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Key Takeaways From the 2025 J.P. Morgan Health Care Conference

Cautious Optimism for Deal Making. The general consensus is that we will likely see an increase in M&A and capital market transactions in the life sciences sector in 2025....more

Pennsylvania's New Noncompete Law Changes the Rules for Health Care Employers

Pennsylvania’s new Fair Contracting for Health Care Practitioners Act limits the use of certain restrictive covenants between employers and health care workers and imposes heightened patient notice obligations on applicable...more

The FTC's Revised Health Breach Notification Rule Is Now in Effect

The Federal Trade Commission (FTC) continues to enforce and update its Health Breach Notification Rule (HBNR) amidst a fast-changing regulatory environment. A new rule, which took effect this week, expands the scope of the...more

New DOJ Task Force Will Scrutinize Health Care Industry for Antitrust Issues

A new federal antitrust task force will focus on investigations in health care markets, and, where warranted, civil and criminal enforcement, the Department of Justice announced....more

CMS Final Rule Cranks Up Staffing Requirements at Long-Term Care Facilities

A final federal rule raising minimum staffing requirements for long-term care (LTC) facilities that receive Medicare or Medicaid funding becomes effective June 21, starting a staggered timeline for LTCs to create and...more

HHS Aligns Part 2 Substance Use Disorder Confidentiality Requirements With HIPAA

Newly effective regulations governing confidentiality of Substance Use Disorder (SUD) records now more closely mirror regulations implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other...more

Antitrust Enforcers Amp Up Focus on Private Equity Acquisitions in the Health Care Market

Private equity is squarely in the cross hairs of regulators; the Department of Justice Antitrust Division, the Federal Trade Commission, and the U.S. Department of Health and Human Services recently announced the launch of a...more

Key Takeaways From the 2024 J.P. Morgan Healthcare Conference

Ballard Spahr attorneys from the firm’s Life Sciences and Health Care Industry Teams were on the ground for the 42nd Annual J.P. Morgan Healthcare Conference (JPM24) from January 7-10. While still less crowded than...more

CMS Proposes Minimum Staffing Requirements for Long-Term Care Facilities

Summary - The Centers for Medicare & Medicaid Services (CMS) recently published a proposed rule that, if finalized, will provide new minimum staffing level requirements for all long-term care facilities reimbursed by...more

Supreme Court’s SuperValu Decision: a Game-Changer for Assessing FCA Violations

Summary - On June 1, 2023, the Supreme Court issued a landmark decision in False Claims Act cases. In United States ex rel. Schutte v. SuperValu Inc., it unanimously held that liability under the False Claims Act depends...more

Business Better Podcast Episode: Health Care Delivery Trends: Understanding Micro-Hospitals [Video]

In this episode, we discuss the current trend in the health care industry regarding the development of micro-hospitals, especially in certain rural areas. We explain what a micro-hospital is (and is not), the drivers behind...more

Business Better Podcast Episode: 2024 Advance Notice: Proposed Changes to the Medicare Advantage Risk Adjustment Model [Video]

In this episode, we discuss the Centers for Medicare and Medicaid Services’ proposed changes to the Medicare Advantage risk adjustment payment model, which will take effect in 2024 if finalized. We’re joined by special guest...more

HHS OIG to Review CMS Citations

Summary - The Department of Health and Human Services Office of Inspector General (HHS OIG) has announced its intention to comprehensively review nursing home citations issued by the Centers for Medicare and Medicaid...more

CMS Proposes Additional Disclosure Requirements for Nursing Facilities

Summary - The Centers for Medicare & Medicaid Services (CMS) released a proposed rule (Proposed Rule) intended to require additional disclosures related to the ownership and management of nursing facilities that accept...more

CMS Releases Final Rule for Risk Adjustment Data Validation Audit Methodology

On January 30, 2023, CMS posted for inspection a final rule describing its Risk Adjustment Data Validation audit methodology (the Final RADV Rule). As we have discussed in prior alerts, the finalization of the RADV Rule,...more

CMS to Audit Nursing Homes' Overuse of Antipsychotics

Summary - CMS has announced it is engaging in a new series of audits intended to address the agency’s concern that nursing homes could be miscoding schizophrenia to reduce their reported rates of antipsychotic use, and...more

PA Changes Anti-Kickback Rules on Co-Location of Medical Assistance Program Providers

On January 14, 2023, the state Department of Human Services published a final rule, 53 Pa.B. 376, to amend the Pennsylvania Human Services Code (Code) by removing obstacles that made it harder for providers to share costs....more

CMS Postponement of Medicare Advantage RADV Audit Rule Keeps Stakeholders Guessing

Summary - On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) published notice that it will postpone for another three months the finalization of a methodology to audit Medicare Advantage (MA)...more

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