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.

Custom text Title Organization
Dec
5
2018
 CMS Takes Action to Modernize Medicare Home Health von Briesen & Roper, s.c.
Jul
9
2013
 Affordable Care Act Imposes Patient Centered Outcomes Research Institute (PCORI) and Transitional Reinsurance Fees on Employers' Self-Insured Group Health Plans von Briesen & Roper, s.c.
Aug
8
2013
 Centers for Medicare and Medicaid Services (CMS) Issues Revised Process for Making National Coverage Determinations von Briesen & Roper, s.c.
Nov
23
2013
 Wisconsin Insurance Commissioner Will Allow Extensions of Non-ACA Compliant Plans von Briesen & Roper, s.c.
Feb
7
2014
 Highlights of the Office of Inspector General's (OIG) 2014 Work Plan von Briesen & Roper, s.c.
Feb
22
2014
 Centers for Medicare and Medicaid Services (CMS) Proposes Medicare Advantage Rate Cuts for 2015 von Briesen & Roper, s.c.
Feb
25
2014
 Changes to Physician Assistant Supervision Requirements in Wisconsin von Briesen & Roper, s.c.
Apr
1
2014
 Congress Approves Doc Fix Patch & International Classification of Diseases (ICD-10) and Two-Midnight Rule Delays von Briesen & Roper, s.c.
Feb
14
2020
 Health Blog: OIG Work Plan Monthly Updates (June-December 2019) von Briesen & Roper, s.c.
Feb
19
2020
 Class Action Lawsuits Sweep Across Wisconsin's Health Care Providers von Briesen & Roper, s.c.
Mar
29
2020
 The DOL Defines the “Emergency Responder” and “Health Care Provider” Exemption from FFCRA von Briesen & Roper, s.c.
Apr
3
2020
 Legislative, IRS and DOL Responses to COVID-19 Affecting Retirement Plans, Group Health Plans, Flexible Spending Accounts, and Health Savings Accounts von Briesen & Roper, s.c.
Jun
4
2020
 How Counties & Municipalities Can Balance the Preservation of Public Health and the Preservation of Civil Liberties this Summer von Briesen & Roper, s.c.
Feb
7
2011
 The Joint Commission: Nurse Practitioners and Physician Assistants Must be Credentialed Through the Medical Staff Process von Briesen & Roper, s.c.
Mar
28
2011
 Peer Review Protections Broadened Under New Wisconsin Law von Briesen & Roper, s.c.
Apr
7
2011
 CMS Releases Data on Hospital Acquired Conditions von Briesen & Roper, s.c.
May
20
2011
 HHS Issues Final Rule on Review of Insurance Premium Increases von Briesen & Roper, s.c.
Jun
6
2011
 CMS Issues Final Rule on Medicaid Payment Adjustments for Provider-Preventable Conditions von Briesen & Roper, s.c.
Jun
18
2011
 CMS Announces New Technology to Identify Medicare Fraud von Briesen & Roper, s.c.
Jul
16
2011
 Seven of Nine Circuits Now Recognize Implied False Certification Liability Under the False Claims Act von Briesen & Roper, s.c.
Sep
19
2011
 House Subcommittee Considers Repeal of ACA Medical Loss Ratio von Briesen & Roper, s.c.
Oct
11
2011
 Wisconsin Supreme Court Hears Argument in Hospital Case von Briesen & Roper, s.c.
Nov
12
2011
 D.C. Appeals Court Upholds Constitutionality of ACA Individual Mandate von Briesen & Roper, s.c.
Nov
22
2011
 Nursing Home Bill Signed by Wisconsin Governor von Briesen & Roper, s.c.
Nov
21
2012
 HHS Releases Proposed Rules Governing ACA Insurance Requirements von Briesen & Roper, s.c.
Apr
14
2021
 Navigating Successfully (and Compliantly) Vendor Contracts von Briesen & Roper, s.c.
Nov
30
2018
 OIG Work Plan Monthly Updates (July, August, September, October 2018) von Briesen & Roper, s.c.
Apr
19
2013
 Health and Human Services Office of Inspector General (OIG) Releases Updated Self-Disclosure Protocol von Briesen & Roper, s.c.
May
9
2013
 Payments for Home Health Services and Hospice Care: Department of Veteran Affairs Releases Final Rule von Briesen & Roper, s.c.
Nov
9
2013
 Feds Issue Final Rule on Mental Health and Substance Use Disorder Parity von Briesen & Roper, s.c.
Nov
19
2013
 President Obama Announces Transition Relief for Certain Group Health Plans von Briesen & Roper, s.c.
Nov
24
2013
 HHS Releases Notices for Transition to ACA Compliant Insurance Policies von Briesen & Roper, s.c.
Nov
28
2013
 Wisconsin Court: Immediate Termination of Physician for Cause Not Permitted Under Contract von Briesen & Roper, s.c.
Jan
14
2014
 Volunteer Firefighter and Volunteer Emergency Responder Companies Not Subject to Pay or Play Rules von Briesen & Roper, s.c.
Oct
28
2019
 Stark Contrast: CMS Proposes to Get Reasonable von Briesen & Roper, s.c.
Feb
22
2014
 Centers for Medicare and Medicaid Services (CMS) Adds Quality Measures to Physician Compare Website von Briesen & Roper, s.c.
Mar
5
2014
 The Largest Stark Settlement (So Far) is Pending in the Halifax Health Case von Briesen & Roper, s.c.
Jul
9
2014
 Centers for Medicare and Medicaid Services (CMS) Issues Proposed Payment Rules for CY 2015 von Briesen & Roper, s.c.
Aug
16
2022
 CDC Adjusts Direction on Exposure Quarantine Requirements for Employees von Briesen & Roper, s.c.
Feb
8
2011
 Here We Go Again – DOJ Investigating ICD Implants von Briesen & Roper, s.c.
Mar
4
2011
 OIG’s Most Wanted Health Care Fugitives List Continues to Grow von Briesen & Roper, s.c.
Jul
17
2011
 Statutory Increase in Medical Records Fees (WI) von Briesen & Roper, s.c.
Aug
30
2011
 In the Cross-Hairs: Healthcare Officers, Directors, and GCs von Briesen & Roper, s.c.
Sep
11
2011
 Challenge to ACA Rejected by Fourth Circuit Court of Appeals von Briesen & Roper, s.c.
Dec
20
2011
 HHS Announces 32 Pioneer ACOs von Briesen & Roper, s.c.
Jan
1
2012
 GE Healthcare Pays $30 Million to Resolve Potential False Claims Act Liability von Briesen & Roper, s.c.
Jul
20
2015
 The Affordable Care Act Form 1095-C Reporting and Disclosure Requirements for Applicable Large Employers von Briesen & Roper, s.c.
Jun
11
2012
 First Steps in the Era of Value-Based Health Care Purchasing von Briesen & Roper, s.c.
Jul
15
2012
 New Medicare Bad Debt Proposed Rule von Briesen & Roper, s.c.
Aug
24
2012
 Wisconsin DHS Issues Memo Outlining Requirements for Confidentiality and Disposal of Health Care Records von Briesen & Roper, s.c.
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