George MikhailOn July 29, the Centers for Medicare & Medicaid Services (CMS) published the CY 2020 Medicare Physician Fee Schedule Proposed Rule. Buried amongst the fee…
White House Releases Executive Order Calling for Disclosure of Hospital Prices
Posted in Hospitals and Institutions
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…
July 1 Deadline for Hospitals to have Matching Addresses to Avoid Non-Payment
Posted in Hospitals and Institutions
Susan HuntingtonAs 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…
Delania BarbeeThe 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…
CMS Proposes New Rule to Expand Telehealth Benefits Under Medicare Advantage Plans
Day PitneyThe 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…
NJ “Surprise Bill” Restrictions Finally Become Law
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…