Tag Archives: Obama

Additional Opioid Policy Changes Announced: What You Need to Know

Despite the July 4 holiday, the past week featured significant regulatory and legislative action addressing the use of opioids and pain management. The changes are in keeping with the Government-wide push to better understand and reduce opioid drug abuse. We discuss here the week’s two most notable developments. Updating the HCAHPS Hospital Survey and Value-Based Purchasing … Continue reading this entry

House of Representatives v. Burwell: Another Blow to Obamacare

Obama Announces Affordable Care Act Enrollment Crosses the 8 Million Mark
Federal Judge Rosemary Collyer’s May 12, 2016 ruling in House of Representatives v. Burwell, found that the Obama administration (the “Administration”) has been improperly funding an Obamacare subsidy program. House of Representatives v. Burwell involves two sections of The Patient Protection and Affordable Care Act (the “ACA”): Sections 1401 and 1402. Section 1401 provides tax … Continue reading this entry

FCA Penalties Slated to Nearly Double This Year

A little known federal agency, the Railroad Retirement Board (“Board”), which administers retirement-survivor and unemployment-sickness benefit programs for railroad workers, published an interim final rule on May 2, 2016 raising the amounts of penalties “under the Board’s jurisdiction.” Among these are the penalties authorized by the Federal False Claims Act (“FCA”).  The Board proposes increasing the … Continue reading this entry

How Does the King v. Burwell Decision Affect the Affordable Care Act?

The Supreme Court handed the Obama administration a key victory this morning, upholding the tax credits that allow many low-income Americans to purchase health care insurance in states where the federal government is running the insurance marketplace. These tax credits, available to Americans with household incomes between 100% and 400% of the federal poverty line, operate … Continue reading this entry

The Medicaid Fraud Control Units: Fiscal Year 2014 Report

The Department of Health and Human Services (HHS) Office of Inspector General (HHS-OIG) has released its Fiscal Year (FY) 2014 Annual Report (Report) on the performance of the Medicaid Fraud Control Units (MFCUs) (OEI-06-15-00010, April 2015). Although the MFCUs reported another strong year in civil recoveries, criminal recoveries were significantly lower than last year, when … Continue reading this entry

Senate Vows to Address Medicare Physician Reimbursement Cut in Mid-April

Preparing for the Conversion to ICD-10
The Senate adjourned around 3:30 a.m. Friday, March 27, 2015 without passing legislation to hold off a scheduled 21 percent cut in Medicare physician payment rates. Senate leadership was unable to get all 100 senators to agree to fast track a House-passed bill that would halt the reimbursement cut and transition the Medicare physician payment … Continue reading this entry

What Does President Obama's $215 Million "Precision Medicine Initiative" Mean for Genetic Privacy?

We have all heard about the burgeoning opportunities tied to the development of precision medicine (also called “personalized medicine”), which includes the use of an individual’s genetic information to design targeted treatments. In fact, these opportunities are now receiving increased visibility due to President Obama’s recent push for a “Precision Medicine Initiative.” Privacy issues are of critical … Continue reading this entry

Hospice Industry Will Face Stricter Scrutiny Under New Law Aimed at Post-Acute Care Data Standardization

Compliance
President Obama signed the “Improving Medicare Post-Acute Care Transformation Act of 2014” or the IMPACT Act of 2014 (the Act) on October 6, 2014. The new law is broadly focused on requiring all post-acute care providers to adopt standardized data protocols for patient assessment, quality of care and resource use data so as to allow for … Continue reading this entry

Veterans Access, Choice, and Accountability Act of 2014 Increases Graduate Medical Education Residency Positions

On August 7, President Barack Obama signed into law the Veterans Access, Choice, and Accountability Act of 2014 (Act). While much press has been given to the Act’s increasing of access to private health care providers, increasing of recruitment of new physicians, and granting to the Secretary of the U.S. Department of Veterans Affairs (Secretary) … Continue reading this entry

Health Care Providers to Get Greater Ability to Care for Veterans Under the Veterans Access, Choice, and Accountability Act of 2014

Today, President Obama signed into law the Veterans Access, Choice, and Accountability Act of 2014 (the “Act”). The Act will enable eligible veterans to obtain their health care from non-VA providers on an expanded basis.  The Act presents an opportunity to health care providers to provide needed services to our veterans while at the same time … Continue reading this entry

Appellate Courts Split on Validity of Key ACA Regulation

CMS Releases Medicare Part B Supplier Billing and Payment Data
In two important decisions issued July 22, 2014, both addressing the validity of a key regulation promulgated under the Patient Protection and Affordable Care Act (ACA), two federal appeals courts reached opposite conclusions, possibly setting the stage for another ACA showdown in the Supreme Court. The two cases, Halbig v. Burwell (formerly Halbig v. Sebelius) … Continue reading this entry

Could a Recent CMS Deregulation Regulation Save Health Care Providers $8 Billion?

As part of President Obama’s regulatory lookback initiative, the Centers for Medicare and Medicaid Services (CMS) issued a final rule last week (the “Rule”) that overhauled numerous staffing regulations affecting hospitals and clinics, extended deadlines for nursing homes to improve fire safety and removed certain data reporting requirements for organ transplant centers. CMS estimates that … Continue reading this entry

Obama Announces Affordable Care Act Enrollment Crosses the 8 Million Mark

Late last week, President Obama announced that more than 8 million had people signed up for health insurance under the Affordable Care Act. According to the White House, 35 percent of those that obtained insurance are under 35 years old and some 28 percent are between the ages of 18 and 34. The new figures indicate … Continue reading this entry