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Articles by Kathryn Han
OIG Issues Four Advisory Opinions | JD Supra
From December 23, 2020 through December 31, 2020, the OIG issued several advisory opinions.
Medicare Announces Geographic-Based Approach to Value-Based Care | JD Supra
On December 3, 2020, CMS unveiled a new payment and care delivery model, the Geographic Direct Contracting Model (Model). The Model is a geographic-based approach to value-based care aimed at improving the quality of care and reducing costs for Medicare beneficiaries across an entire geographic region. This new experimental program advances Medicare’s shift towards value-based care.
Transparency in Coverage Final Rule Requires Insurance Disclosure to Consumers | JD Supra
On October 29, 2020, HHS, the Department of Labor, and the Department of Treasury (the Departments) jointly issued a final rule requiring health plans to disclose price and cost-sharing information to participants, beneficiaries, enrollees and the general public. This rule builds upon prior price transparency rules requiring hospitals to disclose their standard charges, including negotiated rates with third-party payers.
Medicare Payment Advisory Commission Estimates Hospital Industry Losses During Pandemic | JD Supra
On September 3, 2020, the Medicare Payment Advisory Commission (MedPAC) released analysis that estimates hospital losses for April to be between $20 billion and $30 billion due to federal CARES Act grants and facility cost reductions. MedPAC’s research showed that some large for-profit hospital systems actually profited in the second quarter due to federal grants and estimates that federal grants and payment increases will steer nearly $92 billion to hospitals this year.
CMS Announces Reimbursement for Patient Counseling on Self-Isolation at Time of COVID-19 Testing | JD Supra
On July 30, 2020, CMS and the CDC announced that health care providers can be reimbursed for counseling patients regarding the importance of self-isolation prior to the onset of symptoms at the time of COVID-19 testing. As the transmission of COVID-19 occurs from symptomatic, pre-symptomatic, and asymptomatic individuals, the new emphasis on self-isolation education and patient counseling can help reduce the spread of the virus.
HHS Revises Regulations Protecting the Confidentiality of Substance Use Disorder Patient Records | JD Supra
On July 15, 2020, HHS revised the Confidentiality of Alcohol and Drug Abuse Patient Records regulations, 42 C.F.R. Part 2, to further facilitate better coordination of care in response to the opioid epidemic while maintaining its confidentiality protections against unauthorized disclosure and use.
Coalition of States Petitions for Supreme Court Review of Affordable Care Act Ruling | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
CMS Announces Enhanced Oversight of Nursing Home Inspections by Strengthening the State Performance Standards System | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
CMS Announces Proposed CY 2020 Physician Fee Schedule with a Focus on Updating Payment Policies and Rates as Well as Quality-Related Provisions | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
District Court Order Paves Way for HHS to Appeal Decision Finding 340B Rate Cut Unlawful Without First Providing a Proposed Remedy on Remand | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
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