Policy & Medicine – Legal, Regulatory, and Compliance Issues
网页HHS OIG Issues Report on Two Midnight Rule in Medicare. CMS estimates that between 2017 and 2021, Medicare Part A improperly paid $23.9 billion for inpatient hospital stays, with $7.8 billion attributable to short stays that did not qualify for Medicare Part A. On June 13, 2024, the U.S. Department of Health and Human Services’ Office of ...
Biden Administration Rescinds Trump Administration Insulin …
网页2021年10月26日 · One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December 23, 2020, the Trump Administration finalized a rule that directed the Department of Health and Human Services (HHS) to take action to require that federally qualified health centers (FQHCs) make insulin and injectable epinephrine available to certain patients at 340B ...
California Passes Senate Bill 1419 Law to Revise ... - Policy
网页2022年10月6日 · On September 30th Governor Newsome signed Senate Bill 1419, legislation sponsored by the California Medical Association and focused on providing physicians the opportunity to respect patient privacy and wishes when releasing their protected health information.. While the 21 st Century Cures Act Information Blocking Rule has allowed patients much greater access to their health care data, this ...
New York is the Latest State to Allow Full Practice Authority for …
网页2022年5月25日 · On April 11, 2022, New York Governor Kathy Hochul signed the state budget into law, which includes reforms surrounding services that health care workers are allowed to provide and will allow nurse practitioners full practice authority.New York joined with 24 other states, the District of Columbia, and two United States territories in adopting full practice authority legislation.
Prescription Copays More Expensive Than Full Price?
网页2018年9月7日 · A study published this year by the University of Southern California’s Schaeffer Center for Health Policy and Economics, Overpaying for Prescription Drugs: The Copay Clawback Phenomenon, found that insurance copays can occasionally be higher than the cost of the actual drug.. A PBS article brought the study to a brighter light, citing the case of Gretchen Liu and her husband Z. Ming Ma.
Rockpointe Celebrates 25 Years as a Leader in CME and Compliance
网页2020年10月2日 · Since that time, Rockpointe received Accreditation with Commendation in 2012 and has been listed by the ACCME as one of the top 30 overall providers of CME credit in the US. In 2008, Rockpointe launched Policy and Medicine (www.policymed.com) and since that time, has provided daily legislative, regulatory, and …
CMS Issues New Guidance on Independent Dispute Resolution …
网页2022年6月6日 · By Thomas Sullivan Last updated May 30, 2022. On April 14, 2022, the Centers for Medicare & Medicaid Services (CMS) issued new guidance on the Independent Dispute Resolution (IDR) process, created under the No Surprises Act (NSA) to provide a mechanism for payers and providers to resolve disputes as to …
Medtronic Settles $2.8 Million Off-Label Suit Over Neurostimulator ...
网页2015年2月11日 · 31,522. Minnesota-based medtech company, Medtronic Inc., has agreed to pay $2.8 million to resolve allegations that the company promoted its neurostimulator device for unapproved chronic pain treatment. According to the complaint, originally filed by former Medtronic sales rep Jason Nickell, Medtronic sales staff were directed to sell the ...
Prior Authorization Changes Driven by the COVID-19 Pandemic
网页2020年7月15日 · Below is a chart summarizing key policy changes major insurance companies have implemented related to PA in response to the COVID-19 pandemic. · PA waiver effective March 24, 2020 – May 31, 2020. · Improved patient access by allowing members to call and speak to a pharmacist. PA: Prior Authorization. UnitedHealthcare.
Government Intervenes against Device Manufacturer Spine …
网页2020年9月30日 · Specific allegations include that the Defendants: Reconsidered their practice of offering direct ‘consulting’ agreements and investment opportunities to surgeons after the 2013 announcements of the Open Payments program and HHS-OIG’s POD Special Fraud Alert (e.g., a sales representative wrote to a prospective surgeon in March 2014 that SpineFrontier’s partnership with IME “eliminates ...