Medicaid, Ambulatory Surgery Centers

McDermottPlus Check-Up: February 16, 2024

McDermott+ on 2/19/2024

House Energy and Commerce Health Subcommittee Holds Legislative Hearing on 19 Bills. Lawmakers discussed 19 pieces of legislation designed to support patients and caregivers in the key areas of autism, heart defects,...more

U.S. House of Representatives Passes Health Care Price Transparency Bill

King & Spalding on 12/20/2023

On December 11, 2023, the U.S. House of Representatives passed H.R. 5378, the Lower Costs, More Transparency Act (the Transparency Bill). The Transparency Bill would increase price transparency requirements for hospitals,...more

Duck and Cover! Two New “Nuclear Verdicts” Put California Employers On Alert

Proskauer - California Employment Law on 12/20/2023

The Los Angeles Superior Court has bestowed some remarkable gifts upon plaintiffs this holiday season. Two juries have issued gigantic verdicts in favor of individual plaintiffs in separate employment lawsuits within the past...more

OIG Looks at How Employed Physicians Bonuses Are Paid from ASC Profits

Holland & Knight LLP on 10/23/2023

The U.S. Department of Health & Human Services Office of the Inspector General (OIG) on Oct. 13, 2023, posted Advisory Opinion No. 23-07 detailing a favorable response to a proposal by a Requestor to pay bonuses to its...more

OIG’s Favorable Opinion: Employed Physicians Paid Bonuses Based on ASCs’ Net Profits

Harris Beach PLLC on 10/19/2023

This opinion addresses a proposed arrangement (“Proposed Arrangement”) between a multi-specialty physician practice (“Requestor”) that employs approximately 11 physician employees (“Physician Employees”). In addition to base...more

Changes to CON Regulations in North Carolina Medicaid Expansion Bill

Parker Poe Adams & Bernstein LLP on 3/27/2023

On March 23, 2023, the North Carolina General Assembly passed legislation that would expand Medicaid for an estimated 600,000 North Carolinians who currently lack health care coverage but do not actively qualify for Medicaid....more

Investing In or Opening an Ambulatory Surgery Center? Beware of State & Federal Regulations

Hendershot Cowart P.C. on 8/11/2022

Investment in ambulatory surgery centers (ASCs) is soaring. Physicians, hospitals, and health systems are attracted by the high margins, significant growth potential, payer influence, and efficient patient care. Beyond...more

Health Care Reimbursement and Payor Dispute Update Special Edition - Year End Regulatory Review

Polsinelli on 2/22/2022

The end of 2021 brings positive indications of the continued acceptance of telehealth as an important clinical care approach post public health emergency (“PHE”). The Centers for Medicare and Medicaid Services (“CMS”), like...more

Health care facilities and nursing homes awaiting CMS requirements for staff COVID-19 vaccinations

Bricker Graydon LLP on 9/15/2021

The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), has announced its intention to release an interim final rule over the course of the next several...more

Expiration of Arkansas' Public Health Emergency

Mitchell, Williams, Selig, Gates & Woodyard,... on 6/2/2021

Since the COVID-19 public health emergency was initiated in Arkansas in March 2020, Governor Asa Hutchinson has repeatedly renewed the emergency order, maintaining the public health emergency for fourteen (14) months. ...more

OIG Issues New Advisory Opinion Regarding Investment in Ambulatory Surgery Centers

King & Spalding on 5/12/2021

Last week, OIG considered a proposed investment by a health system, a management company, and certain surgeons in an ambulatory surgery center (ASC). OIG advised that the proposed arrangement would generate prohibited...more

CMS Releases 2021 OPPS and ASC Payment System Final Rule

Holland & Knight LLP on 12/9/2020

The Centers for Medicare & Medicaid Services (CMS) has published the Calendar Year (CY) 2021 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Note that the...more

Washington Healthcare Update - August 2020 #2

McGuireWoods Consulting on 8/11/2020

This week in Washington: Senate stays in session this week as negotiations on the COVID-19 package continue, but is not expecting votes; House remains in district work period....more

CMS Issues COVID-19 Infection Control Guidance for Certain Outpatient Settings

McDermott Will & Emery on 4/1/2020

On March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released a Quality, Safety & Oversight Group (QSO) memorandum (QSO-20-22-ASC, CORF, CMHC, OPT, RHC/FQHCs) addressing standards for infection control and...more

Orthopedic Practice Recapitalizations: Critical Legal Issues

Foley & Lardner LLP on 1/7/2020

With the pace of orthopedic medical practice recapitalizations showing no signs of slowing, it is appropriate to review certain of the most critical legal issues that any buyer considering a transaction must take into...more

Is Prescription Drug Pricing The Cure For Partisanship?

Sheppard Mullin Richter & Hampton LLP on 7/26/2019

In a rare act of bipartisanship, Senate Finance Committee Chairman Chuck Grassley, R-Iowa, and Ranking Member Ron Wyden, D-Ore., introduced on July 23rd a chairman’s mark, the Prescription Drug Pricing Reduction Act (PDPRA)...more

Vermont Legislative Update 04-26-2019 - An analysis from DRM's Government & Public Affairs Team

Downs Rachlin Martin PLLC on 4/26/2019

The House Committee on Judiciary heard vastly different views this week on a new version of S.37, legislation passed by the Senate last month that would have adopted a strict liability standard for harm caused by toxic...more

Top Takeaways for Medicare Physician and Hospital Payments in 2018

Holland & Knight LLP on 11/13/2017

The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2017, released the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) Payment System Final Rule for...more

Looking Forward/Looking Backward – Day 1 Notes from the JPMorgan Healthcare Conference

Sheppard Mullin Richter & Hampton LLP on 1/11/2017

A large amount of wind, much discussion about the U.S healthcare, and the public getting soaked again – if you were thinking about Washington, DC and the new Congress, you’re 3,000 miles away from the action. This is the week...more

Practical Considerations for Medical Practices Considering Converting Their Vascular Access Centers Into Medicare-Certified...

McGuireWoods LLP on 12/6/2016

On November 2, 2016 the Centers for Medicare & Medicaid Services (CMS) released the 2017 Medicare Physician Fee Schedule (MPFS) Final Rule. Although the impact of the Final Rule on nephrology reimbursement is projected to be...more

Medicaid › Ambulatory Surgery Centers