CMS Issues Broad Package of Blanket Waivers Under Section 1135 | March 31, 2020
... stage renal dialysis (ESRD) facilities Teaching hospitals and medical residency programs Inpatient rehabilitation facilities LTACHs and cancer hospitals Rural health clinics and FQHCs Laboratories covid-long-term-care-hospitals.pdf Diabetes prevention...
Massachusetts Enacts Legislation Promoting Access to Quality and Affordable Care, Telehealth | February 8, 2021
... across all healthcare services for 90 days after the expiration of the COVID-19 state of emergency in the Commonwealth Requires, on a permanent basis, licensed hospitals, insurance companies and health maintenance organizations, medical service...
CMS Issues COVID-19 Vaccination Interim Final Rule for Healthcare Facilities | November 5, 2021
... U.S.C. § 1302 by failing to establish a rule that impacts a substantial number of small rural hospitals without first submitting the proposed rule for public comment and a regulatory impact analysis; places an unconstitutional condition on states...
CMS Proposes Further OPPS Reductions to 340B Drug Reimbursement Rates | August 7, 2020
... Appeals for the District of Columbia Circuit opinion supporting CMS’s authority to set that rate. As in past years, rural sole community hospitals, children’s hospitals and OPPS-exempt cancer hospitals would be exempt from payment cuts to 340B drugs...
Significant Telehealth Expansion Proposed in Bipartisan Senate Bill | February 29, 2016
... seen: (a) at an approved “originating site” (e.g., physician offices, hospitals, skilled nursing facilities) that is located within a rural Health Professional Shortage Area (HPSA) that is either outside of a Metropolitan Statistical Area (MSA) or in...
CMS Issues COVID-19 Infection Control Guidance for Certain Outpatient Settings | March 31, 2020
... pathology services (OPTs), rural health clinics (RHCs) and federally qualified health centers (FQHCs). In Depth The QSO memo addresses questions received by CMS from stakeholders and provides guidance to outpatient care settings other than hospital...
10 Things Providers Should Know About California’s Data Exchange Framework | December 20, 2022
... practices with less than 25 physicians Rehabilitation hospitals Long-term acute care hospitals Acute psychiatric hospitals Critical access hospitals Rural general acute care hospitals with less than 100 acute care beds State-run acute psychiatric...
Congress Takes Step Toward Site-Neutral Medicare Payments in Bipartisan Budget Act of 2015 | October 29, 2015
... to physician and ASC services, which are of the same type as those furnished by a hospital, and will not, for example, appear to apply to rural health clinic services. Also of note, the statutory language does not provide a specific mechanism...
Bipartisan Legislation Proposes Telehealth Solutions for Effective Chronic Disease Management | November 28, 2016
... Prospective Payment System. In addition to the physician services furnished when a beneficiary presents symptoms of stroke at the hospital emergency department, Medicare will pay a physician for consulting on a patient experiencing acute stroke symptoms via...
Omnibus Bill Extends Medicare Telehealth Flexibilities and HDHP Telehealth Safe Harbor | December 23, 2022
...., physicians, nurse practitioners and clinical psychologists). Section 1834(m) of the Social Security Act provides that telehealth services are covered if the beneficiary is seen: (1) at an approved “originating site” (e.g., physician office, hospital...
District Court Blocks FTC and PA AG Challenge to Hershey-Pinnacle Merger | May 17, 2016
... District Judge John E. Jones III found the FTC’s proposed geographic market unrealistically narrow and said other hospitals within the region provided reasonable alternatives for patients. Long-term agreements with two commercial health insurers...
No Summer Vacation for 340B Program Stakeholders | July 5, 2018
.... Bill Number Brief Summary H.R. 2889 Expand scope of orphan drug purchasing at 340B prices for rural and cancer hospitals participating in the 340B Program H.R. 4392 Prevent CMS from implementing, administering or enforcing the payment cut to 340B...
OSHA and CMS Vaccination Rules Released: Here Are the Details | November 4, 2021
... the rule. Very limited exceptions apply. Facilities covered by the regulation include: Ambulatory Surgical Centers, Hospices, Programs of All-Inclusive Care for the Elderly (PACE), Hospitals (all types), Long Term Care Facilities (including SNFs...
Remote Monitoring and Digital Therapies: CMS Updates Coverage and Payment Policies | November 14, 2023
... monitoring provided by rural health centers and federally qualified health centers, and discussed a recent request for information for digital therapies. In Depth BACKGROUND Over the past several years, CMS has established separate reimbursement for...
OIG Revises Safe Harbors under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements | December 14, 2016
... primarily provide services, such as hospitals and physicians. As a result, this exception is primarily of use to pharmacies and other retailers that also include a pharmacy, as opposed to most health care providers. Financial-Need-Based Exemption. The...
CMS Issues Broad-Ranging Medicare Advantage and Part D Proposed Rule | January 5, 2023
... beyond linguistically and culturally diverse populations. Examples of such groups include people with disabilities, people of diverse sexual orientations, and people who live in rural areas and other areas with high levels of deprivation. Provider...
FDA Issues Draft Guidance on Decentralized Clinical Trials for Drugs, Biological Products and Devices | May 15, 2023
... clinical settings (for example, a rural hospital versus an academic medical center), sponsors of DCTs and other stakeholders can generate enriched study data that supports a better understanding of the impact of social determinants of health, provider type...
Digital Health Year in Review: 2017 Trends and Looking Ahead to 2018 | January 9, 2018
... could raise the barrier to entry for new health care technologies and new telehealth companies, causing rural providers or hospitals with less favorable revenues to cut innovative programs to increase access. The FCC’s expressed motivation for...
Corporate Law & Governance Update | December 8, 2017
.... The most recent revocation action involved a rural hospital that had experienced a prolonged period of financial distress. At some point in its operating history, it entered into a lease with a for-profit entity covering property, plant and equipment...
