Carol Colborn Loepere

Carol Colborn Loepere

Reed Smith

Contact  |  View Bio  |  RSS

Latest Publications

Share:

CMS Proposes Sweeping 'Episode Payment Models' for Cardiac Care, Hip/Femur Fracture Cases, Plus Changes to 'Comprehensive Care for...

Proposed Rule to Impact Hundreds of Hospitals and Post-Acute Providers - Building on the current mandatory Comprehensive Care for Joint Replacement (CJR) bundled payment initiative, the Centers for Medicare & Medicaid...more

8/12/2016 - Alternative Payment Models (APM) Bundled Payments CCJR CMS Comment Period Episode Payment Models (EPM) Fee-for-Service Health Care Providers Hospitals Performance Period Proposed Regulation Reconciliation Suppliers

CMS Unveils New Mandatory Medicare Bundled Payment Models for Cardiac & Hip Fracture Cases, Plus Proposed Refinements to CJR...

On July 25, 2016, CMS announced ambitious, multi-pronged plans to expand mandatory Medicare coordinated care/bundled payment programs, promote the use of cardiac rehabilitation services, refine current Comprehensive Care for...more

7/27/2016 - ACOs Alternative Payment Models (APM) Bundled Payments CCJR CMS Comment Period Health Care Providers Hospitals Medicare Medicare Access and CHIP Reauthorization (MACRA) Proposed Regulation Suppliers Value-Based Payments

Major Changes To Nondiscrimination Requirements Under ACA Effective Soon: Are Covered Entities Ready?

The HHS Office of Civil Rights (“OCR”) published a final rule May 18, 2016, broadening the nondiscrimination requirements applicable to all health programs and activities receiving federal financial assistance from HHS, those...more

7/1/2016 - Affordable Care Act Covered Entities Final Rules Gender Identity Health Care Providers Health Insurance HHS Limited English Proficiency (LEP) New Guidance Non-Discrimination Rules OCR Posting Requirements Sex Discrimination Transgender

Obama Administration Releases FY 2017 Budget Proposal with Extensive Medicare & Medicaid Funding and Program Integrity Provisions

On February 9, 2016, the Obama Administration released its proposed fiscal year (FY) 2017 budget, which contains significant Medicare and Medicaid reimbursement and program integrity legislative proposals – including $419...more

2/16/2016 - CMS Federal Budget Fraud Abuse and Waste Health Care Providers Hospitals Medicaid Medical Devices Medicare Medicare Advantage Obama Administration Prescription Drugs State Medicaid Programs Value-Based Purchasing

Medicare Launches Its First Mandatory Bundled Payment Model for Joint Replacement Care – What You Need to Know to Get Ready

On November 24, 2015, the Centers for Medicare & Medicaid Services (CMS) published a significant final rule that will require hospitals in selected geographic areas to participate in a new Medicare Comprehensive Care for...more

12/18/2015 - BPCI Bundled Payments CCJR CMS Hospitals Medicare

CMS Finalizes “Comprehensive Care for Joint Replacement” Model

On November 16, 2015, CMS released its final rule to establish a Medicare Comprehensive Care for Joint Replacement (CJR) model that will test whether bundled payments to acute care hospitals for lower extremity joint...more

11/17/2015 - Bundled Payments CCJR CMS Final Rules Hospitals Medicare

Life lines: Life sciences M&A and the rise of personalised medicine

The second report in our Deal Dimensions series, written in collaboration with Mergermarket and launched today, reveals that 94 per cent of life sciences companies are planning an acquisition in the next year, with more than...more

11/11/2015 - Biotechnology De-Risking Life Sciences Personalized Medicine Pharmaceutical Industry Private Equity Research and Development Surveys

Identification of Overpayments: A Win for DOJ Cautions 'Prosecutorial Discretion' in Enforcement of an 'Unforgiving Rule'

On August 3, 2015, the Southern District of New York issued the first judicial opinion interpreting the Affordable Care Act’s “60-Day Overpayment Rule” in a False Claims Act (“FCA”) case. In a clear win for the Department of...more

8/19/2015 - 60-Day Rule Affordable Care Act CMS DOJ False Claims Act (FCA) Hospitals Overpayment

OIG Partners with Industry Associations by Issuing Practical Guidance for Health Care Governing Boards on Compliance Oversight

On April 20, 2015, the Office of the Inspector General of the Department of Health and Human Services (“OIG”) released educational guidance designed to assist governing boards of health care organizations (“Boards”) in their...more

4/23/2015 - Chief Compliance Officers Corporate Governance Health Care Providers Hospitals New Guidance OIG

Analysis of HHS OIG Proposed Rule to Amend the Anti-Kickback Safe Harbors, CMP Rules on Beneficiary Inducements & Gainsharing...

On October 3, 2014, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) published a major proposed rule that would amend the safe harbors to the Anti-Kickback Statute (AKS) and the Civil...more

10/22/2014 - Affordable Care Act Ambulance Providers Anti-Kickback Statute CMP Law Gainsharing Hospitals OIG Pharmacies Physicians Proposed Regulation Public Comment Rulemaking Process Safe Harbors

HHS OIG Proposes Rule to Expand Exclusion Authorities

On May 9, 2014, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) published a proposed rule that would significantly expand the exclusion regulations applicable to persons or entities...more

5/19/2014 - Administrative Authority Affordable Care Act Exclusions Healthcare HHS Hospitals OIG Proposed Regulation Provider Payments Statute of Limitations

12 Results
|
View per page
Page: of 1

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.
×