News & Analysis as of

Patient Protection and Affordable Care Act (PPACA) › Quality of Care Standards

The Patient Protection and Affordable Care Act (PPAC), also known as Obamacare, is a United States federal statute passed in March of 2010. The Act creates a nationwide insurance system and provides federal... more +
The Patient Protection and Affordable Care Act (PPAC), also known as Obamacare, is a United States federal statute passed in March of 2010. The Act creates a nationwide insurance system and provides federal subsidies to reduce the number of uninsured citizens. less -
Weintraub Tobin

Proposed Medicare and Medicaid Enrollment Rule for Skilled Nursing Facilities Implements Law Expanding Regulation of Private...

Weintraub Tobin on

On February 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) proposed a long-delayed regulation that would implement a provider enrollment provision of the Affordable Care Act that expands the information...more

Benesch

Benesch DSO Market Intelligence - Q1 2019

Benesch on

Analyst sees dental practice growth fueled by digital, group practices and alternative financing - Market analyst Zacks, in its outlook for the dental supplies industry, outlines three trends it expects to drive near-term...more

Manatt, Phelps & Phillips, LLP

Manatt on Medicaid: Monthly Expansion Recap - March 2017

Manatt, Phelps & Phillips, LLP on

Arizona - Appeals Court Hears Arguments in Medicaid Expansion Lawsuit - A three-judge State Appeals Court panel heard an appeal of the Maricopa County Superior Court's decision that Arizona's Medicaid expansion plan...more

Baker Donelson

Home Health PPS CY 2017 Proposed Rule: Payments Rebased, Quality Measures Updated

Baker Donelson on

Downward adjustments to home health episode payments arising from rebasing of the national payment rates, case mix adjustments, and an increase to the fixed dollar loss ratio for calculating outliers will result in an overall...more

King & Spalding

Also In The News - Health Headlines - December 2015 #2

King & Spalding on

CMS Releases HAC Data for FY 2016, Showing More Payment Reductions – On December 10, 2015, CMS published quality measure scores related to hospital-acquired conditions (HACs) for hospitals participating in the HAC Reduction...more

King & Spalding

GAO Releases Report on Initial Results of CMS’s Hospital Value-Based Purchasing Program

King & Spalding on

The U.S. Government and Accountability Office (GAO) issued an October 2015 report to congressional committees concluding that the initial results of the Hospital Value-Based Purchasing (HVBP) program show “no apparent shift”...more

Bond Schoeneck & King PLLC

Health Law Wire: CMS Proposes Major Overhaul of LTC Survey Regulations (7/15)

Bond Schoeneck & King PLLC on

On July 16, 2015, CMS filed over 400 pages of regulatory comment and proposed revisions to the requirements that Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs. CMS stated that these...more

Foley & Lardner LLP

CMS Proposes Major Update to Medicaid Managed Care Regulations

Foley & Lardner LLP on

The Centers for Medicare and Medicaid Services (“CMS”) released, on May 26, 2015, the a far-ranging proposal for revising the Medicaid managed care regulations (“Proposed Rule”). The number of individuals enrolled in Medicaid...more

McGuireWoods LLP

Washington Healthcare Update

McGuireWoods LLP on

This Week: Upcoming Hearing: HHS Sec. Burwell Appearing Before E&C Committee on FY2016 Budget... CMS Issues 2016 Payment and Policy Updates for Medicare Health and Drug Plans... CMS Releases Improved Rating System for Nursing...more

Akerman LLP - Health Law Rx

A Quick Look at Healthcare Issues Expected to Make News in 2015

Akerman LLP - Health Law Rx on

As we look into our crystal balls, we do not expect a lot of new issues in 2015. Rather, we believe that most of the significant issues will be a continuation of issues that arose in 2014 or earlier. ...more

Katten Muchin Rosenman LLP

Impact of Health Care Reform on Provider Liability

Katten Muchin Rosenman LLP on

In this presentation: - The Changing Healthcare Landscape - Key Features of an ACO/CIN - ACO Standards and Quality Metrics - Examples of Quality Standards - Impact on Board and Corporate...more

Mintz - Health Care Viewpoints

The Evolution of Efficiencies and Treatment of Quality of Care Defenses in Light of Changing Health Care Industry Dynamics

Mintz - Health Care Viewpoints on

The consolidation of health care markets and the impact of this consolidation on prices, costs, and quality, has been a hotly debated topic in the health care industry. Hospitals across the country are merging and acquiring...more

Morgan Lewis

OIG Recommends Increased CMS Enforcement of SNF Standards

Morgan Lewis on

Amid alleged failures of skilled nursing facilities to meet care and discharge planning requirements, OIG identifies substantial payment errors....more

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