Bruce Arnold on Health Care Providers

New Rules Promotes Patient Access To Personal Healthcare Information

Two new federal rules will make it easier for consumers to access, use and transmit their personal healthcare information using an app on their smartphone or tablet. The regulations implement prior legislation and advance...more

4/17/2020 / Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Health Care Providers , Medicaid , Medicare

COVID-19 Hospice How-To Series: Taking Advantage of the Temporary Quality Reporting Data Submission Relief

On March 22, 2020, the Centers for Medicare and Medicaid Services (“CMS”) temporarily lifted the requirements for hospices to submit Hospice Item Set (“HIS”) data and hospice Consumer Assessment of Healthcare Providers and...more

3/30/2020 / Coronavirus/COVID-19 , Health Care Providers , Hospice , Infectious Diseases

OCR Issues Guidance Related To Disclosures To Law Enforcement, Paramedics, Other First Responders And Public Health Authorities...

On March 17, 2020, the Department of Health and Human Services, Office of Civil Rights (OCR) issued guidance related to how Covered Entities can comply with HIPAA and the Privacy Rule and still disclose protected health...more

3/26/2020 / Coronavirus/COVID-19 , Covered Entities , Department of Health and Human Services (HHS) , Health Care Providers , Health Insurance Portability and Accountability Act (HIPAA) , HIPAA Privacy Rule , OCR , Patient Privacy Rights , PHI , Public Health

Bipartisan Senators Choose Benchmark Approach To Prevent Surprise Medical Billing

Bipartisan legislation to address surprise medical billing was introduced June 19 in the Senate Health, Education, Labor and Pensions (HELP) Committee. Most notable for health insurers and providers is the way the bill...more

6/25/2019 / Emergency Rooms , Health Care Providers , Health Insurance , Out of Network Provider , Surprise Medical Bills

Physician Quality Measures—Growing Numbers Of Them, But Are They Being Used?

For decades, pundits, policymakers and consumer groups have called for better tools to make health care purchasing decisions easier. Greater cost transparency and clear indicators of quality, they say, would help consumers...more

3/12/2019 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Physicians

Hospitals React Strongly To CMS’ Changes To Hospital Outpatient Payments

Hospitals are not happy with CMS’ recent changes to hospital outpatient payments. Two hospital associations and three hospitals claim in a federal lawsuit filed December 4, 2018, that CMS had no authority to change the...more

1/24/2019 / Centers for Medicare & Medicaid Services (CMS) , HCPCS , Health Care Providers , Hospitals , Outpatient Prospective Payment System (OPPS)

The “Pathways To Success” Final Rule Is Here: ACO’s Face Big Decisions

This is the third article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) issued its anticipated final rule revising the Medicare Shared...more

1/14/2019 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program

CMS Issues Proposed Rule Addressing Payment Error In Medicare Advantage, Expects To Recover $4.5 Billion Over 10 Years

A new rule proposed by the Centers for Medicare and Medicaid Services (CMS) on October 26, 2018, would revise the way the agency validates the risk adjustment data and collects repayments from Medicare Advantage (MA)...more

12/4/2018 / Centers for Medicare & Medicaid Services (CMS) , Fee-for-Service , Health Care Providers , Medicare , Medicare Advantage , Medicare Part A , Medicare Part B , Proposed Rules

Court Decision On Overpayment Rule Leaves Uncertain Future For Medicare Payment Methodology And Pending Justice Department...

A federal court decision to vacate regulations concerning “overpayments” to Medicare Advantage plans has left open questions about the way the government pays the insurers and pending cases brought by the U.S. Department of...more

10/2/2018 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Advantage , Overpayment

Performance Report: “Pathways” Rules Help CMS Advance Two-Sided Risk Sharing

This is the second article in our series on the new “Pathways” rules for Accountable Care Organizations. The Centers for Medicare and Medicaid Services (CMS) released a report on August 27, 2018, showing Next Generation...more

9/20/2018 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program , Physicians

Bruce Arnold

Husch Blackwell LLP

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