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Telehealth Flexibility: Key Regulatory Changes that Providers Should Know

While providers struggle to provide health care to their patients amid the coronavirus contagion concerns, recent regulatory and reimbursement changes will help ease the path to the provision of healthcare via telehealth....more

Two Recent Developments Are Easing Restrictions on Licensure and Transactions in the Home Health Industry

Two recent legal developments (one at the federal level and one at the state level) will inevitably reduce barriers to new licensing and transactions in the home care industry and, in particular, for home health agencies...more

CMS Releases Medicare Advantage and Part D Drug Pricing Proposed Rule for Contract Year 2020

On November 26, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule titled “Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses” (“Proposed Rule”)....more

CMS Final Rule Expands Medicare’s Reimbursement for Physician Services Furnished Using Communication Technology

On November 1, 2018, the Centers for Medicare & Medicaid Services (“CMS”) finalized proposals to pay separately for a newly defined type of physicians’ service furnished using communication technology: the “virtual check-in”...more

OIG Portfolio Highlights Hospice Fraud and Quality-of-Care Concerns

On July 31, 2018, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services released a portfolio titled “Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program...more

Medicare Advantage Solidifies Its Staying Power

A variety of traditional and non-traditional investors are starting to capitalize on the stability of the Medicare Advantage program and expansion of the Medicare Advantage health plan market. These companies are leveraging...more

Expansion of Medicare Advantage Supplemental Benefits: A New World of Opportunities for Providers

Hospitals, health systems, provider groups, and residential and community-based long-term care providers (collectively, “Providers”) should revisit their relationships with Medicare Advantage plans (“MA Plans”) in light of...more

Regulatory Changes Impacting Florida’s Home Health Agencies Take Effect July 1

Florida Governor Rick Scott recently signed into law CS/CS/SB 622 (“Bill”), which effectuates a variety of changes to regulations impacting the operation of home health agencies (“HHAs”). Providers, HHA facility owners, and...more

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