Healthcare Compliance Blog

MARCH 16, 2022

It is alleged that between January 2011 and November 2014, the Georgia nursing home submitted claims to Medicare for unreasonable, unnecessary, and unskilled services for rehabilitation therapy. The Georgia nursing home agreed to pay $400,000 to resolve the allegations. This amount was based on the nursing home’s ability to pay.

Nursing Homes 59

Nursing Homes Nurses Overpayments Overpayment 59

The Health Law Firm

DECEMBER 22, 2015

The government declined to intervene in February 2011. The case was originally filed on June 10, 2003, by relators John King and Tammy Drummond, naming several pharmaceutical companies as defendants including Solvay Pharmaceuticals Inc.

Governance 40

Governance 40

HIT Consultant

DECEMBER 1, 2021

With healthcare commercial intelligence, companies can untangle the messy web of data on delivery systems, physicians, payors, patients, government organizations and more to identify the people, opportunities and organizations that are the best fit for products. Before founding Definitive Healthcare in 2011, Jason started Infinata.

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COVID-19 Telemedicine Pharmaceutical Industry Patient Satisfaction 98

HIT Consultant

JULY 31, 2022

Making this a reality, however, will require smart decisions by investors, real investments by the government, and an honest within-industry conversation about what health care should look like in the near future.

Medical Billing 74

Medical Billing Governance 74

Healthcare IT Today

OCTOBER 18, 2023

Kelley Tucker, marketing leader and Ted Hill, vice president, would like to see the federal government standardize the collection and formatting of public health data, which is now up to each state and is done inconsistently. Some sophisticated organizations offer APIs for access to data, but others still fax or mail in a scanned document.

Doctors 125

Doctors Public Health Medicare Medicare 125

Health Populi

OCTOBER 15, 2020

More than four times as many Black women believe that it’s a bad time to be Black in America in 2020 versus 2011, we learn from The Undefeated Survey on Race and Health from Kaiser Family Foundation (KFF). More than twice as many Black men believe that in 2020 compared with 2006.

COVID-19 86

COVID-19 Public Health Governance Health Insurance 86

Healthcare IT News - Telehealth

MARCH 18, 2022

Fortunately, government, investors and startups are working together to close some of these care gaps. While a record number of digital health companies went public through various methods in 2021 – 23 in just one year compared to a total of 26 from 2011 through 2020 – they fared poorly in the market.

Medicaid 209

Medicaid Medicaid COVID-19 Telemedicine 209

Health Populi

OCTOBER 22, 2019

This latter point was emphasized in the survey noting that 71% of Americans said that drug prices were too high; 78% of people agreed that the government should be permitted to negotiate/regulate prescription drug prices.

Prescription Drug Pricing 54

Prescription Drug Pricing Health Insurance Doctors Governance 54

Healthcare Law Blog

APRIL 6, 2022

The expansion of postpartum coverage is an important opportunity for states and the federal government to improve maternal and postpartum health outcomes as well as address racial healthcare disparities. Approximately 33% of maternal deaths occur more than seven days after delivery and 12% occur more than six weeks after birth. [2]

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Health Populi

AUGUST 13, 2019

Looking forward, “nudging” employees to physician-based ACOs through strategic plan design (think: behavioral economics) and promoting virtual primary care services will gain traction in 2011-2022. Among these, housing is of particular interest to large employers.

Health Care Access 61

Health Care Access Governance Health Insurance 61

Health Populi

OCTOBER 24, 2022

” Over 11 years ago, I listened to Dr. Toby Cosgrove, then CEO of The Cleveland Clinic, warn in his 2011 State of the Clinic annual address that, “we have to do better with less.” The XY supply demand curve shown above from Trilliant’s analysis illustrates a government price ceiling shock to health care pricing.

COVID-19 54

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 54

HIT Consultant

JANUARY 5, 2023

This approach originated in 2011, is a smarter way to stop the cycle of crime and an alternative to incarceration. Deflection immediately places the offender into a treatment program and connects him or her with ancillary services ( e.g., recovery support) with the sole purpose of preventing future involvement with the justice system.

Hospitals 52

Hospitals Nurses Governance Public Health 52

HIT Consultant

AUGUST 13, 2011

Wagner Graduate School of Public Service Abstract: IT governance has been topic of interest for many years, and even though the concept has been embraced within the healthcare industry, the reality is that it’s still not operationally working well within most healthcare organizations. Click here to download this white paper.

Governance 40

Governance 40

HIT Consultant

DECEMBER 26, 2021

Government mandates were an impetus for change, starting with the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 to “promote the adoption and meaningful use of health information technology” (Office of Civil Rights (OCR), 2017).

Due Diligence 98

Due Diligence Compliance HIPAA Nurses 98

HIT Consultant

DECEMBER 2, 2022

The report also reviewed deaths in more than 500 jails from 2016 to 2018, and found that “those relying on one of the five leading healthcare contractors had higher death rates than facilities where medical services are run by government agencies. before selling the company in 2011. Before that, H.I.G.

COVID-19 98

COVID-19 Nurses Health Services Administration Governance 98

Healthcare Law Blog

JANUARY 26, 2023

BACKGROUND The Proposed Rule is the latest in a long line of federal legislation and rulemakings governing the conscience rights of healthcare providers and entities. The Church Amendments In the 1970s, the federal government enacted the Church Amendments, 42 U.S.C.

ACA 105

ACA Medicaid Medicaid Compliance 105

Total HIPAA

SEPTEMBER 30, 2019

ArcServe offers a variety of solutions for clients who need to comply with government regulations, like HIPAA, GDPR, SOX, etc. They offer their service to users of all operating systems, even those released before 2011. SpiderOak: The HIPAA Compliant Cloud Backup Services Trusted by Government Administrations. to 6:00 P.M.

HIPAA 52

HIPAA Compliance Governance Ransomware 52

Healthcare Law Blog

JANUARY 10, 2022

Enrollee Participation in Plan Governance (§ 422.107). CMS believes its proposals would improve Federal and State oversight of certain D-SNPs (and their affiliated MCOs) through greater information-sharing among government regulators. Key provisions of the Proposed Rule are summarized below. Comments are due by March 7, 2022.

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Medicare Medicare COVID-19 Medicaid 98

Bill of Health

FEBRUARY 13, 2024

I’ve been privileged to be able to work not only with non-governmental and grass-roots organizations but also with national governments and courts, as well as with UN bodies. I am so grateful to PFC and the Harvard Global Health Institute (HGHI) for supporting new stream of interdisciplinary work on evolving governance in global health.

Public Health 163

Public Health Governance Bioethics Nurses 163

SQA

FEBRUARY 15, 2023

” The reason: The existing document of the EU GMP Guideline dates back to 2011 and no longer corresponds to the state of the art in various areas or does not consider increasingly important new technologies for the GMP field, according to the EMA. ” The requirements for providers (e.g.,

US Department of Health and Human Services 40

US Department of Health and Human Services FDA COVID-19 World Health 40

Health Law Advisor

APRIL 26, 2023

At midnight on April 12, 2023, the Fifth Circuit responded to the government and the manufacturer of Mifeprex’s emergency stay requests by halting only the District Court’s stay of the original 2000 FDA-approval of Mifeprex.

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FDA Hospitals Governance Compliance 97

Health Law Advisor

AUGUST 10, 2023

5] But that Interstate Commerce Clause needs to be viewed also in balance with the 10th Amendment of the Constitution, which reserves to the states any powers not delegated to the federal government. 15, 2011) [11] FDA, Requirements for Health Care Facilities and Manufacturers, available at [link]. [12] 10] 76 Fed. 8637, 8645 (Feb.

FDA 98

FDA Licensing Hospitals Medicaid 98

HIT Consultant

JULY 22, 2011

The poll assessed current and future cloud computing use in healthcare, business, government, and education, and found that 28 percent of organizations (across all industries) use the cloud today in some capacity. Source: Healthcare Informatics 2011 August;28(8):18-24.

Hospitals 40

Hospitals HIPAA Electronic Medical Records Nursing Homes 40

Verisys

JULY 13, 2023

Verisys’ former VP of Pharma and Pharmacy Solutions, Joe Thompson, shared a prime example of how speaker programs introduce risk to the pharmaceutical company: “In 2011, one of the most prominent endocrinologists in my sales region was an active speaker for my previous company. He led multiple programs for us each year.

Compliance 52

Compliance Due Diligence Pharmaceutical Industry Fraud 52

CMS.gov

NOVEMBER 2, 2018

Just another name for a government-run, single payer system. Just another name for a government-run, single payer system. As head of the agency that serves over 58 million Medicare beneficiaries, I deal first-hand with the challenges of government run healthcare. percent from 2011-2016, from $17.6 keya.joy-bush@….

Governance 55

Governance Medicare Medicare ACA 55

Kaiser Health News

JUNE 29, 2022

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday.

Medicare 107

Medicare Medicare Governance Overpayments 107

C&M Health Law

JANUARY 25, 2023

trillion spending package, which consists of all 12 fiscal year (FY) 2023 appropriations bills and funds the federal government through September 30, 2023, provides additional assistance to Ukraine, and makes numerous health care policy changes. 117-164 ) (the “Act”)—an approximately $1.7

Medicaid 104

Medicaid Medicaid Medicare Medicare 104

Hall Render

MARCH 16, 2022

2471 ) that funds the federal government for the remainder of FY 2022. billion in new COVID-19 emergency funding requested by the White House was removed at the last moment after some rank and file House Democrats objected to a cost offset that rescinded $7 billion in unused state and local government aid from previous COVID-19 relief laws.

COVID-19 40

COVID-19 Medicare Medicare FDA 40

Drug & Device Law

MAY 19, 2023

Accordingly, this Court declines to find that a widely abrogated 19th century statute which the federal government will not enforce bars redressability here. Sorsaia , 2023 WL 3211847, at *7 (citations omitted). See also GenBioPro, Inc. Sorsaia , C.A. 2023 WL 3451688, at *1 (S.D.W.

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FDA Medical Personnel Telemedicine Licensing 111

Drug & Device Law

OCTOBER 23, 2023

604, 624-25 (2011) (FDCA preemption case). at 349 (“The FDCA leaves no doubt that it is the Federal Government rather than private litigants who are authorized to file suit for noncompliance”). Kindred Nursing Centers Ltd. Partnership v. Clark , 581 U.S. 246, 253-54 (2017); Northwest, Inc. Ginsberg , 572 U.S. Mensing , 564 U.S.

FDA 59

FDA Governance Nurses Hospitals 59

Drug & Device Law

MAY 26, 2023

Both talk a fair amount about “commerce” and the respective roles of the states and federal government. 2011), aff’d , 741 F.3d They look a lot like they are analyzing preemption, the DCC, or the plain old CC. Yet, neither mentions preemption, the Supremacy Clause, the DCC, or the CC. See Gross v. Pfizer, Inc. , 2d 654, 659 (D.

FDA 59

FDA Licensing Doctors Governance 59

Drug & Device Law

JULY 31, 2023

Since digital files were not “articles” under the statute, the government could not rely on this statute to prevent their importation. 2011 WL 13186258, at *2 (C.D. May 17, 2011) (flight simulator and associated training materials were not products subject to strict liability); Heindl v. Wells Fargo Bank , 2011 WL 1833020 (D.

Governance 52

Governance Payment Systems Hospitals Licensing 52

Drug & Device Law

JUNE 1, 2023

2011) (recognizing a “gatekeeping requirement” whereby “a circuit court must make a preliminary assessment of whether the reasoning or methodology underlying expert testimony is valid and whether the reasoning and methodology used by the expert has been properly applied to the facts”); Green v. 2011 WL 5042330, at *3 (Del. 2011), cert.

Governance 59

Governance Hospitals 59

Drug & Device Law

MARCH 25, 2022

604 (2011), and Mutual Pharmaceutical Co. In particular, it is appropriate to consider, and credit, the positions the FDA took in the amicus brief that the government filed in Albrecht itself. at *12-13 (other citations and footnote omitted). Mensing , 564 U.S. Bartlett , 570 U.S. Answer: yes.

FDA 52

FDA Governance 52

Drug & Device Law

APRIL 10, 2023

Plaquemines Parish Government , 982 So.2d 1515, 1523 (D. Kentucky : Wood v. Wyeth-Ayerst Laboratories , 82 S.W.3d 3d 849, 856-59 (Ky. Louisiana : La. 2315; Burmaster v. 2d 795, 806 (La. Maine : Higgins v. Huhtamaki, Inc. 2022 WL 2274876, at *10-11 (D. June 23, 2022). Michigan : Henry v. Dow Chemical Co. , 2d 684, 686, 691 (Mich.

Malpractice 59

Malpractice Governance Hospitals 59

Drug & Device Law

DECEMBER 12, 2022

223, 231-33 (2011), holding that the Vaccine Act preempted all design defect claims asserted by claimants who rejected Vaccine Act awards and sought to litigate their claims instead. The Supreme Court did its part in Bruesewitz v. Wyeth LLC , 562 U.S. Now comes DeCostanzo v. that they would not have received otherwise.” 300aa-11(a)(2)(a).

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FDA Public Health Fraud Hospitals 115

Drug & Device Law

SEPTEMBER 26, 2022

Several presenters at the conference – representing both claimants and government defense lawyers – stated that the increased volume of claims is already overwhelming the statutorily limited number of special masters, so that multi-year delays in compensation decisions are commonplace. 2011) (en banc). Sec’y of HHS , 654 F.3d

Nurses 59

Nurses Governance Hospitals 59