A New Manatt Webinar Guides You Through New Reforms Promoting Value-Based Care and Easing Regulatory Compliance—the Most Significant Changes to the Federal Fraud and Abuse Landscape in the Last Decade.
On November 20,...more
12/22/2020
/ Anti-Kickback Statute ,
Continuing Legal Education ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Digital Health ,
Electronic Medical Records ,
Final Rules ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Healthcare Reform ,
Medicaid ,
Medicare ,
OIG ,
Physicians ,
Self-Referral ,
Stark Law ,
Value-Based Care ,
Webinars
Discover the Trends in Healthcare Transactions, the Drivers Behind the Changes and What Lies Ahead as Stakeholders Deal With the Pressures of the Pandemic...
After years of growth, healthcare deal activity slowed in the...more
12/1/2020
/ Acquisitions ,
Antitrust Provisions ,
Continuing Legal Education ,
Coronavirus/COVID-19 ,
Health Care Providers ,
Health Plan Sponsors ,
Healthcare Facilities ,
Hospitals ,
Industry Consolidation ,
Medicaid ,
Medicare ,
Mergers ,
Physicians ,
Restructuring ,
Webinars
Editor’s Note: The number of healthcare transactions reached a record-smashing 1,738 in 2018. According to a new Capital One poll, mergers and acquisitions are the preferred growth vehicle for 44% of healthcare executives in...more
Editor’s Note: People eligible for both Medicare and Medicaid experience co-occurring substance use disorders (SUDs) and chronic pain at rates that are two to six times higher than Medicare-only beneficiaries or Medicaid-only...more
CMS Issues Self-Referral Disclosure Protocol for Stark Law Violations -
On March 28, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a new voluntary self-referral disclosure protocol (SRDP) for disclosing...more
4/25/2017
/ Affordable Care Act ,
Anti-Steering Rules ,
Antitrust Provisions ,
Centers for Medicare & Medicaid Services (CMS) ,
Deceptive Intent ,
Department of Justice (DOJ) ,
Drug Pricing ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Pharmacist ,
Self-Referral ,
Stark Law ,
Telehealth ,
Trump Administration
Balancing Gene Therapy’s Promise and Price -
Editor’s Note: Exciting advances in science have led to developing treatment breakthroughs, such as gene scripting therapies, that could represent the first potential cures...more
12/20/2016
/ Affordable Care Act ,
Anti-Kickback Statute ,
Civil Monetary Penalty ,
Final Rules ,
Healthcare Reform ,
Hospice ,
MCOs ,
Medicaid ,
Medicare ,
Non-Discrimination Rules ,
OCR ,
OIG ,
Safe Harbors ,
Telehealth
In its April 25, 2016 Medicaid managed care final rule, the Centers for Medicare and Medicaid Services (CMS) provides a revised framework for determining how managed care plans should be paid by state Medicaid programs. A...more
Editor's Note: This "Manatt on Medicaid" is the sixth in a series of updates focused on CMS's new Medicaid/CHIP managed care regulations. In the coming weeks, Manatt will continue to explore key provisions of the regulations...more
Better Late Than Never: CMS Provides Much-Needed Clarity on the 60-Day Overpayment Refund Requirements -
On February 12, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the long-awaited final rule (Final...more
2/26/2016
/ 60-Day Rule ,
ACOs ,
Affordable Care Act ,
Antitrust Violations ,
Centers for Medicare & Medicaid Services (CMS) ,
Certificate of Need ,
Health IT ,
Interstate Commerce ,
Knox Keene ,
License Agreements ,
Look-Back Measurement Period ,
Medicaid ,
Medicare Shared Savings Program ,
Overpayment Recovery Time Limits ,
Risk Allocation ,
Telehealth
Managed care is the dominant delivery model in state Medicaid programs, and is rapidly growing with the Affordable Care Act bringing over 8 million new beneficiaries into Medicaid in 2014. Today, 39 states (including the...more
In the fall of 2014, the Department of Health and Human Services Office of Inspector General released its 2015 Work Plan, which highlighted HHS’s compliance focus areas in the upcoming year.
As in past years, areas of...more
Integrating Physical and Behavioral Health: Strategies for Overcoming Legal Barriers to Health Information Exchange -
A growing number of Medicaid officials believe that coordinating care across the physical and...more
2/26/2014
/ Affordable Care Act ,
CLIA ,
Data-Sharing ,
Department of Health and Human Services (HHS) ,
Eligibility ,
Federal Trade Commission (FTC) ,
Final Rules ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Hospital Mergers ,
Medicaid ,
Medical Records