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OCR Imposes $115,200 CMP Against HIPAA-Covered Entity

On August 1, 2024, the U.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced a civil monetary penalty of $115,200 against American Medical Response (“AMR”) based on a complaint that...more

Pennsylvania Expands Use and Reimbursement of Telemedicine and Bans Noncompete Agreements for Certain Health Care Practitioners

In July 2024, Pennsylvania enacted two significant pieces of legislation relating to telemedicine and physician noncompetition agreements that will have a meaningful impact within the healthcare delivery system with the...more

HIPAA Security Rule Settlement Results in $950,000 Payment by a Mid-Atlantic Health System

On July 1, 2024, the U.S. Department of Health and Human Services (“HHS”) Office For Civil Rights (“OCR”) announced a $950,000 settlement with Heritage Valley Health System (“Heritage Valley”) and a three-year Corrective...more

HHS OCR Issues Post-Dobbs Final Rule to Address Reproductive Health Care Privacy Protections

On April 22, 2024, the U.S. Department of Health & Human Services (“HHS”) Office for Civil Rights (“OCR”) announced a final rule to support reproductive health care privacy (the “Reproductive Rule”). According to the HHS OCR...more

FTC Bans Non-Competes; Potential Impact on Hospitals, Health Care Practices and Physicians

On April 23, 2024, the Federal Trade Commission (FTC) approved a final rule (the “Rule”) broadly banning all employee non-compete clauses, with limited exceptions. The Saul Ewing Labor and Employment Group prepared an alert...more

HHS OCR Issues Its Most Recent HIPAA Annual Report and a Second Ransomware Settlement

On February 14, 2024, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) issued two reports to Congress as required by the Health Information Technology for Economic and Clinical Health...more

News Article Results in $80,000 HIPAA Settlement by New York State Hospital

On November 20, 2023, the U.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced an $80,000 HIPAA settlement with Saint Joseph’s Medical Center (“SJMC”) in New York State. The...more

HHS OIG Posts Comprehensive Health Care Compliance Program Guidance

In early November, the U.S. Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) released its General Compliance Program Guidance (the Guidance). This was HHS OIG’s first update since 2008....more

Trick or Treat: HHS OIG Approves Employed Physician Bonus Proposal That Includes ASC Referrals

In October 2023, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) published Advisory Opinion 23-07 and approved a plan by a multi-specialty physician practice to pay its employed...more

National Payor Agrees to Pay $80,000 to Settle HIPAA Right of Access Investigation

In late August, the HHS Office for Civil Rights ("OCR") announced an $80,000 settlement with United Healthcare Insurance Company ("United") relating to OCR's right of access initiative (the "Initiative") which requires that...more

Health Care Coding and Billing Entity Pays $75,000 Settlement to Resolve HIPAA Data Breach

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a settlement on June 28, 2023 of potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy...more

No Snooping Nor Snitching Are the Key Takeaways From the Two Most Recent HIPAA Settlements With Covered Entities

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently announced two settlements with HIPAA-covered entities – one in Washington State and one in New Jersey with settlements of $240,000...more

Justice Department Withdraws Three Longstanding Health Care Antitrust Guidance Documents

In February, 2023, the Antitrust Division of the Department of Justice (“DOJ”) announced they are withdrawing three (3) antitrust policy statements – two of which date from the 1990s – which have been relied upon by...more

2023 Health Care Predictions

See below the Saul Ewing LLP Health Law Practice Group 2023 predictions from various members of our practice group! Our colleagues help interested parties in the health care delivery system with transactional, regulatory,...more

Keep Your PHI Out of the Trash! OCR Announces Large Settlement With a Medical Practice After PHI Found in a Dumpster

On August 23, 2022, the Office for Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS) announced a $300,640 settlement and a Corrective Action Plan (“CAP”) with New England Dermatology P.C., d/b/a...more

11 Additional Providers Resolve HHS OCR Investigations Related to the HIPAA Right of Access Initiative

On July 15, 2022, the Office for Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS) announced the resolution of eleven investigations as part of its Health Insurance Portability and...more

New HHS Guidance Prepares HIPAA-Covered Entities for End of Pandemic Flexibility

On June 13, 2022, the U.S. Department of Health and Human Services Office for Civil Rights issued guidance (the “Guidance”) for covered health care providers and health plans relating to the use of remote communication...more

HHS Announces Four HIPAA Compliance Enforcement Actions With Health Care Providers

On March 28, 2022, the United States Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced the resolution of three investigations and one matter before an Administrative Law Judge related...more

U.S. Department of Justice Announces $5.6 Billion in False Claims Act Recoveries During FY 2021

On February 1, 2022, the U.S. Department of Justice (DOJ) released its enforcement statistics for fiscal year 2021. The DOJ obtained over $5.6 billion in False Claims Act (FCA) recoveries in the fiscal year ending September...more

2022 Health Care Predictions

​COVID-19 – and its variants Delta and Omicron – continue to wreak havoc around the world. Thousands of individuals have died and continue to die, and millions more have been diagnosed as having COVID-19. Many sectors of the...more

OCR Announces Five Enforcement Actions With Five Different Providers Pursuant to the HIPAA Right of Access Initiative

On November 30, 2021, the United States Department of Health and Human Services (HHS), Office for Civil Rights (OCR) announced its five actions – four settlements and corrective action plans, and one civil money penalty in...more

The Federal Government Recouped $1.8 Billion from Health Care Fraud During Fiscal Year 2020

The 24th Annual Report from the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) reports that the Federal Government won or negotiated more than $1.8 billion in health care fraud...more

CMS Releases Interim Final Rule to End Surprise Medical Bills

On July 1, 2021, the U.S. Department of Health and Human Services (HHS), along with several other federal agencies, issued an interim final rule to implement the first of several requirements in the No Surprises Act, which...more

OCR Settles Nineteenth Investigation in HIPAA Right Of Access Initiative

On June 2, 2021, the Office for Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS), announced that the Diabetes, Endocrinology & Lipidology Center, Inc., (DELC) agreed to pay $5,000, enter into a...more

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