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Key Health Care Issues to Track in 2024 in Alabama

WEBIn February 2024, Baptist Health in Montgomery was the first reported Alabama health system to have sued to recoup Medicare Advantage payments under …

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Top Ten Health Care Issues to Follow in the Carolinas in 2021

WEBAs we enter 2021, we are tracking the following issues which will have an impact on the health industry in North and South Carolina, and the rest of the country. 1. Continued …

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2024 Compliance Guidance from the OIG: Part I

WEBOn November 6, 2023, for the first time since 2008, the US Department of Health and Human Services (“HHS”) Office of the Inspector General (“OIG”) issued …

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The End of PHE Flexibilities – How to Navigate Upcoming Changes …

WEBOn January 30, 2022, President Biden announced that the Covid-19 Public Health Emergency (PHE) will finally end on May 11, 2023. Since the PHE was declared …

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HHS Issues New Value-Based Care Exceptions and Safe Harbors to …

WEBThese requirements are provided for in full at 42 C.F.R. § 411.357 (a) (a). New Value-Based Care Terms. With the new Stark exceptions and AKS safe harbors for …

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Key Health Care Issues to Track in 2024 in the Carolinas

WEBChanges to State Certificate of Need (“CON”) Laws: Last year, we suggested changes to CON laws could make a big impact in the Carolinas in 2023: they did. The …

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Paying Employees to Opt Out of Health Insurance or Other …

WEBEmployers attempting to reduce the costs associated with their employee benefits may seek to implement an opt-out arrangement, whereby employees who …

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New Guidance for Employee Agreements Could Change the …

WEB04.21.2023. Two federal agencies, the Federal Trade Commission (“FTC”) and the National Labor Relations Board (“NLRB”), are reshaping the labor industry with guidance aimed …

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Health Care Consumerism

WEB[1] “69% of Healthcare C-suite Say Improving the Consumer Experience is a Top Priority,” Sage Growth Partners, July 9, 2019 [2] “Mega-trends in Healthcare …

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Compliance Corner: A Primer on Health Reimbursement …

WEBHealth reimbursement arrangements (“HRAs”), which can be offered in lieu of, or in combination with, an employer-sponsored medical plan, may be an attractive …

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Hospital at Home in the Carolinas: Recent Legislation Green Lights …

WEBIn this article, Maynard Nexsen health care attorney, Alice Harris, discusses the current status of H@H programs at the federal CMS level as well as recent …

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New Stark Law and Anti-Kickback Statute Physician Wellness …

WEBThe Physician Self-Referral Law (the “Stark Law”) and Anti-Kickback Statute (“AKS”) are two of the most prominent healthcare fraud and abuse laws in the United …

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HHS Releases Cybersecurity Concept Paper: HIPAA Changes Coming

WEBThe Department of Health and Human Services (HHS) issued a concept paper detailing its plans for cybersecurity requirements for the healthcare sector. …

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CHANGES ARE COMING TO SOUTH CAROLINA’S CON PROGRAM

WEBBefore the LAC report was issued in February 2022, the South Carolina Senate voted 35 to 6 on January 25, 2022 in favor of bill S.290, which fully repealed the …

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Advantages and Disadvantages of Offering a Level-Funded Group …

WEBAccording to an annual KFF survey, among employers with less than 200 workers, 42% reported offering a level-funded plan in 2021, compared with only 13% in …

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Fixed-Indemnity Wellness Plans: The IRS Clarifies Taxation of …

WEB07.05.2023. On June 9, 2023, the IRS Office of Chief Counsel issued Memorandum No. 202323006 (the “Memorandum”) and addressed whether payments made under an …

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Understanding the CMS 2022 Strategic Plan: Six Trends to Follow

WEBMedicare and Medicaid Beneficiaries Will Be Moved to ACO Contractors by 2030.The CMS Strategic Framework discusses the work of its Center for Medicare and …

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Hospital/Physician Integration

WEBMedia. Maynard Nexsen has extensive experience representing and advising Physician Practice Groups and hospitals/health systems across the United States in integration …

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Trend Toward Transparency in Pricing Continues

WEBThe Act is a continuation of a recent trend toward transparency by the Federal government. In November 2019, the Centers for Medicare and Medicaid Services (CMS) established …

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