The CMS Interoperability and Prior Authorization Rules
Podcast — Drug Pricing: How Are Payers Responding to the IRA?
Findings from Gibbins’ Annual Healthcare Bankruptcy Report
A Fond Farewell: Musings on the End of the Medicare Advantage Hospice Carve-In Demonstration
Video: Braidwood v. Becerra – Challenging the Affordable Care Act’s Preventive Services Coverage Provision – Thought Leaders in Health Law
Hospice and Home Health Survey Perspectives: A Conversation with Kim Skehan, VP of Accreditation at CHAP
Transparency and the Open Payments Program
Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 173: Improving rural health care with Dr. Kevin Bennett, the Director of the Research Center for Transforming Health and the
Counsel That Cares - The Private Payer's Perspective on Value-Based Care
Podcast: Health Equity – Behind the Buzzwords – Diagnosing Health Care
A Very “Special” Episode: Amid Controversy, CMS Launches the Hospice Special Focus Program
Grace from CMS: Unexpected Good News on HIS and CAHPS Appeals
This Bandwagon Has a Broken Wheel: OIG Joins the Inconsistent Approach to Hospice GIP Claims
Behind the Curtain: Enhanced Provider Enrollment Oversight
Survey Woes: CMS Ramps Up Hospice Survey Program and Consequences
Inflation Reduction Act’s Drug Price Negotiation Provisions – What Now? – Diagnosing Health Care Podcast
A Glimpse Into the Other Side: Understanding the Perspective of Government Enforcers
I Understood There Would Be No Math: Audits, Extrapolations, and a New Set of Rules
Podcast: Inflation Reduction Act’s Drug Price Negotiation Provisions – What’s Next? - Diagnosing Health Care
Quick Takeaways From the 2024 Proposed Hospice Wage Index Rule
On August 17, 2020, the Centers for Medicare and Medicaid Services (CMS) announced in a memo to State Survey Agency Directors (QSO-20-35-ALL) the resumption of certain routine surveys and inspections of healthcare providers...more
On August 17, 2020, CMS encouraged State Survey Agencies to resume some of their normal enforcement activities. Maintaining a Medicare provider agreement is paramount for acute care hospitals, and that process includes...more
On Thursday, June 11, 2020, the U.S. House Select Subcommittee on the Coronavirus Crisis, chaired by Rep. James E. Clyburn, held a video briefing (the “SCC Briefing”) with experts and affected individuals to examine the...more
On June 9, 2020, CMS released recommendations for re-opening healthcare facilities to provide non-emergent, non-COVID-19 related health care. The guide is intended for use by states or regions in Phase II of re-opening under...more
In Washington: The Small Business Administration (SBA) said it resumed accepting applications yesterday from small businesses for a disaster-aid program, known as the Economic Injury Disaster Loan program....more
The Centers for Medicare & Medicaid Services (CMS) recently released Phase II recommendations to guide healthcare facilities as they reopen to provide non-emergent procedures unrelated to the 2019 novel coronavirus...more
On June 8, 2020, the Centers for Medicare & Medicaid Services (CMS) issued separate guidance for reopening facilities for non-emergency care and for patients considering non-emergency, in-person care. These guidance documents...more
Since the early stages of the Coronavirus (COVID-19) pandemic, long term care facilities (LTCFs) have been an epicenter of transmission. Medicare Requirements for Participation for LTCFs include an obligation to establish and...more
On May 18, 2020, CMS released guidelines for State and local officials for phased nursing home reopenings. The guidelines include recommendations for (1) the criteria for relaxing certain restrictions and mitigating the...more
With statistics indicating that deaths from COVID-19 among nursing home residents represent an alarming percentage of total COVID-19 deaths in a number of states, a cautious approach to reopening nursing homes is no doubt...more
In Washington: Sen. Debbie Stabenow (D-MI) and Senate Minority Leader Chuck Schumer (D-NY) will be launching a messaging campaign on “the cost of Republican inaction during the COVID-19 crisis.” Schumer said President...more
On April 19, 2020, the Centers for Medicare & Medicaid Services (CMS) published recommendations for re-opening facilities to provide non-emergent non-COVID-19 health care services.[1] The recommendations provide guidance for...more
The Centers for Medicare & Medicaid Services released guidance on April 19 updating its previous recommendation to delay all elective surgeries and procedures during the coronavirus (COVID-19) pandemic. ...more
The Centers for Medicare & Medicaid Services released a second, sweeping interim final rule in response to the coronavirus (COVID-19) pandemic on April 30, 2020. Building on the agency’s unprecedented March 31, 2020...more
Recently, the dialogue surrounding the coronavirus pandemic has shifted focus to the reopening of communities that have been shut down over the past few months. The discussion around this reopening has extended to health care...more
Senate Elevates Bipartisan Calls for Revisions to Paycheck Protection Program - This week Senate Republicans and Democrats have underscored the need for a number of changes to the Paycheck Protection Program (PPP)...more
As the public health emergency from the COVID-19 pandemic eases and some states begin to open the economy, physician practices and other health care services will begin to prepare to welcome their patients back to their...more
After nearly two months of rolling shutdowns in response to the COVID-19 pandemic, businesses across all industries are preparing to resume operations in ways that prioritize the health and safety of the public and their...more
On April 19, the Centers for Medicare & Medicaid Services (CMS) issued recommendations to health care facilities for the first phase of reopening facilities to provide non-emergent non-COVID-19 health care. ...more
Federal Reserve Board Announces Expanded Scope and Eligibility for the Main Street Lending Program - The Federal Reserve Board unveiled plans yesterday to expand the scope and eligibility for the Main Street Lending...more
On April 20, 2020, the Louisiana Department of Health issued an updated notice/order expanding the categories of medical and surgical procedures that may be performed, and issuing further guidance concerning certain other...more
Nearly one month after the Centers for Medicare and Medicaid Services (“CMS”) issued guidance recommending that health care providers delay elective surgeries and medical procedures, CMS, on April 19, 2020, issued the first...more
As the United States came to grips with the far-reaching impact of the Coronavirus (COVID-19) pandemic in March 2020, many state governments put in place executive orders or other public health decrees (collectively, orders)...more
On April 19, 2020, the Centers for Medicare and Medicaid Services (CMS) issued new updated recommendations for providers to restart the provision care to patients without symptoms of COVID-19 entitled Re-opening Facilities to...more
On April 19, 2020, CMS issued Phase I guidelines for re-opening facilities and providing non-emergent and non-COVID-19 health care. CMS notes that it previously issued guidance to restrict elective and non-essential services...more