U.S. Supreme Court Upholds Key Provisions of PPACA in Historic Decision

The U.S. Supreme Court on June 29, 2012 upheld almost all portions of the Patient Protection and Affordable Care Act (“PPACA”) being challenged on the basis of Constitutionality. The two provisions before the Court were the Medicaid expansion requirements and the “shared responsibility payment” also called the “individual mandate,” which must be paid by all […]

read more

AHA Rejects Proposed Readmission Penalties

The American Hospital Association (“AHA”) expressed staunch opposition in a 62-page letter to the Centers for Medicare & Medicaid Services (“CMS”) regarding CMS’s proposed rules levying a penalty up to 1% of reimbursement for higher readmission rates. Part of the reasoning behind the AHA’s opposition is the fact that the proposed rule does not exclude […]

read more

ONC Posts EHR Privacy and Security Guide

The Office of the National Coordinator has posted an electronic health records (EHRs) Privacy and Security containing valuable information about privacy and security in using electronic health records. The guide is designed to help healthcare practitioners, staff, and other professionals better understand the important role privacy and security play in the use of EHR and […]

read more

CMS Rule Proposes to Place Medicaid Rates on Par with Medicare Rates for Primary Care

The Centers for Medicare & Medicaid Services (“CMS”) issued May 8 a proposed rule that would implement a provision of the Affordable Care Act requiring Medicaid to reimburse family medicine, general internal medicine, pediatric medicine, and related subspecialists on par with Medicare rates in 2013 and 2014. The increase in Medicaid payments will be funded […]

read more

CMS Releases Rules to Relieve Administrative Burdens

The Centers for Medicare & Medicaid Services (“CMS”) today released a final regulation to revise the existing Conditions of Participation for hospitals and critical access hospitals. In addition, it released a final rule that addresses more than two dozen regulatory requirements for a broader range of providers, including hospitals, ambulatory surgical centers, end-stage renal disease […]

read more

IRS Official States that Area Hospitals May Work Together in Performing Their Community Health Needs Assessments

An Internal Revenue Service (“IRS”) official on October 4, 2011 said multiple hospitals in one community can work together when performing their community health needs assessments (CHNAs) as long as they develop individual final assessments and implementation plans for each facility. One of the questions raised in the comments to the IRS’s notice of proposed […]

read more

CMS Bars Funds for Certain Preventable Conditions

The Centers for Medicare & Medicaid Services on June 6 published a final rule that will deny federal matching funds under Medicaid for state payments to providers for certain preventable health care-acquired illnesses or injuries. The rule implements a provision of the Patient Protection and Affordable Care Act (PPACA) that requires the secretary of Health […]

read more

CMS Releases Proposed Rule on Accountable Care Organizations

On March 31, 2011, the Centers for Medicare & Medicaid Services released a proposed rule under the health reform law (PPACA) to help doctors, hospitals, and other health care providers better coordinate care for Medicare beneficiaries by establishing accountable care organizations (ACOs). The proposed rule calls for a 60-day public comment period. Under PPACA, the […]

read more

CMS Unveils Data On Hospital-Acquired Conditions

The Federal government has recently released data allowing consumers to learn how often patients in local hospitals acquire infections, develop bed sores or are harmed by gas or air bubbles entering blood vessels. This information regarding hospital-acquired conditions will guide consumers when choosing hospitals and facilities. CMS stated that it is working together with the […]

read more

Senate Sends 1099 Repeal Bill to Obama

Congress sent the White House its first rollback of last year’s health care law, a bipartisan repeal of a burdensome tax reporting requirements found in health care reform’s 1099 provisions. The measure passed the senate with an overwhelmingly bipartisan vote of 87-12. President Obama is expected to sign it despite concern about how to replace […]

read more