Tag: Healthcare Regulation

CMS Proposes Changes to Medicare SNF PPS and Quality Measures

CMS proposes changes to the Medicare SNF PPS, suggesting a 2.4% rate adjustment and adjustments to quality measures. Insights for industry professionals included.

Hospitals Challenge HHS DSH Payment Modifications in Lawsuit

120+ hospitals have filed a lawsuit against HHS over DSH payment changes, seeking a return to pre-2004 calculations due to significant financial losses.

CMS Announces Nationwide Moratorium on DMEPOS Supplier Enrollment

CMS imposes a six-month moratorium on DMEPOS supplier enrollments in Medicare to combat fraud and waste. Find out how this affects your business.

Massachusetts Attorney General Enforces Medicaid Privacy Against ICE

Massachusetts AG enforces injunction against ICE's access to Medicaid data, ensuring privacy for residents and compliance with federal guidelines.

DOJ Sues New York-Presbyterian for Antitrust Violations

The DOJ files a civil antitrust lawsuit against New York-Presbyterian, targeting restrictive practices hindering affordable health insurance options in NYC.

Medicare Part B Payment Adjustments Impacted by Noncovered Drugs

Explore how Medicare Part B payment adjustments for self-administered medications impact beneficiaries and the healthcare market.

California's Fight Against Hospice Fraud: A Robust Enforcement Strategy

Learn about California's proactive measures against hospice fraud, including investigations and new laws to protect vulnerable patients and taxpayer resources.

CMS Expands Risk-Based Surveys in Nursing Homes

CMS plans to expand risk-based nursing home surveys, focusing on high-performing centers and addressing staffing deficits, enhancing operations and AI compliance.

Regulatory Challenges Facing Catholic Healthcare Providers

Explore the regulatory and legal challenges faced by Catholic healthcare providers, highlighting key insights from prominent Church leaders. Understand the implications for compliance.

Antitrust Lawsuit Against OhioHealth: Implications for Healthcare Competition

Explore the recent antitrust lawsuit against OhioHealth and its effects on healthcare competition and affordability in Ohio.