News & Analysis as of September 21, 2024

Medicaid › EMTALA

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Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +

Hospice Insights Podcast: What’s the Latest on UPICs? Highlights from Recent Audit Activity, Part I
340B Drug Pricing Program Compliance
Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 187: South Carolina Hospitals and Healthcare Industry Trends with Thornton Kirby, SCHA President
Video: Braidwood v. Becerra – Challenging the Affordable Care Act’s Preventive Services Coverage Provision – Thought Leaders in Health Law
The Chartwell Chronicles: Medicare & Medicaid
Podcast: The End of the Public Health Emergency – What's to Come? – Diagnosing Health Care
The End of COVID Waivers and Exceptions: What Now?
Kim Brandt on the Latest Washington Healthcare News
#WorkforceWednesday: SCOTUS in Review, Biden Acts to Limit Non-Competes, NY HERO Act Model Safety Plans - Employment Law This Week®
How Should We Celebrate Elder Law Month?
Hospice Audit Series: Spring Audit Bloom—Medicaid UPICs and MAC ADRs
Medicaid Minute: Three Steps To Hire Relatives and Not Hurt Your Medicaid Eligibility
Podcast: Congressional Health Care Legislative Agenda - Diagnosing Health Care
Medicaid Minute: Did Medicaid Send You a Notice Saying Your Care Cost May Be Increasing?
SCOTUS Watch: The ACA and Key Health Law Areas Justice Barrett Could Impact - Diagnosing Health Care Podcast
No Delay for Hospices: October 1st Brings New Election and Addendum Requirements
Employment Law Now IV-62-Weekend Roundtable Discussion on Various Impacts of the Federal CARES/Coronavirus Programs
Drug Pricing Initiatives During the Trump Presidency
Value-based health care: the role of payors
K&L Gates Triage: 340B Eligibility - Hospital Covered Entities

FMV for Provider Contracts: Regulatory Standards

Holland & Hart LLP on 8/22/2024

As a general rule, healthcare employers are required to pay employed physicians and other contracted providers fair market value (FMV) for their services, but many employers do not understand relevant regulatory standards. ...more

What to expect now that we’re expecting: What the end of the public health emergency means for healthcare providers

Bricker Graydon LLP on 2/21/2023

On January 30, 2023, President Biden announced that both the COVID-19 national emergency and the public health emergency (PHE) will end May 11, 2023. This announcement has left many healthcare providers considering how the...more

Compliance Considerations for Preparing to Unwind Reliance on Public Health Emergency Waivers

King & Spalding on 2/21/2022

When COVID-19 was declared a Public Health Emergency (PHE), the Secretary of HHS was authorized to waive or modify certain Medicare, Medicaid, Children’s Health Insurance Program, HIPAA, and EMTALA requirements. Many...more

[Webinar] 2021 DWT Healthcare Regulatory and Compliance Seminar - A Virtual Series - March 18th, 10:00 am - 12:00 pm PT

Davis Wright Tremaine LLP on 2/18/2021

Please join us for our annual healthcare compliance seminar to discuss current developments in healthcare regulation and hospital compliance... Registrants will have the option of selecting the sessions they would like to...more

[Webinar] 2021 DWT Healthcare Regulatory and Compliance Seminar - A Virtual Series - March 16th, 10:00 am - 12:00 pm PT

Davis Wright Tremaine LLP on 2/16/2021

[Webinar] 2021 DWT Healthcare Regulatory and Compliance Seminar - A Virtual Series - March 11th, 10:00 am - 12:00 pm PT

Davis Wright Tremaine LLP on 2/11/2021

[Webinar] 2021 DWT Healthcare Regulatory and Compliance Seminar - A Virtual Series - March 9th, 10:00 am - 12:00 pm PT

Davis Wright Tremaine LLP on 2/9/2021

CMS Rapidly Approves Section 1135 Waivers in Response to the COVID-19 Pandemic - Update

Bass, Berry & Sims PLC on 4/27/2020

This content was last updated as of Thursday, April 24 at 12:00 p.m. CST- The Centers for Medicare & Medicaid Services (CMS) continues its issuance of Section 1135 waivers, waiving or modifying certain Medicare, Medicaid,...more

CMS Rapidly Approves Section 1135 Waivers in Response to the COVID-19 Pandemic

Bass, Berry & Sims PLC on 4/10/2020

The Centers for Medicare & Medicaid Services (CMS) continues its issuance of Section 1135 waivers, waiving or modifying certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements to ensure that...more

[Webinar] 1135 Waivers in Action: Flexibilities, Limits and Next Steps for States and - April 21st, 1:00 pm - 2:00 pm ET

Manatt, Phelps & Phillips, LLP on 4/9/2020

On March 30, the Centers for Medicare & Medicaid Services (CMS) swept aside dozens of federal healthcare requirements using its emergency waiver authority under Section 1135 of the Social Security Act. The waivers—addressing...more

COVID-19 Spurs Government Action Through Multiple Temporary Regulatory Waivers for Health Care Providers

Arnall Golden Gregory LLP on 4/7/2020

On March 30, 2020 the Centers for Medicare and Medicaid Services (“CMS”) issued multiple temporary regulatory waivers and new rules in an effort to provide the American healthcare system with maximum flexibility as it reacts...more

CMS Issues Additional Blanket Waivers to Help Medicare Providers and Suppliers Meet Beneficiaries’ Health Care Needs During...

Epstein Becker & Green on 4/2/2020

On March 13, 2020, when President Trump declared a national emergency under the Stafford Act, the Secretary of Health and Human Services utilized his authority to take particular actions, such as temporarily waiving or...more

CMS Expands Blanket Waivers to Help Hospitals and Other Providers

Holland & Hart - Health Law Blog on 4/1/2020

On March 30, 2020, CMS issued numerous additional blanket waivers to give providers greater flexibility in responding to COVID-19. (See https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf)....more

Section 1135 Waivers are Available for Healthcare Provider Operations

Dentons on 3/26/2020

When the White House declared a national emergency in mid-March, it allowed the authorization of waivers of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements, often referred to as Section...more

HHS Issues National Emergency Health Care Waivers

Rivkin Radler LLP on 3/26/2020

Responding to the Coronavirus public health emergency, the Secretary of Health and Human Services (HHS) has waived certain requirements of the Medicare, Medicaid and Children’s Health Insurance Program (CHIP), including...more

N.C. Medicaid Looking to Cut Red Tape in Fight Against COVID-19

Parker Poe Adams & Bernstein LLP on 3/25/2020

The federal government granted North Carolina permission on March 23 for health care providers across the state to temporarily avoid compliance with certain federal Medicaid requirements. The idea is to reduce bureaucracy...more

1135 Waivers: HHS Authority to Alleviate Healthcare Regulatory Requirements During the COVID-19 National Emergency

Bass, Berry & Sims PLC on 3/23/2020

As the number of confirmed cases of the novel coronavirus disease (COVID-19) continues to tick upward in the United States, administrative agencies are taking steps on a national scale to ensure that adequate healthcare items...more

Coronavirus Update: CMS Guidance Issued this Month

King & Spalding on 3/20/2020

As the number of coronavirus cases across the country continue to rise, CMS has issued several coronavirus-specific memorandums to healthcare providers and laboratories. In the past two weeks, CMS has issued disease-specific...more

The President’s Emergency Declaration, Waivers, and the Current State of Regulations Applied to Healthcare Providers

Morgan Lewis - Health Law Scan on 3/20/2020

In the face of the coronavirus (COVID-19) pandemic, the US president’s National Emergency Declaration, issued on March 13, set in motion several actions required of other agencies to provide the regulatory relief needed to...more

EMTALA as a Basis for a Qui Tam Case?

Holland & Knight LLP on 8/7/2018

The Emergency Medical Treatment & Labor Act (EMTALA) requires a hospital with an emergency department (ED) to provide "an appropriate medical screening examination" when an individual comes to the ED and a request is made on...more

Health Care Institutions

K&L Gates LLP on 12/30/2016

Originally published in Haig, Business and Commercial Litigation in Federal Courts, Fourth Edition §§ 87:1 et seq. © 2016 American Bar Association. This chapter discusses federal court litigation relating to health care...more

Cinderella May Not Turn Into a Pumpkin After All: The Proposed Relaxation of the Two-Midnight Rule

K&L Gates LLP on 8/12/2015

On July 8, 2015, the Centers for Medicare and Medicaid Services (“CMS”) released a Proposed Rule regarding the 2016 Hospital Outpatient Prospective Payment System (“OPPS”). The Proposed Rule, in addition to proposing updates...more

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Medicaid › EMTALA

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