Robert Belfort

Robert Belfort

Manatt, Phelps & Phillips, LLP

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Legal Issues Associated with Multi-Provider Alternative Payment Model

Since the passage of the Affordable Care Act (ACA), both federal and state policies have promoted the adoption of alternative payment models (APMs), providing financial incentives for groups of providers to improve care...more

5/23/2016 - ACOs Alternative Payment Models (APM) Anti-Kickback Statute Antitrust Violations CHIP DOJ Fraud and Abuse FTC HHS Hospital Mergers Hospitals Medicare Medicare Access and CHIP Reauthorization (MACRA) Physicians Sherman Act Stark Law

Health Update - December 2015

Lessons from Hawaii's Trailblazing ACA 1332 Waiver Proposal - Editor's Note: On September 9, Hawaii became the first state to post a draft 1332 waiver proposal for public comment. While Hawaii's proposal focuses on the...more

12/22/2015 - Affordable Care Act CMS Contraceptive Coverage Mandate HHS Hospital Mergers IRS Long-Term Care Medicare Medicare Part B OIG Prescription Drugs Public Health Insurance Marketplace Religious Freedom SCOTUS Section 340B Split of Authority Stark Law Waivers

Compliance Corner: Long-Term Care and the OIG Work Plan: As HHS Sharpens its Focus, Providers Should Set Their Sights on...

In the fall of 2014, the Department of Health and Human Services Office of Inspector General released its 2015 Work Plan, which highlighted HHS’s compliance focus areas in the upcoming year. As in past years, areas of...more

2/10/2015 - Compliance HHS Long Term Care Facilities Long-Term Care Medicaid Medicare OIG

Health Update - Feb 25, 2014

Integrating Physical and Behavioral Health: Strategies for Overcoming Legal Barriers to Health Information Exchange - A growing number of Medicaid officials believe that coordinating care across the physical and...more

2/26/2014 - Affordable Care Act CLIA Data-Sharing Eligibility Final Rules FTC Healthcare HHS HIPAA Hospital Mergers Medicaid Medical Records

CMS Creates Clarity and Confusion on Application of Fraud and Abuse Laws to Qualified Health Plans

On October 30, 2013, U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius sent a letter to U.S. Representative Jim McDermott stating that HHS does not consider qualified health plans (QHPs) sold...more

11/13/2013 - Affordable Care Act Anti-Kickback Statute CMS Fraud and Abuse HHS Qualified Health Plans

HIPAA Omnibus Rule Reshapes Landscape for Health Care Privacy, Security Compliance

Originally published in Health IT Law & Industry Report, on January 23, 2013. On Jan. 17, 2013, the Office for Civil Rights of the U.S. Department of Health and Human Services (‘‘HHS’’) issued a long-awaited omnibus rule...more

1/25/2013 - Business Associates Data Protection Electronic Medical Records HHS HIPAA HIPAA Omnibus Rule HITECH Medical Records Patient Privacy Rights PHI

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