President Donald Trump signed an executive order on June 24 seeking, among other things, disclosure of hospital pricing for common tests and procedures. HHS Secretary…
In a 7-1 decision, the United States Supreme Court ruled on June 3 that the Department of Health and Human Services (HHS) failed to go…
As part of the implementation of site-neutral rule contained in the final 2019 Hospital Outpatient Prospective Payment System (OPPS) rule, effective July 1, 2019, the…
The Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), released a proposed rule on May 5 establishing new and revising…
On January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan…
The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that, effective plan year 2020, would allow Medicare Advantage (“MA”) insurers to…
Day Pitney’s Michael Furey was quoted in a July 24 article, “An inside look at how Horizon used hospital costs – and quality – in plan…
A June 27 article in The Star-Ledger and on NJ.com, “Confidential documents suggest Horizon misled public on how it picked hospitals for OMNIA program,” discussed confidential reports and…
On June 1, New Jersey Governor Phil Murphy signed into law the “Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act,” making New Jersey the…
On June 5, the Health Resources and Services Administration, part of the U.S. Department of Health and Human Services, published a final rule that further delays…
George Mikhail
Susan Huntington
Delania Barbee
Day Pitney