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.

stethoscope and blood pressure device

An Overview of Delaware’s COPR Program

Delaware first passed its COPR statute in 1978 to comply with a then existing federal law requiring state certificate of need statutes designed to improve the delivery of health care.
man holding paper and a pen

Delaware Spotlight: Peer Review Privilege and Case Law Update

A recent case highlights the continued importance for a health care system or other organization with a peer review committee to understand what is protected by the Delaware Peer Review Statute and the steps that should be taken to avoid waiving the protection.
reimbursements

Focus on Stark Law Changes: New Limited Physician Remuneration Exception

This post takes a deeper dive into one of the new Stark Law provisions — the new exception for certain types of limited remuneration to physicians.
doctor looking at a tablet

The Provision of Acute Care Hospital Services in the Home During the COVID Public Health Emergency

The Acute Hospital Care at Home program is an expansion of the CMS Hospital Without Walls initiative that is intended to create additional flexibility for hospitals as they respond to the COVID-19 crisis.
Outline of Certain Tax Reform

Avoiding Successor Liability in Asset Acquisitions

It is a fundamental principle, and an attractive characteristic, of asset acquisitions that the buyer can choose the assets they want to purchase and leave behind unwanted liabilities.
Changes to HSR Reportability

CMS’s Quest for Clarity: Changes to Stark Law Fundamental Terminology

As part of its attempt to achieve clarity, CMS revised the definitions of some of its “fundamental” terminology and requirements.
US Citizenship and Immigration Services Building

H-1B Fiscal Year 2022 Is Here

It is advisable, due both to high demand and uncertainty regarding recently published H-1B rules, that employers prepare early and thoroughly.
Computer with reservation for covid 19 vaccine

OCR Announces Enforcement Discretion for Providers Using Scheduling Apps for COVID-19 Vaccinations

The Notification of Enforcement Discretion comes in recognition of providers’ need to quickly schedule large numbers of individuals for COVID-19 vaccination appointments.
medical spa bed and room

So, You Want to Be a Medspa Medical Director?

Many of our physician clients contact us to say that they have been approached by the owner of a salon or spa with an offer to serve as the facility’s Medical Director.
health care law

Increased Federal Antitrust Focus on Health Care

There are a few important provisions that provide some new authority for the Federal Trade Commission (FTC) that may lead to more merger challenges in health care.
doctor pointing at icons

HHS/OCR Issues Guidance on Disclosures of Protected Health Information for Public Health Purposes Under HIPAA

OCR Director Roger Severino said that the Guidance “highlight how HIPAA supports the use of health information exchanges in sharing health data to improve the public’s health” during the COVID-19 public health emergency.
Contract on table

Practice Pointers for Payor Contracting

Identifying appropriate payors and negotiating and operationalizing successful payor contracts requires careful and comprehensive planning.

FAQs on the 3-Day Payment Window to Avoid Billing Errors

CMS re-issued certain FAQs to assist providers in avoiding incorrect billing for outpatient services provided within 3 days before, on the date of, or during the admission.
Books, Gavel, healthcare law

Highlights from Stark Law and Anti-Kickback Statute Final Rules

HHS, via CMS and the OIG, formally published long-awaited final regulations aimed largely at modernizing and clarifying various aspects of the Stark Law, Anti-Kickback Statute and Civil Monetary Penalty Law.
Doctor standing at podium

OIG Issues Special Fraud Alert on Remuneration Paid by Pharmaceutical and Medical Device Companies to Health Care Professional Speakers

The OIG listed in the Special Fraud Alert the following characteristics of a company-sponsored event that when “taken separately or together, potentially indicate a speaker program arrangement that could violate the anti-kickback statute.”
lock opening

CMS Relaxes Managed Care Requirements

Key changes under the Medicaid and Children’s Health Insurance Plan Managed Care Final Rule are set to take effect December 14, 2020.

The Affordable Care Act Will Go Before the United States Supreme Court for the Seventh Time

Tomorrow, the United States Supreme Court will hear oral arguments for their seventh review of the legality of the Affordable Care Act.
Health care law

HHS Proposes Setting Expiration Dates on Regulations Not Periodically Reviewed

The proposed rule has been referred to by HHS Chief of Staff, Brian Harrison, as “the boldest and most significant regulatory reform effort ever undertaken by HHS.”
Implications of Federal Court’s Ruling

HHS ONC Extends 21st Century Cures Act Final Rule Compliance Dates

The new timeline is in recognition of ongoing efforts to address the effects of the COVID-19 pandemic.
Folder with tab that says confidential

The Broad Application of 4 Pa. Code 255.5 Regarding Confidentiality of Substance Use Disorder Records

When reviewing any issue in PA involving the disclosure of SUD information, it’s important to remember the broad application (through reference) of Section 255.5.
man talking to doctor on phone video chat

DOJ Charges Emphasize Importance of Telemedicine Provider Compliance

The enormous surge in the use of telemedicine as a result of the COVID-19 pandemic has also resulted in increased attention by federal regulators to potential fraud and abuse schemes by telemedicine providers.
doctor in goggles and mask

Some Tax-Free Ways to Provide Pandemic Relief to Employees

Given the very trying times due to the COVID-19 pandemic, many employers are looking for ways to provide financial relief to their employees in a tax-advantaged manner.
dollar bill with hole in the middle that says medicare

Stopgap Funding Provides Welcome Relief on Medicare Loans

Health care providers who obtained Medicare Accelerated and Advance Payment Program (“MAAPP”) loans received welcome relief from the Continuing Appropriations Act, 2021 and Other Extensions Act.
photo of microphones in a room

Delaware Department of Health and Social Services 2020 Strategic Plan

On July 16, 2020, the Delaware Department of Health and Social Services issued its Strategic Plan, which focuses on efficiency and accountability reflecting the priorities of Governor John Carney’s Government Efficiency and Accountability Review Board.
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