M. Daria Niewenhous

M. Daria Niewenhous

Mintz Levin

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New Rules for ACOs in the MSSP

CMS issued a final rule, published in the Federal Register on Friday, June 10, 2016, updating how the performance of ACOs participating in the Medicare Shared Savings Program (MSSP) is measured and compensated. This rule is...more

6/16/2016 - ACOs Benchmarking CMS Final Rules Medicare Medicare Shared Savings Program

Massachusetts Establishes Road-Map for New ACO Program

Massachusetts Secretary of Health and Human Services, Marylou Sudders, held a public meeting earlier this week to receive feedback on the proposal of the Executive Office of Health and Human Services (EOHHS) to overhaul the...more

4/22/2016 - ACOs HHS State Medicaid Programs

Massachusetts Health Care Reform – Full Speed Ahead; Health Policy Commission 2015 Cost Trends Report

The Massachusetts Health Policy Commission (HPC) has issued its 2015 Cost Trends Report, based on the HPC’s annual health care cost growth hearings. The report contained 13 key recommendations across a wide range of health...more

1/29/2016 - Alternative Payment Models (APM) Health Care Providers Healthcare Costs Healthcare Reform Prescription Drugs

Gun Control: HIPAA Final Rule Targets Background Checks and Mental Health Reporting

President Obama has announced plans to tighten gun control regulations, including applying the background check requirement to dealers at gun shows and on websites. Federal law already requires that those “engaged in the...more

1/9/2016 - Background Checks Barack Obama Gun Laws HIPAA Mental Health

CMS Releases Final Rule for the Medicare Shared Savings Program

On June 4, 2015, the Center for Medicare & Medicaid Services ("CMS") released the highly anticipated Final Rule ("Final Rule") updating the Medicare Shared Savings Program ("Shared Savings Program"). One of the few provisions...more

6/10/2015 - ACOs Beneficiary Designations CMS Medicare Medicare Part A Medicare Part B Medicare Shared Savings Program

Physician Compensation Arrangements – OIG Fraud Alert Warns of Potential Anti-kickback Statute Violations

In a fraud alert released today, the OIG warns that physician compensation arrangements, such as medical directorship compensation, may potentially violate the anti-kickback statue. The fraud alert reiterates the “one...more

6/10/2015 - Anti-Kickback Statute Compensation & Benefits Health Care Providers OIG Physicians

Massachusetts Announces Significant Changes to the Medical Marijuana Dispensary Program  

At today’s Massachusetts Public Health Council meeting, Department of Public Health Commissioner Monica Bharel, MD, MPH, announced sweeping changes to the Medical Marijuana Dispensary Program in Massachusetts. The changes...more

4/9/2015 - Dispensaries Marijuana Medical Marijuana Public Health

OIG Defends Its Hospital Compliance Reviews in Response to AHA Criticism

The Office of the Inspector General for the Department of Health and Human Services(“OIG”) responded to concerns expressed by the American Hospital Association (“AHA”) regarding the OIG’s hospital compliance reviews,...more

1/27/2015 - American Hospital Association Audits Compliance Federal Funding HHS Hospitals Medicare Medicare Part A OIG Statute of Limitations

CMS’s Proposed Changes to the MSSP Aim to Grow Two-Sided Risk Models and Modify Processes for Evaluating and Facilitating Care...

The Centers for Medicare & Medicaid Services (CMS) has published long-awaited changes to the Medicare Shared Savings Program (MSSP). The official version of the proposed rule (the Proposed Rule), released December 8th, 2014,...more

12/10/2014 - ACOs Affordable Care Act CMS Healthcare Medicare Shared Savings Program Proposed Regulation

Final Medical Marijuana Regulations Approved in Massachusetts

The Massachusetts Department of Public Health Public Health Council approved, by unanimous vote, final regulations for the implementation of the medical marijuana ballot initiative law that will allow qualifying patients with...more

5/10/2013 - Final Rules Medical Marijuana

Negligent Credentialing Claim Recognizable Under Massachusetts Law

A recent Massachusetts Superior Court decision recognizes a claim against a hospital for “negligent credentialing.” The court in Rabelo v. Nasif, et al found that, through the credentialing process, a hospital must “exercise...more

4/8/2013 - Credentialing Hospitals Negligent Credentialing Special Relationship

Medical Marijuana – Massachusetts Department of Public Health Posts Proposed Regulations

Today, the Massachusetts Department of Public Health issued proposed regulations regarding the medical use of marijuana. The proposed regulations, formally called Proposed Regulations at 105 CMR 725.000: Implementation of An...more

4/1/2013 - Medical Marijuana Proposed Regulation

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