News & Analysis as of

Dept. of Health and Human Services

The United States Department of Health and Human Services is a federal executive department established in 1953, as part of the Department of Health, Education and Welfare. The Agency became independent in 1980... more +
The United States Department of Health and Human Services is a federal executive department established in 1953, as part of the Department of Health, Education and Welfare. The Agency became independent in 1980 and was renamed The Department of Health and Human Services at that time. HHS is charged with protecting and improving the health of the American population, as well as providing essential services.    less -

Key Takeaways from Final 2019 Payment Notice Rule

by King & Spalding on

Last week, CMS issued a final rule which aims to relax certain Affordable Care Act (ACA) health plan regulations, found at 45 C.F.R. Parts 147, 153, 154, 155, 157, and 158, while increasing marketplace competition. In...more

New 2019 ACA Payment Policies for Individual and Small Group Markets

by Baker Donelson on

On April 9, the Department of Health and Human Services (HHS) released the long-anticipated final Notice of Benefits and Payment Parameters (NBPP) for plan year 2019, providing standards for health insurers and the health...more

FY2019 Massachusetts Budget Update: House Ways and Means Budget

On Wednesday, April 11, the House Ways and Means Committee proposed a $40.991 billion budget for FY2019 that represents an increase of $1.24 billion, or 3.1 percent, above FY2018 spending levels. The budget proposes $83...more

K&L Gates Triage: Ride Sharing and Health Care Regulatory Considerations

by K&L Gates LLP on

Transportation is often cited as one of the top barriers to health care for individuals in the United States. To reduce this burden and increase access to care, many health care providers are now partnering with ride-sharing...more

Federal Telehealth Policies Summary

by Holland & Knight LLP on

On Feb. 9, 2018, Congress passed and President Donald Trump signed into law the Bipartisan Budget Act of 2018 (BBA). This wide-reaching legislation enacts major changes for telehealth policy in Medicare by incorporating...more

Fifth Circuit Decision is Rare Victory Permitting District Court to Enjoin Recoupment Before Provider Exhausts Administrative...

The all-too-common story of a healthcare company declaring bankruptcy in the face of aggressive Medicare recoupment actions before the company even has a hearing before an Administrative Law Judge (ALJ) may get a new ending –...more

Capitol Hill Healthcare Update

by BakerHostetler on

HOUSE PANEL TO QUESTION GOTTLIEB ON FDA BUDGET - Food and Drug Administration (FDA) Commissioner Scott Gottlieb will testify Tuesday before a House appropriations subcommittee on his agency’s fiscal 2019 budget – which...more

Window On Washington - Vol. 2, Issue 15

by Clark Hill PLC on

Outlook for This Week in the Nation's Capital - Omnibus Rescissions. The White House is continuing to press forward with pledges to rescind spending from the FY18 Omnibus despite multiple House and Senate Republicans...more

OIG Report: CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements

by Foley & Lardner LLP on

The Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) just published a new report on OIG’s review of Medicare payments for telehealth services. The objective of the OIG review was to...more

Alston & Bird Healthcare Week in Review

by Alston & Bird on

Alston & Bird’s Week in Review provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and Congressional committee action; reports, studies, and analyses; and other health...more

CMS Offers Expanded Settlement Options to Reduce Appeals Backlog

by Bass, Berry & Sims PLC on

In January 2018, Centers for Medicare & Medicaid Services (CMS) announced additional information regarding a new Low Volume Appeals (LVA) settlement option and an expanded Settlement Conference Facilitation (SCF) as part of...more

CMS Proposes “Wind Down” Plan for Federal Exchanges

Despite the Trump Administration’s unsuccessful attempts to fully repeal and replace the Affordable Care Act (the “ACA”), the Administration has continued to target the ACA. In the Administration’s latest salvo, the Centers...more

The State AG Report Weekly Update April 2018 #2

by Cozen O'Connor on

2018 AG Elections- Democrat William Tong Declares Candidacy for Connecticut Attorney General- Democratic state Representative William Tong announced he is running for Connecticut AG in 2018. As previously reported,...more

CMS Issues Updated Medicare Payment and Billing Policies for 340B Hospitals

by Baker Ober Health Law on

On April 2, 2018, CMS issued updated guidance related to the dramatic Medicare payment reductions that went into effect this year for certain 340B hospitals. The guidance explains the planned application of the payment cuts...more

States Choosing Divergent Paths for Individual Market Coverage

With Congress failing to reach agreement on a stabilization package for the individual market and repeal of the individual mandate set to take effect for 2019, states are considering different strategies, some that will...more

Health Care Weekly Preview from ML Strategies – April 2018

Welcome back from a much needed recess following the conclusion to 2017 (yes, three months after the calendar flipped). Congress will be in session nine of the next eleven weeks with numerous issues on the table ranging from...more

Window On Washington - Vol. 2, Issue 14

by Clark Hill PLC on

Outlook for This Week in the Nation's Capital Congress Returns Today. Congress comes back to Washington today after a two-week recess period for the Easter and Passover holidays and is scheduled to have a busy week....more

Alston & Bird Healthcare Week in Review

by Alston & Bird on

Alston & Bird’s Week in Review provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and Congressional committee action; reports, studies, and analyses; and other health...more

New HHS Advisors Appointed to Develop Strategy on Drug Pricing, Opioid Policy

by Reed Smith on

HHS Secretary Alex Azar has appointed two advisors to help advance Department strategy to address prescription drug pricing and the opioid crisis. Daniel M. Best, the new Senior Advisor to the Secretary for Drug Pricing...more

Medicaid Drug Rebate Agreements: Changes Require Immediate Action By Pharmaceutical Manufacturers

by Foley & Lardner LLP on

For the first time since the enactment of the Medicaid Drug Rebate Program (MDRP), the Centers for Medicare and Medicaid Services (CMS) revised the National Medicaid Drug Rebate Agreement (NDRA) entered into between drug...more

The State AG Report Weekly Update

by Cozen O'Connor on

2018 AG Elections- Democrat Constance Anastopoulo Declares Candidacy for South Carolina Attorney General- Democrat Constance Anastopoulo announced her campaign for South Carolina AG in 2018....more

Is OCR Moving the Goal Posts on Vendor Management?

Recent statements at the 27th National HIPAA Summit suggest that the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) may be changing its position and expecting a greater level of vendor due...more

New Developments Put the Spotlight on Federal Healthcare Provider Conscience Protections

In January 2018, HHS unexpectedly announced a newly proposed regulation entitled “Protecting Statutory Conscience Rights in Healthcare,” which proposes new prohibitions and notice requirements for institutional healthcare...more

Window On Washington - Vol. 2, Issue 13

by Clark Hill PLC on

Outlook for This Week in the Nation's Capital - Tax Cuts Part Two. House Republican leadership is continuing to make noise on the possibility of another tax bill with the House Ways and Means Chairman Brady stating that he...more

Department of Health and Human Services Proposes New Rule For Healthcare Workers In The Name of Religious Freedom

by Akerman LLP - HR Defense on

Healthcare employers take note: the Department of Health and Human Services (“HHS”) has issued a proposed rule that, if passed, will allow healthcare workers who object to performing certain medical procedures like abortions...more

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