Tom Crane

Tom Crane

Mintz Levin

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Promise to Repeal the ACA Poses Threat to MACRA Implementation

Most of the post-election discussion of the ACA has focused on how promises to repeal the law could impact the newly insured. But one priority area of the ACA that has received very little discussion is the federal...more

11/21/2016 - ACOs Affordable Care Act Alternative Payment Models (APM) CMMI CMS Healthcare Healthcare Reform Medicare Medicare Access and CHIP Reauthorization (MACRA) MIPS Trump Administration

CMS Releases MACRA Final Rule, Easing 2017 Reporting Requirements

On October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) released the final rule for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The final rule marks the most significant reform to our...more

10/18/2016 - ACOs Alternative Payment Models (APM) CMS EHR Incentives Medicaid Medicare Medicare Access and CHIP Reauthorization (MACRA) MIPS Physicians Reporting Requirements

Alternative Payment Models (APMs) Under MACRA Proposed Rule

Continuing our blog series on CMS’s massive proposed rule for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), we dedicate this post to examining the Advance Payment Model (APM)...more

5/6/2016 - Alternative Payment Models (APM) CHIP CMS Medicare Access and CHIP Reauthorization (MACRA) MIPS Physicians

CMS Proposes “Advancing Care Information” Program to Replace Meaningful Use

The Medicare Access and CHIP Reauthorization Act (MACRA) proposes a new approach, with new branding labels, to paying clinicians for the value and the quality of care that they provide by replacing a patchwork of existing...more

5/5/2016 - CHIP CMS EHR HHS Meaningful Use Medicare Medicare Access and CHIP Reauthorization (MACRA) MIPS Physicians Proposed Regulation Provider Payments

CMS Releases Proposed Rule for MACRA Implementation – Overview and Merit-Based Incentive Payment Systems (MIPS)

On April 27, 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that would put in place key parts of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA impacts a number of...more

5/3/2016 - CMS Medicare Medicare Access and CHIP Reauthorization (MACRA) MIPS Physician Medicare Reimbursements Physicians

Justices Grapple with Limits of False Claims Act Liability in Implied Certification Cases

Last week the Supreme Court heard oral argument in a False Claims Act (“FCA”) case in which the Court is considering the validity of the so-called implied false certification theory. This theory attaches FCA liability when a...more

4/27/2016 - False Claims Act (FCA) False Implied Certification Theory Federal Contractors Implied Certification Medicaid SCOTUS Universal Health Services Inc v United States ex rel Escobar

CMS Eases Regulatory Burdens and Creates New Exceptions in "Phase V" of the Stark Regulations

On November 16, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published the most significant changes to the physician self-referral law (“Stark Law” or “Stark”) regulations since 2008. Because this rulemaking...more

11/18/2015 - CMS Comment Period Exceptions MPFS Physician Compensation Arrangements Stark Law

MACRA’s Advancement of EHR Interoperability and Telehealth

This is the fourth and final post in our series on the Medicare Access and CHIP Reauthorization Act (MACRA). Pub.L. No. 114-10. We’ve previously covered the repeal of the Sustainable Growth Rate (SGR) in our April 20th post,...more

4/27/2015 - Affordable Care Act CMS EHR Electronic Health Record Incentives Electronic Medical Records GAO Health Care Providers Healthcare HHS HITECH Meaningful Use Medicaid Medicare Medicare Access and CHIP Reauthorization (MACRA) Medicare Part B PQRS Telehealth Telemedicine

MACRA: Program Integrity and Fraud and Abuse Provisions

On Thursday April 16th, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”). Pub.L. 114-10. In two previous posts, we discussed MACRA’s repeal of the Sustainable Growth Rate...more

4/24/2015 - CHIP Health Care Providers Hospitals Medicare Medicare Access and CHIP Reauthorization (MACRA) New Legislation Physician Medicare Reimbursements Physician SGR Formula Physicians

Developments in Judicial Deference of Administrative Agency Actions

In my post of April 2, Divided Supreme Court Restricts Provider Challenges to State Medicaid Rates, I wrote about the March 31st Supreme Court decision that providers may not sue in federal court over the adequacy of state...more

4/23/2015 - Administrative Procedure Act Armstrong v Exceptional Child Center Chevron Deference King v Burwell Paralyzed Veterans Doctrine Perez v Mortage Bankers Assoc SCOTUS

Beyond SGR – MACRA Provides Additional Payment Provisions and Offsets

This is the second post in our continuing series on the Medicare Access and CHIP Reauthorization Act (MACRA). Pub.L. No: 114-10. In addition to repealing the Sustainable Growth Rate (SGR), which was covered in our April 20th...more

4/22/2015 - CMS Health Care Providers Healthcare Hospitals Medicare Medicare Access and CHIP Reauthorization (MACRA) Physician SGR Formula Physicians Repeal

With SGR Repealed, Replacement Policy Creates New Priorities

On April 16, 2015, President Obama signed into law, the “Medicare Access and CHIP Reauthorization Act of 2015” (MACRA), ending annual temporary patches and massive lobbying efforts since the late 1990s to prevent significant...more

4/21/2015 - CHIP CMS Health Care Providers Healthcare Medicare Access and CHIP Reauthorization (MACRA) Physician SGR Formula Physicians Repeal

Divided Supreme Court Restricts Provider Challenges to State Medicaid Rates

A divided Supreme Court ruled by a 5-4 margin on March 31st that providers may not sue in federal court over the adequacy of state Medicaid rates. The decision in Armstrong v. Exceptional Child Ctr., Inc. has important...more

4/4/2015 - Armstrong v Exceptional Child Center Health Care Providers Medicaid Physician Medicare Reimbursements Reimbursements SCOTUS Standing

7th Circuit Court of Appeals Creates Expansive Definition of “Referral” Under the Anti-Kickback Statute

On February 10, 2015, in United States v. Patel (Case No. 14-2607), the Seventh Circuit Court of Appeals ruled that a physician makes a “referral” within the meaning of the federal health care programs Anti-Kickback Statute...more

2/12/2015 - Anti-Kickback Statute Appeals Home Health Care Medicare Patient Referrals Physicians

GPO Fees Under Scrutiny by the GAO

Last week, the Government Accountability Office (GAO) released a report examining group purchasing organization (GPO) practices. The GAO questioned whether the current structure of GPO funding through administrative fees is...more

12/5/2014 - Anti-Kickback Statute GAO GPOs HHS Hospitals Processing Fees Reporting Requirements Revenue Safe Harbors

Proposed Rule Issued by OIG Realigns Its Enforcement Views with Health Care Reform Goals

Fridays never seem to be slow in the health care regulatory world. On Friday, October 3rd, the HHS Office of the Inspector General (OIG) issued a highly anticipated proposed rule (the Proposed Rule) that provides amendments...more

10/10/2014 - Ambulance Providers Anti-Kickback Statute Cost-Sharing Medicare Part D OIG Proposed Regulation Safe Harbors

A Brave New World of Transparency Reporting: CMS Launches Open Payments Website

September 30th marked the launch of transparency reports under the Sunshine Act through a new Open Payments website hosted by the Centers for Medicare & Medicaid Services (CMS)....more

10/1/2014 - Affordable Care Act CMS Open Payments Reporting Requirements Sunshine Act Transparency

Another Court Weighs in on Rule 9(b)’s Requirements Under the False Claims Act

A federal district court recently dismissed a qui tam relator’s complaint in a declined case against the Hospital for Special Surgery (“Hospital”), its former CEO, and an outside billing company alleging that they violated...more

8/28/2014 - Anti-Kickback Statute False Claims Act (FCA) Hospitals Qui Tam Rule 9(b) Stark Law

CMS Releases Physician Medicare Billing Data

The U.S. Department of Health and Human Services (HHS) announced on April 9th a “historic” release of Medicare payment data to provide consumers with “unprecedented transparency on the medical services physicians provide and...more

4/11/2014 - Billing CMS Healthcare HHS Medical Devices Medicare Pharmaceutical Industry Sunshine Act

CMS Issues New Policy on Disclosure of Physician Payment Information

On January 17, 2014, the Centers for Medicare & Medicaid Services (CMS) announced that it will release Medicare expenditure data on specific physicians under the Freedom of Information Act (FOIA). This new “transparency”...more

1/27/2014 - Affordable Care Act CMS False Claims Act (FCA) FOIA HHS Medicare Physician Medicare Reimbursements Privacy Concerns Sunshine Act Transparency

CMS Declares Third Party Payment of QHP Premiums Not OK

On the heels of HHS’s recent announcement that qualified health plans (QHPs) purchased through the Affordable Care Act (ACA) insurance exchanges are not “federal health care programs” for purposes of the federal anti-kickback...more

11/6/2013 - Affordable Care Act Anti-Kickback Statute CMS HHS Premiums Qualified Health Plans Third-Party

Ready or Not – Sunshine Act Data Collection Starts Today

Today pharmaceutical and medical device manufacturers and group purchasing organizations (“GPOs”) start to collect data on their financial arrangements with physicians and teaching hospitals to comply with the Physician...more

8/1/2013 - CMS Data Collection Disclosure Requirements GPOs Manufacturers Medical Devices Pharmaceutical Industry Sunshine Act

Court Sides With CMS Stark Regulations on Physician-Owned Under Arrangement Service Providers

On May 24, the U.S. District Court for the District of Columbia in Council for Urological Interests v. Sebelius1 (‘‘CUI’’) sided with the Centers for Medicare & Medicaid Services in a lawsuit brought by a group of urologists...more

7/25/2013 - CMS Healthcare Hospitals Medical Reimbursement Medicare Physician-Owned Distributors Stark Law

Federal District Court Upholds Stark Regulation Ban on Physician-Owned Under Arrangement Service Providers

On May 24 the District Court for the District of Columbia rejected an appeal brought by a group of urologists (“CUI”) seeking to overturn regulations promulgated in 2008 by the Centers for Medicare & Medicaid Services (“CMS”)...more

6/19/2013 - CMS Hospitals Medicare Physician Ownership Physicians Stark Law

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