellence within federal healthcare — Tuesday April 18, 1:00 PM to 2:15 PM CT. Join us for a panel discussion on utilizing cloud-based analytics to improve the efficiency and effectiveness of Federal Healthcare agencies. Register here today.

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Healthcare Federal Healthcare Patient Experience Nursing 52

Cloud Blogs

APRIL 5, 2023

Cloud scale analytics driving operational excellence within federal healthcare Tuesday April 18, 1:00 PM to 2:15 PM CT. Join us for a panel discussion on utilizing cloud-based analytics to improve the efficiency and effectiveness of Federal Healthcare agencies. Register here today.

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Healthcare Federal Healthcare Patient Experience Nursing 52

Patient Safety Movement

JULY 28, 2023

4C: Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars for Safer Healthcare. 4A: Develop a National Patient Safety Research Agenda. 4B: Harness Revolutionary Advances in Information Technologies. View the Report in PDF

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Patient Safety Accountability Federal Healthcare Prevention 52

Patient Safety Movement

JULY 28, 2023

4C: Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars for Safer Healthcare. 4A: Develop a National Patient Safety Research Agenda. 4B: Harness Revolutionary Advances in Information Technologies.

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Patient Safety Accountability Federal Healthcare Prevention 52

ACHE

MARCH 4, 2021

In this session hosted by the International Hospital Federation, healthcare leaders from across the world will share their experiences and insights of leading through the COVID-19 crisis. Congress on Healthcare Leadership is the premier educational and networking event for healthcare executives.

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Hospitals Patient Safety Federal Healthcare Healthcare 68

Sheppard Health Law

OCTOBER 10, 2023

The federal government has recently started paying a small amount for certain federal healthcare program members who receive care coordination from providers. However, this initiative does not require coordination with the larger healthcare environment, and therefore remains siloed for now.

Federal Healthcare 52

Federal Healthcare Healthcare Integration 52

NASHP

AUGUST 30, 2023

section 1395x(kkk)(2) and any amendments thereto, or regulations or guidance issued under federal law, and amendments thereto; and Meets other requirements of the hospital licensing authority deemed necessary of the health and safety of individuals provided rural emergency hospital services.

Hospitals 52

Hospitals Regulations Federal Healthcare Nursing 52

Etactics

JANUARY 24, 2023

You see, a judge sentenced Fernandez to three years in prison for her role in the conspiracy to commit healthcare fraud. She was also indicted for making a false statement in a situation involving a federal healthcare benefit program. What happened that led to a woman spending three years in prison?

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Healthcare Physical Therapy Doctors Medicare 52

Sheppard Health Law

JANUARY 20, 2023

In Lieu of Services and Settings Background Though federal healthcare programs generally excluded non-clinical services from reimbursement, the evolution of value-based care prompted managed care plans to provide alternative benefits to enrollees under flexibilities in their risk-based contracts.

Medicaid 52

Medicaid Regulations Federal Healthcare Hospitals 52

Sheppard Health Law

AUGUST 24, 2021

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, 2021 (CAA) received a welcome reprieve via guidance published August 20.

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Regulations Hospitals Healthcare Federal Healthcare 98

Sheppard Health Law

AUGUST 24, 2021

Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act, 2021 (CAA) received a welcome reprieve via guidance published August 20.

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Regulations Hospitals Healthcare Federal Healthcare 98

Etactics

SEPTEMBER 22, 2022

But things become tricky when involving Federal healthcare programs. million to resolve its civil healthcare fraud case. It’s true that in some industries, rewarding new sources is good. The idea may even be essential to the business model itself. Kickbacks Example 1 January of 2021 , athenahealth Inc. paid over $18.2

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Healthcare Physical Therapy Medicare Accountability 59

Sheppard Health Law

FEBRUARY 16, 2022

In our November 9, 2021, blog post on the No Surprises Act (“NSA”), we discussed new consumer protections against surprise out-of-network bills. In addition to protecting insured consumers from balance billing, the NSA protects uninsured (or self-pay) individuals from many unexpectedly high medical bills.

Physical Therapy 52

Physical Therapy Hospitals Federal Healthcare Regulations 52

Sheppard Health Law

DECEMBER 10, 2021

Physicians and other providers can take a deep breath as Congress has acted to prevent the trio of Medicare payment cuts that were set to take effect at the beginning of 2022—a 3.75% cut due to scheduled changes in the Medicare Physician Fee Schedule (“PFS”), a 2% cut for Medicare sequestration, and a 4% Statutory Pay-As-You-Go (“PAYGO”) Act cut would (..)

Medicare 52

Medicare Prevention Doctors Hospitals 52

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Sheppard Health Law

JULY 27, 2021

On July 13, 2021, the Centers for Medicare & Medicaid Services (“ CMS ”) unveiled a proposal to temporarily extend Medicare coverage for particular telehealth services granted during the COVID-19 public health emergency (the “ Pandemic ”), in order to evaluate which services should be covered permanently.

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Medicare Medicaid Hospitals Federal Healthcare 52

Patient Safety Movement

SEPTEMBER 7, 2023

C Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars for Safer Healthcare. Recommendation 4: Accelerate Research and Deployment of Practices, Technologies, and Exemplar Systems of Safe Care. A Develop a National Patient Safety Research Agenda.

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Patient Safety Prevention Federal Healthcare Hospitals 133

Sheppard Health Law

JANUARY 26, 2023

HHS proposes to expand the category of “federal healthcare provider conscience protection statutes” covered by the Proposed Rule and maintains the Office for Civil Rights (“OCR”) as the centralized HHS office for receiving and investigating complaints under these provisions. The proposed regulation 45 C.F.R.

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Healthcare Federal Healthcare Medicaid Regulations 105

Sheppard Health Law

JANUARY 6, 2023

trillion in funding across a range of domestic initiatives, including certain appropriations to healthcare and related programs. Introduction. On December 29, 2022 , President Biden signed the Consolidated Appropriations Act, 2023 (the “Act”). The Act provides for nearly $1.7

Healthcare 52

Healthcare Medicaid Medicare Hospitals 52

Sheppard Health Law

JANUARY 27, 2022

On January 25, the U.S.

Regulations 52

Regulations Federal Healthcare Healthcare 52

Patient Safety Movement

SEPTEMBER 30, 2023

C Develop Federal Healthcare Delivery Systems’ Capacities and Showcase Results as Exemplars of Safer Healthcare. Recommendation 4: Accelerate Research and Deployment of Practices, Technologies, and Exemplar Systems of Safe Care. A Develop a National Patient Safety Research Agenda.

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Patient Safety Prevention Hospitals Healthcare 52

Bill Of Health

NOVEMBER 30, 2022

This post is an adaptation of an article published in the Harvard Social Impact Review. By Allison M. On June 24, 2022, the U.S. Supreme Court issued its decision in Dobbs v. Jackson Women’s Health Organization , overruling almost fifty years of precedent established by Roe v. Wade and reaffirmed by Planned Parenthood v.

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Pharmaceuticals Healthcare Regulations Telemedicine 72

Sheppard Health Law

JULY 1, 2022

On June 24, 2022, the United States Supreme Court issued its opinion on Dobbs v. Jackson Women’s Health Organization , No. 19-1392 (2022), holding that the United States Constitution provides no basis for a right to abortion.

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Regulations Telemedicine Healthcare Providers Health Data 52

Health Care Dive

FEBRUARY 26, 2025

Although the budget resolution does not mention Medicaid specifically, lawmakers would be hard pressed to find enough cuts to meet an $880 billion target without touching federal healthcare programs.

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Medicaid Federal Healthcare Healthcare 363

HIT Consultant

DECEMBER 12, 2024

What You Should Know: – Atropos Health , a leader in translating clinical data into high-quality, personalized, real-world evidence (RWE) for care, today announced the availability of AI model training on the Atropos Evidence Network, the largest federated healthcare data network with more than 300 million patient records.

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Federal Healthcare Life Sciences Healthcare Pharmaceuticals 59

Patient Safety Movement

AUGUST 29, 2023

2C: Advance interoperability of healthcare data and assure free access to the tracking of harms and use of evidence-based solutions. 2D: Improve safety of all healthcare workers and their patients through supporting a culture of patient and clinician safety in healthcare systems.

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