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April 14, 2023

Health Law Weekly

Featured Articles

ACO REACH: Exploring CMMI’s New ACO Model

Medicare Advantage: 2023 Final Rule Focuses on Social Determinants of Health and Utilization Review

Nonprofit Fundraising Arms of Health Care Entities: Board Member Oversight and Legal Pitfalls

Current Topics

Fraud and Compliance

Fifth Circuit Tosses Former Payment Coordinator's Retaliation Claims Against HCA

Hospice Owner Convicted of Medicare Fraud

Marketer Found Guilty of Kickback Conspiracy

Marketer Sentenced to over Three Years in Prison in One of First MACRA Prosecutions

Pain Management Doctor Handed 2.5 Years in Prison for Unlawful Prescribing of Controlled Substances After Patient Death

Pharmacy Agrees to Settle False Billing Allegations

Physician, Office Manager Convicted in “Pill Mill” Scheme

Podiatrist Pleads Guilty to Billing for Procedures He Didn’t Perform

Government Reimbursement

CMS Proposes 2.8% Bump in Medicare Hospital Payments in FY 2024

U.S. Court in DC Rejects Medicare Beneficiaries’ Lawsuit Against HHS over Home Health Care Access

Health Information

HIPAA Enforcement Discretion to Expire in May with 90-Day Grace Period for Telehealth Compliance

ONC Issues Proposed Rule to Implement Cures Act Provisions, Update Health IT Certification Program

Health Insurance

Agencies Offer Guidance on Impact of ACA Preventative Services Ruling

Biden Announces Plan to Provide ACA, Medicaid Eligibility to Dreamers

U.S. Court in California Rejects Class Certification in Underpayments Dispute Against UnitedHealthcare

Long Term Care

OIG Faults Accuracy of Nursing Home Deficiencies Reported on Care Compare

U.S. Court in New York Tosses Nursing Home Challenge to Survey Team Regulation

Medical Staff, Credentialing, and Peer Review

Tennessee Appeals Court Says Hospital’s Closure of Spinal Program Didn’t Violate Bylaws

Reproductive Health Law Hub

Proposed Rule Looks to Ramp up HIPAA Privacy Protections for Reproductive Health Information

Supreme Court Pauses Abortion Drug Ruling After Fifth Circuit Allows Access But with Additional Restrictions

Current Issue

Health Law Weekly Issue - April 14, 2023