Health Law Observer

Timely insights and legal commentary on various health care issues and developments surrounding regulations, employment, transactions and a range of key industry matters. This blog is maintained by the Health Care Department of Stevens & Lee.

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Deciding on Decision-Making Processes for Health Care Joint Ventures

Often times, a sticking point in negotiations is how to divide voting rights, representation and other governance/decision-making responsibilities.
Shelf filled with manila folders

Q&A: You’re Selling Your Practice — What About the Medical Records?

Most states require that physicians provide patients with access to copies of their medical records. These obligations do not disappear upon the sale of a practice.

CMS Issued Final Rule with Comment Period Requiring Disclosure by Providers and Suppliers of Certain Affiliations

The final rule will be effective November 4, 2019 and any comments to the final rule must be received by CMS by November 4, 2019.
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New Jersey Wage Theft Act Increases Employer Burdens

The WTA aims at penalizing employers who do not pay their workers wages due to them and expands the time period for bringing wage claims from two to six years.
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HHS Proposes Changes to Regulations Governing Confidentiality of Substance Use Disorder Patient Records

The proposed changes are intended to support better care coordination by reducing regulatory burdens to accessing and recording addiction treatment information, while maintaining privacy safeguards.
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Pennsylvania Supreme Court Articulates New Standard for Waiver of the Attorney Work Product Doctrine in Suit against Pennsylvania Health System

In connection with a case involving a peer review investigation of a cardiologist, the Pennsylvania Supreme Court recently articulated a new standard for waiver of the attorney work product doctrine.

Changes to PA Regulations on Psychiatric Outpatient Clinics and Services

The primary areas of change are in psychiatric time, staffing patterns and timeframes for developing and updating treatment plans.

What Should Health Care Providers be Thinking About Blockchain?

A blockchain is, in simple terms, a time-stamped series of immutable records of data that are managed by a cluster of computers not owned by any single entity.
pen laying on a clipboard

Are Restrictive Covenants in the Health Care Setting Still Enforceable?

While, generally speaking, restrictive covenants are disfavored by the courts, these types of provisions can be used to protect assets/business interests under certain circumstances.

Transgender Patient Care Guidelines Published by the American College of Physicians

The guidelines set forth recommendations relative to the provision of care to transgender patients by internal medicine and family medicine doctors.
hospital bed in hospital room

Pennsylvania Department of Health Posts Guidance on “Hospital-Observation” Beds

The new category will apply to beds in observation units located outside of or adjacent to hospital emergency department beds in units that have been identified as observation units or areas of the hospital that have been designated as observation areas.
Doctors Walking Through Shared Space

Inpatient vs. Observation Status: Finally Some Hope for Medicare Patients

The continued use of observation status as currently structured is a confusing, time consuming and costly problem for physicians, hospitals and patients alike. 
Emergency Room Sign

Recent EMTALA Guidance

CMS recently issued new guidance on EMTALA in the form of: 1) a Medicare Learning Network MLN publication on June 27, 2019; and 2) a Memorandum to State Survey Agency Directors re: Frequently Asked Questions on EMTALA and Psychiatric Hospitals.
reimbursements

Coming Later this Summer – Significant Stark Law Changes

A CMS official, Kimberly Brandt (Principal Deputy Administrator for Operations), recently announced that the long-anticipated proposed Stark Law changes will be issued by the end of this summer.

Financial Cleaning: Managing Credit Balances and Navigating Unclaimed Property Reporting/Audits

Many hospitals, health care systems and other health care providers currently have credit balances on their books representing unclaimed funds from payers, vendors and even patients.
In-home care through PACE

CMS Provides Flexibility in the New PACE Final Rule

The new final rule is the first comprehensive update to the PACE regulations since the original final rule was published in 2006. The updates under the new final rule provide operational flexibility to PACE organizations.

Will Pennsylvania Take Over the Insurance Exchange?

Pennsylvania is considering taking over the online exchange that's been operated by the federal government for individual Affordable Care Act policies since it began in 2014.
Health care law

Delaware Executive Order 25 to Address State’s High Per Capita Health Care Spending

Delaware hospitals’ revenue will likely be adversely affected by the initiative as it is designed to address over reliance on the most costly forms of care, such as that rendered by emergency departments.

Skeptical, At Best: Will the New CMS Physician Payment Models Make a Difference?

CMS continues to attempt to shift from a fee-for-service model to a value-based model offering significant upside (and now downside) risk through CMS’ newly-announced payment models called Primary Care First.
Doctors Walking Through Shared Space

Shared Space and Shared Services – Some Much Needed Flexibility from CMS

In connection with this Guidance, CMS indicated that it wants providers to have flexibility in providing care, as long as the shared space and services will not adversely affect the health and safety of patients.
Physician Prescribing Medication

Mandatory E-Prescribing for Controlled Substances Coming Soon to Pennsylvania

Practitioners who violate the law are subject to administrative penalties up to a maximum of $5,000 per calendar year.
piggy bank and money in front of a computer

CMS Innovation Center Announces Two New Payment Models

On April 22, 2019, the CMS Innovation Center announced two new Medicare payment models that will launch in 2020: the Primary Care First model; and the Direct Contracting model.
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Reminder: There is No Stark Law De Minimis Exception

We are frequently asked about the Stark Law implications of gifts, items or services that a hospital wants to give (or, in some cases, already gave) to referring physicians.

CMS Continues to Expand Medicare Coverage and Reimbursement of Telehealth Services

The adoption of this final rule follows CMS’s recent trend of expanding coverage and reimbursement of telehealth services under traditional Medicare.
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