Health Law & Managed Care

Healthcare is an area of law that is constantly evolving, with the Affordable Care Act provisions still rippling through the industry, and privacy and data protection concerns requiring constant vigilance, the National Law Review covers the latest developments in the Health Care Industry. The National Law Review offers analysis of news coming out of Congress related to health care legislation, as well as covering state and local laws related to health care.

Readers will also find an extensive list of cases, news, and up-to-date information on various topics in the healthcare and managed care sector. Litigation, regulatory actions being taken against doctors or pharmacies, mediation and arbitration, and coverage of the latest in drug pricing, the opioid epidemic,  employer-healthcare coverage options, and legal news about health and hospital systems and physician groups.

The National Law Review covers news related to Medicare and Medicaid, to CMS funding, changes to IPAs, PHO, HMO, MSO, and other entities. Readers will find information related to managed care, assisted living facilities, at-home care, and news/legislation from the Office of the Inspector General (OIG) and the Office of the Federal Contract Compliance Programs (OFCCP). Additionally, regulations and updates released by the FDA are covered, as well as changing state and federal regulations related to telehealth and telemedicine are also on the site. 

Cybersecurity in health care and compliance with HIPAA are major concerns for the industry.  Additionally, Ransomware developments and other data security breaches have required a greater emphasis on safeguarding patient-records and information. More compliance and restrictions are in place for doctors/hospitals sharing patient records, HIPPA regulations have become more stringent, and e-health records, have seen a number of changes in how hospitals and doctors’ offices, deal with patient-record management internally. The National Law Review offers expert legal analysis on changing regulations related to healthcare.

For hourly updates in the latest news about Healthcare & Health Management law, regulations, and legislation, be sure to follow our Health Law Twitter feed and sign up for daily complimentary e-news bulletins.

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Feb
28
2015
CMS Revises Standards on Nursing Home Quality Reporting Barnes & Thornburg LLP
Apr
5
2017
CMS Revises the Self-Referral Disclosure Protocol Requiring the Use of Prescribed Forms for Disclosure of Stark Law Violations McDermott Will & Emery
Mar
18
2020
CMS Rolls Out Part D Insulin Payment Model: Aims to Lower Out-of-Pocket Expenses McDermott Will & Emery
Apr
12
2018
CMS Rolls Out Provider Appeals Settlement Efforts Sheppard, Mullin, Richter & Hampton LLP
Oct
29
2018
CMS Rolls Out Revised Local Coverage Determination Process Covington & Burling LLP
Mar
12
2015
CMS Rule on Medicare Overpayments? Don’t Hold Your Breath McBrayer, McGinnis, Leslie and Kirkland, PLLC
Nov
4
2011
CMS Rules that Non-Compete Provision Complies with Stark Law’s Physician Recruitment Exception Lowndes, Drosdick, Doster, Kantor & Reed, P.A.
Jun
2
2016
CMS Says No More Bidding On Employer Group Waiver Plans – CMS 2, EGWPs 1 Mintz
Sep
26
2016
CMS says to Physicians: Pick Your Pace for MACRA Implementation. Physicians say to CMS: Thank you for hearing us. Sheppard, Mullin, Richter & Hampton LLP
Sep
15
2012
CMS Seeks Improved Quality of Care, Patient Engagement Through Stage 2 Meaningful Use Criteria McDermott Will & Emery
Mar
29
2016
CMS Seeks Input on Medicare’s Value-Based Insurance Design Model Mintz
Oct
22
2022
CMS Seeks Provider and Stakeholder Feedback on First National Directory of Healthcare Providers and Services McDermott Will & Emery
Oct
27
2023
CMS Seeks Stakeholder Feedback About Medicare Transaction Facilitator Services for the Medicare Drug Price Negotiation Program by November 13: Inflation Reduction Act Updates Epstein Becker & Green, P.C.
Jun
11
2015
CMS Seeks to Boost Accountable Care Organization Participation Through New Final Rule for Medicare Shared Savings Program Sheppard, Mullin, Richter & Hampton LLP
Apr
18
2019
CMS Seeks to Improve Patient Care and Decrease Costs for Emergency Transportation by Implementing New Medicare Payment Model Epstein Becker & Green, P.C.
Aug
15
2018
CMS Seeks to Lower Costs and Increase Competition with Step Therapy for Medicare Part B Drugs Mintz
Jun
1
2015
CMS Seeks to Modernize Medicaid Managed Care Squire Patton Boggs (US) LLP
Feb
7
2019
CMS Seeks to Provide Flexibility and Facilitate Innovation in Medicare Advantage and Part D McDermott Will & Emery
Oct
29
2018
CMS Seeks to Revamp Medicare Part B Drug Reimbursement through Proposed International Pricing Index (IPI) Model Epstein Becker & Green, P.C.
Apr
15
2012
CMS Selects 27 ACOs Mintz
Mar
30
2020
CMS Sending Hospice Cap Demands Ahead of Schedule Sheppard, Mullin, Richter & Hampton LLP
Aug
6
2015
CMS Sends a Lifeline on Stark after Tuomey Affirmed: What Health Providers Should Know McBrayer, McGinnis, Leslie and Kirkland, PLLC
Jun
1
2020
CMS Stark and OIG Anti-Kickback Act Enforcement Waivers Related to the COVID-19 Pandemic Greenberg Traurig, LLP
Mar
2
2023
CMS Streamlines Stark Law Self-Referral Disclosure Protocol (SRDP) Sheppard, Mullin, Richter & Hampton LLP
Jan
13
2015
CMS Submits Proposed Rule on Stage 3 Meaningful Use to OMB Covington & Burling LLP
Mar
10
2020
CMS Suspends Nursing Home Inspections, Offers Guidance in Wake of Coronavirus Davis|Kuelthau, s.c.
Dec
10
2021
CMS Suspends Vaccine Mandate Enforcement for Healthcare Workers Sheppard, Mullin, Richter & Hampton LLP
Feb
24
2015
CMS Takes a Measured Approach to Medicare Advantage and Part D Plan Payment Rates and Policy Changes for 2016: Increased Part D Drug Costs Set the Stage for Higher Beneficiary Premiums Epstein Becker & Green, P.C.
Aug
13
2020
CMS Takes a Preliminary Step to Make Certain COVID-19 Waivers Permanent McDermott Will & Emery
Feb
10
2016
CMS Takes Action Against Network Transparency While New Jersey Legislation Hits a Snag Mintz
Dec
5
2018
CMS Takes Action to Modernize Medicare Home Health von Briesen & Roper, s.c.
Aug
13
2019
CMS Takes Another Swing at 340B Reimbursement Cuts. Will It Be Strike Three? Mintz
Aug
6
2019
CMS Takes Bold Action on Price Transparency & Physician Supervision in CY 2020 OPPS Proposed Rule Polsinelli PC
Apr
9
2015
CMS Takes Initial Steps to Address Medicare & Medicaid Coverage for Biosimilars Mintz
May
23
2023
CMS Takes Steps to Lower SNF Medicare Payment Error Rates Sheppard, Mullin, Richter & Hampton LLP
 

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