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What Private Equity Investors and Real Estate Investment Trusts Need to Know About the Newly Enacted Massachusetts Health...

On December 30, 2024, the Massachusetts state legislature passed House Bill 4653 (the Act), which significantly enhances regulatory oversight in the Massachusetts health care market. As signed into law by Governor Maura Healy...more

At Long Last, the OIG Issues Its Compliance Program Guidance for Nursing Facilities

On November 20, 2024, the US Department of Health and Human Services, Office of Inspector General (OIG) issued its Industry Segment-Specific Compliance Program Guidance for Nursing Facilities (Nursing Facility ICPG)....more

Important Recent Developments in Massachusetts Affecting Assisted Living Residence Operators

In November, we wrote about Massachusetts legislative and regulatory updates that impact both nursing homes and assisted living residences....more

Massachusetts Senior Living Facilities Legislative and Regulatory Fall 2024 Update

How Massachusetts senior living providers need to be thinking about the recently enacted Long Term Care Reform Law and a recent Centers for Medicare & Medicaid Services audit of nursing homes....more

Emerging Opportunities for Hospitals in the Long Term Care Sector: Structuring Models and Key Considerations

Recent events have caused hospitals and health systems nationwide to contemplate more robust participation in the long term care (LTC) sector, whether through modified ownership, joint venturing, clinical affiliation, or...more

Post-Dobbs Hospital Risk Assessment, Part 2: Impacts Beyond Abortion

In this installment of our post-Dobbs risk assessment series for hospitals and academic medical centers, we consider the ongoing impact of Dobbs v. Jackson Women’s Health Organization on delivery of clinical services beyond...more

States Begin Adding Medical Respite Care to Medicaid Waiver Programs

Throughout 2021 and 2022, states have been seeking to include or have successfully included medical respite to Medicaid 1115 waivers. These experimental Medicaid-reimbursed programs are reviewed and approved by the Secretary...more

As Hospital at Home Programs Continue to Expand, Congress Extends Authorization Through 2024

An outcome of the COVID-19 pandemic has been the attractiveness of innovative care alternatives, for patients and providers alike. One model that has become increasingly popular in the United States (and which is already...more

Drastic Scheduled Cuts to Disproportionate Share Hospital Funding Would Increase Financial Distress for Safety Net Hospitals

Over 2500 hospitals across the country historically have relied upon Disproportionate Share Hospital (DSH) Medicaid payments for financial stability. These DSH payments, made in large measure to hospitals with high Medicaid...more

Post-Dobbs Hospital Risk Assessment, Part 1: Evaluating the Impact on Delivery of Abortion Services

In the landmark case of Dobbs v. Jackson Women’s Health Organization, the US Supreme Court overturned its prior rulings in Roe v. Wade and Planned Parenthood of Southeastern Pennsylvania v. Casey, which had recognized a...more

Proposed Nursing Home Disclosure Requirements Target Private Equity Companies and REITs

On February 15, 2023, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule which would require greater disclosures of the ownership and management of Medicare and Medicaid nursing homes. Specifically,...more

Erroneous Schizophrenia Coding Will Decrease Nursing Home Star Ratings and New Information To Be Included In Nursing Home Care...

On January 18, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a Memorandum to all state survey agency directors addressing erroneous schizophrenia coding and increased transparency of Nursing Home Care...more

Increased Federal Attention to Skilled Nursing Facility Compliance and Quality Improvement Results in Modified Program...

The Biden Administration has embraced an aggressive and multi-part agenda designed to improve the safety and quality of care nationally in skilled nursing facilities (SNFs). The Biden Administration’s nursing home agenda...more

Conducting a Post-Dobbs Risk Assessment: A Guide for Hospitals and AMCs

Since the US Supreme Court ruled in Dobbs v. Jackson Women’s Health Organization (Dobbs) in June 2022, the impact of the Court’s decision continues to ripple across the health care delivery system. In this multi-part series,...more

New Stark Law and Anti-Kickback Reforms Aimed at Value-Based Care

OIG and CMS, through a coordinated effort, have issued sweeping and much-anticipated final changes to the Anti-kickback and Stark rules. These changes are generally industry-friendly. Introduction - On November 20,...more

Navigating the ‘New Normal’: Resuming Elective Surgeries and  Procedures at Health Care Organizations

Across the country, health care providers have struggled during the COVID-19 pandemic in the face of declining revenue and increased expenses. This financial stress has adversely affected almost all entities within the...more

COVID-19: Isolation, Quarantine, and Containment in the United States

As these extraordinary actions are being implemented or contemplated in various parts of the United States, they raise understandable questions about the extent of domestic legal authority to take these steps. Range of...more

CMS Proposes Increased Scrutiny of Medicaid Supplemental Payments and Related State Financing Arrangements

In what is widely considered to signal intensified focus by the Federal government on Medicaid supplemental payments and related State Medicaid financing mechanisms, the Centers for Medicare & Medicaid Services (CMS) on...more

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