SB 1120 (the “Bill”), which takes effect on January 1, 2025, amends existing California law to adopt guardrails around the use of artificial intelligence tools for the purpose of utilization management. As discussed in a...more
12/24/2024
/ Algorithms ,
Anti-Discrimination Policies ,
Artificial Intelligence ,
Audits ,
California ,
Centers for Medicare & Medicaid Services (CMS) ,
CMIA ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare ,
Medical History ,
Medicare Advantage Organizations (MAOs) ,
New Legislation ,
Personal Information ,
Physicians ,
Policies and Procedures ,
Software
On April 22, 2024, the Office for Civil Rights (OCR) for the United States Department of Health and Human Services issued a Final Rule amending the Privacy Rule of the Health Insurance Portability and Accountability Act...more
6/24/2024
/ Attestation Requirements ,
Audits ,
Covered Entities ,
Department of Health and Human Services (HHS) ,
Dobbs v. Jackson Women’s Health Organization ,
False Claims Act (FCA) ,
Final Rules ,
Health Insurance Portability and Accountability Act (HIPAA) ,
HIPAA Privacy Rule ,
HIPAA Violations ,
Medicaid ,
Medicare ,
OCR ,
OIG ,
Patients ,
PHI ,
Popular ,
Reproductive Healthcare Issues ,
SCOTUS
On February 6, 2024, the New York State Department of Financial Services (“DFS”) released “pre-proposed” consolidated rulemaking related to the business practices of Pharmacy Benefit Managers (“PBMs”) licensed to operate in...more
2/20/2024
/ Audits ,
Licensing Rules ,
NYDFS ,
Pharmacies ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drug Coverage ,
Proposed Regulation ,
Public Comment ,
Regulatory Agenda ,
Reimbursements ,
Rulemaking Process
As part of the Fiscal Year 2023 New York state Executive Budget legislation, $1.2 billion in funding has been allocated for the payment of bonuses for certain “frontline” healthcare workers.
With the stated goals to...more
5/11/2022
/ Audits ,
Bonuses ,
Essential Workers ,
Healthcare ,
Healthcare Workers ,
Home and Community Based Services (HCBS) ,
Medicaid ,
New York ,
State Budgets ,
State Funding ,
Wage and Hour