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New Rules Promotes Patient Access To Personal Healthcare Information

Two new federal rules will make it easier for consumers to access, use and transmit their personal healthcare information using an app on their smartphone or tablet. The regulations implement prior legislation and advance...more

The Small Business CARES Act Guide For Those Who Provide Care (Hint: There Are Good Loan Options)

At Husch Blackwell we understand the financial hardships our healthcare industry clients face in the midst of the COVID-19 pandemic. While you have no doubt heard about the Coronavirus Aid, Relief, and Economic Security...more

COVID-19 Hospice How-To Series: Taking Advantage of the Temporary Quality Reporting Data Submission Relief

On March 22, 2020, the Centers for Medicare and Medicaid Services (“CMS”) temporarily lifted the requirements for hospices to submit Hospice Item Set (“HIS”) data and hospice Consumer Assessment of Healthcare Providers and...more

OCR Issues Guidance Related To Disclosures To Law Enforcement, Paramedics, Other First Responders And Public Health Authorities...

On March 17, 2020, the Department of Health and Human Services, Office of Civil Rights (OCR) issued guidance related to how Covered Entities can comply with HIPAA and the Privacy Rule and still disclose protected health...more

Considering The Journey To Improved Customer Experience In Healthcare

There is a trend in healthcare toward customer-centrism—placing the interests of the consumer before all other considerations. The trend may be slow in its growth, but for those healthcare organizations that embrace the idea...more

Price Transparency In Health Care . . . Panacea Or Not

Time is running short on the opportunity to comment on a proposed rule further increasing transparency in hospital pricing. The rule was released July 29 and was quickly panned by providers and insurers over provisions...more

Bipartisan Senators Choose Benchmark Approach To Prevent Surprise Medical Billing

Bipartisan legislation to address surprise medical billing was introduced June 19 in the Senate Health, Education, Labor and Pensions (HELP) Committee. Most notable for health insurers and providers is the way the bill...more

Medicare For All, Part 2: Cost, Financing And Impact On Provider Payment

If you track national health care policy developments, you’ve been busy lately. Following weeks of growing declarations from Democrats in support of Medicare for All, US House Speaker Nancy Pelosi tamped down exuberance...more

Medicare For All…Or Is It?

First in a series. Like it or not, the 2020 presidential election campaign is well underway. With it comes the latest in public policy ideas, including more attempts to overhaul health care in the U.S....more

Housing Allowance Appellate Decision Secures Millions In Tax Savings For Clergy

Key Points- The Seventh Circuit Court of Appeals found the tax-free housing allowance that ministers receive from the Internal Revenue Service (IRS) to be constitutional....more

Physician Quality Measures—Growing Numbers Of Them, But Are They Being Used?

For decades, pundits, policymakers and consumer groups have called for better tools to make health care purchasing decisions easier. Greater cost transparency and clear indicators of quality, they say, would help consumers...more

Hospitals React Strongly To CMS’ Changes To Hospital Outpatient Payments

Hospitals are not happy with CMS’ recent changes to hospital outpatient payments. Two hospital associations and three hospitals claim in a federal lawsuit filed December 4, 2018, that CMS had no authority to change the...more

The “Pathways To Success” Final Rule Is Here: ACO’s Face Big Decisions

This is the third article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) issued its anticipated final rule revising the Medicare Shared...more

Health Care Drives Voters At The Polls, But Will Health Care Drive Policymaking?

One conclusion drawn from the 2018 midterm elections is health care is a big deal for Americans. In fact, according to pre- and post-election polling, health care may be the biggest deal, as a plurality of voters identified...more

CMS Issues Proposed Rule Addressing Payment Error In Medicare Advantage, Expects To Recover $4.5 Billion Over 10 Years

A new rule proposed by the Centers for Medicare and Medicaid Services (CMS) on October 26, 2018, would revise the way the agency validates the risk adjustment data and collects repayments from Medicare Advantage (MA)...more

Open Enrollment Update: CMS Releases Benefit And Market Data

Anticipating open enrollment season for coverage in 2019, the Centers for Medicare and Medicaid Services (CMS) released coverage and premium information that will factor into consumer decisions about Medicare and individual...more

Court Decision On Overpayment Rule Leaves Uncertain Future For Medicare Payment Methodology And Pending Justice Department...

A federal court decision to vacate regulations concerning “overpayments” to Medicare Advantage plans has left open questions about the way the government pays the insurers and pending cases brought by the U.S. Department of...more

Performance Report: “Pathways” Rules Help CMS Advance Two-Sided Risk Sharing

This is the second article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) released a report on August 27, 2018, showing Next Generation...more

Association Health Plans Are Drawing A Lot Of Attention, Including Some Pushback

This is the third article in our series on Association Health Plans (AHP). This week’s discussion focuses on the mixed reaction to the recent Department of Labor (DOL) AHP. In the health benefits market, some state-based...more

DOL Rule Relaxes Some AHP Requirements, Points To Other Protections

This is the second article in our series on Association Health Plans (AHP). This week’s discussion focuses on the potential impact of the Department of Labor’s (DOL) decision to relax some AHP requirements....more

New Labor Department Rule Expands Group Health Coverage Option

A new federal rule gives small employers and the self-employed an additional avenue for obtaining group health coverage. The final rule, released by the U.S. Department of Labor (DOL) June 19 and published June 21,...more

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