Healthcare Law Blog

JANUARY 26, 2024

The payers impacted by the Final Rule include Medicare Advantage (“MA”) organizations, state Medicaid and Children’s Health Insurance Program (“CHIP”) agencies, Medicaid and CHIP managed care plans, and plans on the Affordable Care Act exchanges (collectively, “Impacted Payers”).

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Health Populi

AUGUST 23, 2021

When we think about health care pricing variations, then, it’s not just between hospitals in a particular geography or ZIP code, but it happens within institutions based on contract negotiations with health plans. One category of household spending expected to inflate is out-of-pocket health care costs. health citizens.

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Compliancy Group

APRIL 26, 2024

In a press release accompanying the Final Rule, HHS reports that “The Final Rule strengthens th e Health Insurance Portability Act of 1996 (HIPAA) Privacy Rule by prohibiting the disclosure of protected health inform ation (PHI) related to lawful reproductive healthcare in certain circumstances.”

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Compliancy Group

MAY 30, 2023

However, this law won’t take effect until January 1, 2026, more than two and a half years after it was signed. It’s important to note that while federal laws protect certain types of data, such as health records and financial information, no overarching national privacy standard exists.

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C&M Health Law

DECEMBER 23, 2022

Most of the Proposed Rule’s provisions will be effective on January 1, 2026. The below summary does not focus on the Medicaid and Children’s Health Insurance Program (CHIP) Fee for Service (FFS) proposals. The deadline to submit comments is March 13, 2023. Our initial takeaways are summarized below.

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Health Populi

JUNE 13, 2018

. “Employer health spending has grown from 6 percent of total wages in 1988 to more than 12 percent in 2018,” driven by healthcare prices growing faster than the general economy, and the adoption of new technologies, procedures, and increasingly expensive new prescription drugs, PwC observes. economy by 2026.

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Healthcare Law Blog

DECEMBER 15, 2022

Specifically, CMS proposes that, beginning January 1, 2026, impacted payers would be required to: Implement and maintain a FHIR PARDD API using technology conformant with certain standards and implementation specifications in 45 CFR 170.215. CMS is not proposing to apply these requirements to drugs that are covered by the MAO.

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Hall Render

MARCH 20, 2024

The improved information requirements apply to the following payers, including: Medicare Advantage plans; Medicaid and Children’s Health Insurance Program (“CHIP”) managed care plans; State Medicaid and CHIP fee-for-service payers; and Qualified Health Plans only in the Federally Facilitated Exchanges.

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HIPAA Journal

MARCH 17, 2023

Considering the Health Insurance Portability and Accountability Act (HIPAA) is now in its third decade, the Privacy Rule took effect 20 years ago, and compliance with the HIPAA Security Rule has been mandatory for 18 years, there have been relatively few financial penalties over the years, with just 130 imposed by OCR to resolve HIPAA violations.

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HIT Consultant

DECEMBER 5, 2024

The Cure for AI Maladies Gartner predicts that 50% of governments globally will enforce responsible AI policies by 2026. The Health Insurance Portability Accountability Act (HIPAA) mandates strict data privacy and security measures for AI systems handling protected health information (PHI).

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Center for Health Insurance Reform

FEBRUARY 7, 2025

The Notice of Benefit & Payment Parameters prescribes standards and rules that govern insurers and Marketplaces under the ACA. This annual regulation, that went into effect January 15, represents a final set of health insurance policies from the Biden administration focusing on quality and affordability.

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Health Populi

APRIL 1, 2025

consumers.

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AIHC

JULY 1, 2024

Affected organizations must implement a new Attestation Form by the compliance date and update their Notice of Privacy Practices (NPP or NOPP) by February 16, 2026. Compliance date for the Notice of Privacy Practices is February 16, 2026. What is this Final Rule? What are the Key Provisions to the Rule?

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Kaiser Health News

AUGUST 12, 2022

The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t be as sweeping as the Democrats who wrote it had hoped, but it would help millions of Americans better afford their prescription drugs and health insurance.

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Healthcare Law Blog

JANUARY 6, 2023

32] Of particular interest, the Act modifies the Federal Medical Assistance Percentages (the “FMAPs”), which are used to determine the amount of federal funds to be paid as a match to State-specific expenditures for certain social programs, such as Medicaid and the Children’s Health Insurance Program (“CHIP”).

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Total Medical ComplianceHIPAA

DECEMBER 16, 2024

Department of Health and Human Services (HHS) has issued the Final Privacy Rule to support reproductive health care and the protection of related health information under the Health Insurance Portability and Accountability Act (HIPAA). The Notice of Privacy Practices must be adhered to by February 16, 2026.

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Healthcare Law Blog

AUGUST 25, 2022

The first list of up to 10 Part D negotiation-eligible drugs will be published in 2026, the earliest “price applicability date” at which the Program takes effect. The drug publication date for 2026 will be chosen by September 1, 2023. Additional updates of note include: ACA Premium Tax Credit Eligibility. Insulin Products.

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Health Populi

DECEMBER 18, 2024

India could be the world’s 3rd largest economy by 2026 valued at $5 trillion. But today we report out the latest data from the Centers for Medicare and Medicaid Services (CMS) that national health spending in America reached $4.9 The fastest-growth spending by payer was for private health insurance, increasing by 11.5%

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Bill of Health

SEPTEMBER 9, 2022

While this program represented the largest intergovernmental transfer of multipurpose funds in over 40 years, one-time funds discourage elected officials from making investments that will need to be sustained beyond the program’s 2026 expiration date. This precludes rebuilding the decimated public health workforce.

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Hall Render

JULY 26, 2024

They all have health insurance. Here’s how it’s helped Wisconsin’s mental health crisis. Orthopedic Associates Surgery Center earns joint replacement accreditation Healthcare-associated violence is under reported, a CT researcher found using AI D.C. Stephen Marcaccio R.I.

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Hall Render

JULY 26, 2024

They all have health insurance. Here’s how it’s helped Wisconsin’s mental health crisis. Orthopedic Associates Surgery Center earns joint replacement accreditation Healthcare-associated violence is under reported, a CT researcher found using AI D.C. Stephen Marcaccio R.I.

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HIPAA Journal

APRIL 23, 2024

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has released its long-awaited Final Rule on reproductive healthcare privacy.

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Hall Render

DECEMBER 20, 2024

presence Beth Israel Lahey Health reports $249M operating loss, -2.8% margin in FY 2024 Brown University Health, formerly Lifespan, eyes expansion into Mass. Did it work?

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Hall Render

FEBRUARY 2, 2024

Mary’s welcome new board members Northeast Georgia Health System named one of nation’s top workplaces for diversity HAWAII How Adventist Health Castle achieved becoming a verified Level III Trauma Center Queen’s debuts $4.5M

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Hall Render

AUGUST 13, 2024

Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) published the HIPAA Privacy Rule to Support Reproductive Health Care Privacy (the “Final Rule”). Effective Dates While the Final Rule became effective June 25, 2024, regulated entities have until December 23, 2024, to comply with its requirements.

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Hall Render

AUGUST 9, 2024

Louis Mercy Hospital opens new clinic for patients 65 years old and older Centene to exit Medicare Advantage market in 6 states Pediatric mental health hospital may be coming to Webster Groves State of Missouri releases preliminary health insurance rates for 2025 MONTANA Health care in the middle of nowhere U.S.

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Hall Render

SEPTEMBER 20, 2024

Louis-based innovation nonprofit gets $14M federal grant to produce drug ingredients St. Louis-based cancer drug company launches clinical trial with European partner Big St. to settle oncology suit Montana VA hosting Host PACT Act claims clinics in Pablo, Browning Mt.

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C&M Health Law

JANUARY 25, 2023

Section 4113 also requires HHS to conduct a study on program integrity related to telehealth services under Medicare Part B, including to review telehealth’s impact on future utilization of health care services (i.e., The Act also provides investments in Medicaid and the Children’s Health Insurance Program (CHIP).

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Hall Render

OCTOBER 13, 2023

David’s forges ahead with new behavioral health hospital after rezoning vote Texas rehab hospital settles ADA case UTAH Fire spurs evacuation at Intermountain hospital Intermountain, Ortho Montana break ground on new ASC U of Utah Health adds new C-suite role $17.5 Luke’s receives $1.5

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Hall Render

OCTOBER 11, 2024

are among the nation’s highest.

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Hall Render

DECEMBER 1, 2023

A health insurance broker weighs in Wisconsin Hospital Association: Wisconsin hospitals provided $2.1 to Recruit, Train Primary Care Students UAMS Gets $17.5M

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Hall Render

AUGUST 16, 2024

Mary’s Good Samaritan Hospital through Georgia HEART Georgia Urology breaks ground on ASC, medical offices Publicly funded behavioral health facility opens soon in Fulton County Why 1 system CFO welcomes disruptors like Amazon, CVS Health Georgia can improve access to mental health care by fully funding 988, report says Gov.

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Hall Render

AUGUST 16, 2024

Mary’s Good Samaritan Hospital through Georgia HEART Georgia Urology breaks ground on ASC, medical offices Publicly funded behavioral health facility opens soon in Fulton County Why 1 system CFO welcomes disruptors like Amazon, CVS Health Georgia can improve access to mental health care by fully funding 988, report says Gov.

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Hall Render

JUNE 3, 2022

Maryland Department of Health releases the 2022-2026 State Plan to Address Alzheimer’s Disease and Related Dementias. Baystate Health names new chief information and digital officer. New Hampshire health officials report 2 new COVID-19 deaths as cases continue to drop. MASSACHUSETTS. NEW JERSEY.

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Hall Render

JANUARY 17, 2025

OrthoIndy to merge with Evansville, Fort Wayne practices St. accepted bid Dr.

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Bill of Health

DECEMBER 3, 2024

This article explores the role of PBMs in the health care system and potential next steps for federal reform. PBMs: The Health Care Middlemen PBMs act as intermediaries among pharmaceutical companies, drug wholesalers, pharmacies, and health insurers. Rupa Palanki is a law student (J.D.

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Hall Render

MARCH 3, 2023

million for youth mental health care KENTUCKY Pike County nursing home officials release statement following loss of Medicare agreement Three Humana executives drop $11.2M What does it mean for you?

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