Medicare Advantage (MA) plans now cover about half of Medicare beneficiaries, and with that enrollment growth has come increased scrutiny from federal and state regulators. As federal regulators complete a busy season of...more
3/28/2023
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Continuing Legal Education ,
Enforcement ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Medical Necessity ,
Medicare ,
Medicare Advantage ,
Medicare Advantage Organizations (MAOs) ,
Medicare Beneficiaries ,
New Rules ,
Risk Adjustment Formula ,
Webinars
Learn How Seismic Changes in the Collection, Exchange and Use of Health Data Are Impacting Privacy—and Outpacing Policy—at a New Manatt Webinar...
Over the past decade, the ways we gather, share and use health data have been...more
8/4/2021
/ Consumer Information ,
Consumer Privacy Rights ,
Custodians ,
Data Collection ,
Data Privacy ,
Data Protection ,
Data Use Policies ,
Data-Sharing ,
Electronic Medical Records ,
Electronic Protected Health Information (ePHI) ,
Health Care Providers ,
Hospitals ,
Patient Privacy Rights ,
PHI ,
Webinars
Editor’s Note: In a new report for the California Health Care Foundation, summarized below, Manatt Health discusses the impact of key legal changes that supported the delivery of community behavioral health services in...more
A New Manatt Webinar Guides You Through New Reforms Promoting Value-Based Care and Easing Regulatory Compliance—the Most Significant Changes to the Federal Fraud and Abuse Landscape in the Last Decade.
On November 20,...more
12/22/2020
/ Anti-Kickback Statute ,
Continuing Legal Education ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Digital Health ,
Electronic Medical Records ,
Final Rules ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Healthcare Reform ,
Medicaid ,
Medicare ,
OIG ,
Physicians ,
Self-Referral ,
Stark Law ,
Value-Based Care ,
Webinars
On November 20, 2020, the Department of Health and Human Services (HHS) published two rules that finalize sweeping reforms to the regulations governing fraud and abuse in the Medicare and Medicaid programs. The first rule,...more
Discover the Trends in Healthcare Transactions, the Drivers Behind the Changes and What Lies Ahead as Stakeholders Deal With the Pressures of the Pandemic...
After years of growth, healthcare deal activity slowed in the...more
12/1/2020
/ Acquisitions ,
Antitrust Provisions ,
Continuing Legal Education ,
Coronavirus/COVID-19 ,
Health Care Providers ,
Health Plan Sponsors ,
Healthcare Facilities ,
Hospitals ,
Industry Consolidation ,
Medicaid ,
Medicare ,
Mergers ,
Physicians ,
Restructuring ,
Webinars
As this decade begins, Americans are increasingly apprehensive about the privacy of their personal information. A recent survey found that approximately four out of five Americans are concerned about how their data is used,...more
7/9/2020
/ Consumer Privacy Rights ,
Coronavirus/COVID-19 ,
Cybersecurity ,
Data Collection ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
HITECH Act ,
Infectious Diseases ,
Internet of Things ,
Personal Information ,
Shared Responsibility Rule
As this decade begins, Americans are increasingly apprehensive about the privacy of their personal information. Nowhere is this issue more important than in regard to health data, a type of information that can contain...more
7/1/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
Consumer Privacy Rights ,
Coronavirus/COVID-19 ,
Cybersecurity ,
Data Privacy ,
Data Protection ,
Data Security ,
Digital Health ,
Electronic Protected Health Information (ePHI) ,
FTC Act ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Patient Privacy Rights
What larger healthcare goals are fueling the proposed revisions to AKS and Stark? What safe harbors and exceptions are introduced in the proposed rules? And what would the potentially transformational changes mean for...more
2/5/2020
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Continuing Legal Education ,
Cybersecurity ,
Data Protection ,
Data-Sharing ,
Department of Health and Human Services (HHS) ,
EHR ,
Electronic Medical Records ,
Exceptions ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Fraud ,
Healthcare Reform ,
Hospitals ,
New Rules ,
OIG ,
Patients ,
Physicians ,
Proposed Rules ,
Regulatory Burden ,
Safe Harbors ,
Stark Law ,
Value-Based Care ,
Webinars
Editor’s Note: Earlier this year, the federal Office of the National Coordinator for Health Information Technology (ONC) and the Department of Health and Human Services (HHS) issued proposed rules implementing the information...more
In October 2019, the Department of Health & Human Services (HHS) released two rules that propose sweeping reforms to the regulations governing fraud and abuse in federal healthcare programs, including Medicare and Medicaid....more
Editor’s Note: Earlier this year, the federal Office of the National Coordinator for Health Information Technology (ONC) and the Department of Health and Human Services (HHS) issued proposed rules implementing the information...more
Earlier this year, the federal Office of the National Coordinator for Health Information Technology (ONC) and the Department of Health and Human Services (HHS) issued proposed rules implementing the information blocking...more
Editor’s Note: The number of healthcare transactions reached a record-smashing 1,738 in 2018. According to a new Capital One poll, mergers and acquisitions are the preferred growth vehicle for 44% of healthcare executives in...more
Editor’s Note: Recognizing the growing complexities of sharing data inside—and outside—the healthcare system, Manatt Health and the eHealth Initiative Foundation (eHI) hosted two executive advisory board meetings on privacy...more
Editor’s Note: The number of healthcare transactions reached a record-smashing 1,738 in 2018. According to a new Capital One poll, mergers and acquisitions are the preferred growth vehicle for 44% of healthcare executives in...more
In 2016, 11.5 million Americans were misusing prescription opioids, with the abuse reaching epidemic levels in 2017. The opioid crisis has accelerated the need for healthcare stakeholders to play a more active role in...more
Editor’s Note: Cybercrime Magazine predicts that global ransomware attacks will reach $11.5 billion in 2019 and that ransomware attacks will hit a business every 14 seconds by next year, with a new report revealing that 45%...more
As the old model of patient care silos—where behavioral health providers treat patients separately from the rest of the healthcare system—breaks down, participants from across healthcare are attempting to access...more
In its April 25, 2016 Medicaid managed care final rule, the Centers for Medicare and Medicaid Services (CMS) provides a revised framework for determining how managed care plans should be paid by state Medicaid programs. A...more