Medicaid, HHS | JD Supra Law News

Exclusions: OIG Offers Relationship Counseling to Providers

by Summer Swallow | BakerHostetler on 5/22/2013

On May 8, 2013, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued an updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs...more

Health Care Reform Update -- May 13, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/15/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Health Reform + Related Health Policy News - May 2013

by Jane Arnold, Colleen M. Faddick, Sara Iams, Matthew Murer, Alan K. Parver, Tennille Syrstad | Polsinelli on 5/13/2013

In This Issue: - Top News ..HHS Releases Hospital Pricing Data in Transparency Effort; Results Show Significant Variation ..States Divided on Medicaid Expansion ..CMS Issues FY 2014 Proposed Rules for...more

Health Care Reform Update -- May 6, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/8/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups Scheduled....more

Health Care Reform Update -- April 29, 2013

by Mintz Levin - Health Law on 5/1/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Health Care Reform Implementation Update - April 26, 2013

by Mark Alderman | Cozen O'Connor on 4/26/2013

Marilyn Tavenner received bipartisan support from members of the Senate Committee on Finance in her confirmation hearing to lead the Centers for Medicare and Medicaid Services (CMS) though a full Senate vote is being held up,...more

HHS Extends Sunset Date for Stark Exception and Anti-Kickback Safe Harbor for EHR Donations

by Daniel F. Gottlieb | McDermott Will & Emery on 4/19/2013

The Centers for Medicare & Medicaid Services and the U.S. Department of Health and Human Services issued proposed rules that would extend the sunset date for the Stark Law exception and the federal Anti-Kickback Statute safe...more

Health Care Reform Update -- April 15, 2013

by Joseph P. Hammang, Alexander Hecht, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 4/16/2013

In This Issue: Leading the News; Implementation of the Affordable Care Act (ACA); Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and...more

Health Care Reform Update -- April 2, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 4/3/2013

In This Issue: Implementation of the Affordable Care Act (ACA); Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

6th Circuit Rules in Favor of HHS on Dual-Eligible Exhausted Benefit Days Issue

by King & Spalding on 4/2/2013

On March 27, 2013, the 6th Circuit, sitting en banc, issued its decision in Metropolitan Hospital v. U.S. Department of Health and Human Services, Case Nos. 11-2465\2466. At issue in the case was whether the HHS Secretary’s...more

Final Regulations Governing Closure of Long Term Care Facilities

by Howard Sollins | Ober|Kaler on 3/29/2013

The federal Centers for Medicare and Medicaid Services (CMS) published a final regulation to further implement section 6113 of the federal health reform law, the Patient Protection and Affordable Care Act. The March 19, 2013,...more

Health Care Reform Update -- March 25, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/26/2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Health Care Reform Update -- March 19, 2013

by Mintz Levin - Health Law on 3/20/2013

In This Issue: Leading the News – Budgets and the Continuing Resolution (CR); Implementation of the Affordable Care Act; Other Congressional and State Initiatives; Other HHS and Federal Regulatory Initiatives; Other...more

Health Care Reform Update -- March 11, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/12/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

State Medicaid Enforcement Efforts Net $2.9 Billion in Recoveries for FY 2012

by Mintz Levin - Health Law on 3/7/2013

New state health care fraud recovery statistics reinforce that both the federal and state governments remain committed to health care fraud enforcement and demonstrate that their efforts are paying dividends. Earlier this...more

Health Care Reform Update -- March 4, 2013

by Gary Bacher, Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/5/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Health Care Reform Implementation Update - February 27, 2013

by Mark Alderman | Cozen O'Connor on 2/27/2013

As Washington and the rest of the country brace for cuts from the sequester to kick in on March 1, Florida Gov. Rick Scott surprised many and confirmed others' predictions by announcing his state will expand its Medical...more

Health Care Reform Update -- February 25, 2013

by Gary Bacher, Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 2/26/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups Scheduled. Excerpt...more

Health Care Reform Implementation Update - February 19, 2013

by Mark Alderman | Cozen O'Connor on 2/19/2013

Last week another marketplace deadline came and went, Illinois became the 21st state approved to operate a health insurance marketplace, and U.S. senators pressed the HHS official responsible for the bulk of exchange...more

Report Highlights Record-Breaking Year of Enforcement for HHS and DOJ

by Rachel Irving, Kate Stewart | Mintz Levin - Health Law on 2/13/2013

Yesterday, the Department of Health and Human Services (“HHS”) and the Department of Justice (“DOJ”) released their Annual Report for the Health Care Fraud and Abuse Control Program (the “Program”). The report highlights the...more

Health Care Reform Implementation Update - February 13, 2013

by Mark Alderman | Cozen O'Connor on 2/13/2013

In the past week, the Congressional Budget Office (CBO) released an updated federal budget to account for new regulations from the Department of Health and Human Services (HHS) and the Internal Revenue Service (IRS),...more

Health Reform + Related Health Policy News Update - February 6, 2013

by Colleen M. Faddick, Bruce A. Johnson, Matthew Murer, Alan K. Parver | Polsinelli on 2/7/2013

In This Issue: - Top News ..CMS Announces Round 2 Competitive Bidding Single Payment Amounts ..CBO Lowers SGR Repeal Cost by $100 Billion ..Republicans Press HRSA on 340B Audits ..HHS Proposes...more

Major New Jersey Health System Pays $12.6 Million To Settle False Claims Act Suit Alleging Physician Kickback Scheme

by Henry E. Hockeimer, Jr., Evan Krick, Dee Spagnuolo | Ballard Spahr LLP on 1/31/2013

Federal prosecutors recently announced a $12.6 million False Claims Act (FCA) settlement with a major New Jersey health system to resolve allegations that the system paid outside physicians in order to increase referrals....more

OIG Advisory Opinion Sheds Light On Pay-For-Performance Relationships Between Hospitals And Physicians

by Darby C. Allen, Donna S. Clark | BakerHostetler on 1/20/2013

On January 7, 2013, the HHS OIG released Advisory Opinion 12-22 concerning a rural hospital's (Hospital) proposal to pay a cardiology group (Group) a performance bonus for achieving certain patient service, quality and cost...more

OIG: Cardiac Catheterization Arrangement Between Hospital and Physicians Not Subject to Sanctions

by King & Spalding on 1/18/2013

On January 7, 2013, HHS OIG published a favorable advisory opinion on a management arrangement between a hospital and a cardiology group related to the provision of certain cardiac catheterization services at the hospital. ...more

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Medicaid › Dept. of Health and Human Services

Exclusions: OIG Offers Relationship Counseling to Providers

Health Care Reform Update -- May 13, 2013

Health Reform + Related Health Policy News - May 2013

Health Care Reform Update -- May 6, 2013

Health Care Reform Update -- April 29, 2013

Health Care Reform Implementation Update - April 26, 2013

HHS Extends Sunset Date for Stark Exception and Anti-Kickback Safe Harbor for EHR Donations

Health Care Reform Update -- April 15, 2013

Health Care Reform Update -- April 2, 2013

6th Circuit Rules in Favor of HHS on Dual-Eligible Exhausted Benefit Days Issue

Final Regulations Governing Closure of Long Term Care Facilities

Health Care Reform Update -- March 25, 2013

Health Care Reform Update -- March 19, 2013

Health Care Reform Update -- March 11, 2013

State Medicaid Enforcement Efforts Net $2.9 Billion in Recoveries for FY 2012

Health Care Reform Update -- March 4, 2013

Health Care Reform Implementation Update - February 27, 2013

Health Care Reform Update -- February 25, 2013

Health Care Reform Implementation Update - February 19, 2013

Report Highlights Record-Breaking Year of Enforcement for HHS and DOJ

Health Care Reform Implementation Update - February 13, 2013

Health Reform + Related Health Policy News Update - February 6, 2013

Major New Jersey Health System Pays $12.6 Million To Settle False Claims Act Suit Alleging Physician Kickback Scheme

OIG Advisory Opinion Sheds Light On Pay-For-Performance Relationships Between Hospitals And Physicians

OIG: Cardiac Catheterization Arrangement Between Hospital and Physicians Not Subject to Sanctions

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