Efforts to draw attention to and, in some instances, dissuade private equity investment in healthcare have been on the rise. For example, in late 2023, the Centers for Medicare & Medicaid Services finalized a rule increasing...more
The Centers for Medicare & Medicaid Services (“CMS”) released a final rule on November 15, 2023 (published on November 17, 2023) (the “Rule”), requiring greater skilled nursing facility (“SNF”) ownership transparency. The...more
12/7/2023
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Change of Ownership ,
Corporate Transparency Act ,
Disclosure Requirements ,
Internal Revenue Code (IRC) ,
Medicare ,
Nursing Homes ,
Private Equity ,
Real Estate Investments ,
REIT ,
Skilled Nursing Facility ,
Social Security Act ,
Transparency
The Centers for Medicare & Medicaid Services (“CMS”) has finalized 2024 home health rules to include application of the home health “36-month rule” to hospice providers. The revised rule will forbid any change in majority...more
In recent years, the Biden administration and Congress have pushed for greater transparency in skilled nursing facility ownership. In an effort focused on increased ownership disclosures specifically related to private equity...more
The nursing home industry has seen increased efforts by the federal government to enhance transparency, with a focus on ownership disclosures (both past and present ownership) of facilities enrolled in Medicare. The efforts...more
As long-term care facilities and other health care providers turn their attention and efforts to COVID-19 vaccination, many have inquired about the ability to use Provider Relief Funding (“Funding”) for vaccine-related costs....more
The Department of Health & Human Services (HHS) announced funding opportunities for (1) CHOW buyers that closed a transaction in 2019 or 2020 and (2) any provider that missed the June 3, 2020 deadline to apply for additional...more
As previously reported, the Department of Health & Human Services (HHS) issued Provider Relief Funds in multiple tranches. One of the largest tranches—$20 billion of the initial $50 billion general distribution—will be...more
Providers that recently acquired a Medicare provider through a change of ownership (CHOW) could face difficulties obtaining some or all of the provider relief funds as previously discussed. The first two tranches of payments...more
HHS Announces Allocation of Initial $100 Billion - The initial $30 billion disbursement from HHS to health care providers across the country was a part of a much larger $100 billion fund. HHS announced an outline of planned...more
This article is one in a series related to the Medicare Relief Fund. As noted in a previous article, the new Attestation Portal is available to providers that receive Medicare relief funding. In this article, we review the...more
As discussed in our previous article, healthcare providers that received Medicare relief funds must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment. The attestation is...more
Many Medicare providers awoke the morning of Friday April 10, 2020 to an influx of Medicare funds. The funds are a $30 billion portion of the $100 billion stimulus fund intended to provide relief to healthcare providers...more
As the single largest payor for health care in the United States, the Centers for Medicare & Medicaid Services (CMS) has recognized and acted on the need to move quickly in the fight against COVID-19....more
The Centers for Medicare & Medicaid Services (CMS) announced that it is seeking input on direct provider contracting (DPC) between “payers and primary care or multi-specialty groups to inform potential testing of a DPC model”...more
An increasing number of Medicare providers have found themselves in financial distress and are contemplating bankruptcy filings. While provider bankruptcies include a host of issues outside the government reimbursement...more
A Centers for Medicare & Medicaid Services (CMS) call letter (the “Call Letter”) released on April 2, 2018, could mean a dramatic and positive shift in CMS policy related to Medicare Advantage (MA) plans and senior living and...more
The Centers for Medicare & Medicaid Services (CMS) recently released a new Medicare Learning Network “MLN Matters” education document to remind applicable providers and suppliers about the need to timely report provider...more
Arnall Golden Gregory LLP's Food and Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community, including regular updates on legislative initiatives from AGG’s Washington, DC...more
The Centers for Medicare & Medicaid Services (CMS) made changes to important written guidance to Medicare providers by issuing a Change Request on June 24, 2016, to Chapter 15 of its Program Integrity Manual (titled “Medicare...more
After reviewing Medicare and Medicaid enrollment and revalidation applications, the U.S. Department of Health & Human Services, Office of Inspector General (OIG) issued a report titled Enhanced Enrollment Screening of...more
South Carolina's proposed hospice licensure rule changes are expected to be approved in the next month, as the expiration date for the 120-day review period for automatic approval by the South Carolina General Assembly is...more