Section 1557 of the Affordable Care Act (ACA) prohibits providers and health plans that receive reimbursement from the federal government from discriminating against individuals in the Covered Entities’ health programs. Such...more
7/25/2024
/ Affordable Care Act ,
Algorithms ,
Anti-Discrimination Policies ,
Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Covered Entities ,
Digital Platforms ,
Final Rules ,
Health Care Providers ,
Innovative Technology ,
Machine Learning ,
Mobile Apps ,
Mobile Health Apps ,
PHI ,
Telehealth
The popularity of Artificial Intelligence (AI), particularly OpenAI's ChatGPT, has rapidly increased since its release in November 2022. In healthcare, Generative AI (GAI) tools like ChatGPT can revolutionize workflows by...more
On April 23, 2024, the Federal Trade Commission (FTC) approved the proposed ban on non-compete agreements.
Under the new rule, existing non-competes for senior executives remain enforceable....more
6/14/2024
/ Employment Contract ,
Federal Trade Commission (FTC) ,
Final Rules ,
Health Care Providers ,
Healthcare Facilities ,
Hospitals ,
Non-Compete Agreements ,
Nonprofits ,
Physicians ,
Regulatory Authority ,
Restrictive Covenants
From 1998-2008, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) published compliance program guidelines for various industries in the Federal Register....more
12/7/2023
/ Anti-Kickback Statute ,
Chief Compliance Officers ,
Civil Monetary Penalty ,
Compliance ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Medicare ,
Medicare Advantage ,
OIG ,
Physicians ,
Self-Referral ,
Skilled Nursing Facility ,
Stark Law
Artificial Intelligence’s (AI) popularity and interest has skyrocketed thanks to the release of ChatGPT in November 2022. ChatGPT is a natural language processing AI chatbot created by OpenAI. ...more
The Department of Health and Human Services has published a proposed rule to address short payments on drug acquisition costs for 340B hospitals from 2018 to September 2022.
On June 15, 2022, the Supreme Court unanimously...more
On January 30, 2023, President Biden announced that both the COVID-19 national emergency and the public health emergency (PHE) will end May 11, 2023. This announcement has left many healthcare providers considering how the...more
2/21/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Emergency Rooms ,
EMTALA ,
Health Care Providers ,
Hospitals ,
Infectious Diseases ,
Medicaid ,
Medicare ,
Public Health ,
Public Health Emergency ,
Waivers
On December 1, 2022, the Centers for Medicare and Medicaid Services’ Office of Civil Rights (OCR) issued new guidance to covered entities and business associates regarding website and application user data tracking and how...more
12/9/2022
/ Business Associates ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Covered Entities ,
Department of Health and Human Services (HHS) ,
Electronic Medical Records ,
Electronic Protected Health Information (ePHI) ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
New Guidance ,
OCR ,
PHI ,
Tracking Systems
Pursuant to the Supreme Court’s decision in AHA et al. v. Becerra, decided on June 15, 2022, the U.S. Court for the District of Columbia ruled in September that the Centers for Medicare & Medicaid Services (CMS) must...more
The Ohio Department of Health (ODH) is required to set minimum standards for certain health care services (HCS), specifically blood and bone marrow transplantation, solid organ transplantation, adult cardiac...more
On Friday, June 24th, the Supreme Court unanimously agreed with the American Hospital Association (AHA) and 340B hospitals regarding their challenge to outpatient prescription drug reimbursement methodologies issued by the...more
6/15/2022
/ American Hospital Association et al v Becerra Secretary Of Health And Human Services et al ,
Centers for Medicare & Medicaid Services (CMS) ,
Drug Pricing ,
Health Care Providers ,
Hospitals ,
Medicare ,
Outpatient Prospective Payment System (OPPS) ,
Prescription Drugs ,
Reimbursements ,
SCOTUS ,
Section 340B
On February 23, 2022, the Federal Eastern District of Texas vacated the interim final rule regulations that establish the independent dispute resolution provisions of the No Surprises Act (NSA). On April 22, the Department of...more