WA Enacts Law Keeping Medical Debt Off Credit Reports Washington Gov. Bob Ferguson (D) signed a bill ( SB 5480 ) prohibiting collection agencies from reporting unpaid medical debt to credit agencies. The measure, which takes effect on July 27, is similar to a...
Check out this checklist from Practical Guidance – Healthcare to guide you through key legal and business considerations that healthcare providers, including group practices, hospitals, and healthcare systems, need to keep in mind when building a compliance...
State Lawmakers Target PSAOs After targeting pharmacy benefit managers for years for contributing to the high cost of prescription drugs, state lawmakers have begun setting their sights on pharmacy services administrative organizations, or PSAOs, which help independent...
Check out this practice note from Practical Guidance – Healthcare for an overview of Accountable Care Organizations (ACOs), including a discussion of the basic eligibility requirements for ACOs seeking to participate in the Medicare Shared Savings Program...
AR Lawmakers Pass Bill Banning PBMs from Running Pharmacies The Arkansas legislature passed a bill ( HB 1150 ) that would make the state the first in the nation to prohibit pharmacy benefit managers from operating retail pharmacies. A spokesman for Gov. Sarah...
Check out this practice note from Practical Guidance – Healthcare discussing the use of the False Claims Act and qui tam actions to combat fraud in the Medicare and Medicaid programs. Read now » Related Content Healthcare Fraud and Abuse Compliance...
Check out this practice note from Practical Guidance – Healthcare to better understand how to review a Business Associate Agreement mandated under the Health Insurance Portability and Accountability Act (HIPAA). The note outlines key provisions, potential...
Check out this state law survey from Practical Guidance – Healthcare to get an overview of laws and regulations addressing outstanding liability to Medicaid programs after the sale of a provider's assets. Issues covered by the survey include whether state...
Check out this template from Practical Guidance – Healthcare that may be used by a covered entity subject to the Health Insurance Portability and Accountability Act (HIPAA) and a third-party researcher to whom the covered entity may disclose a limited data...
Check out this practice note from Practical Guidance – Healthcare addressing the application of safe harbors under the federal Anti-Kickback Law and analyzing Centers for Medicare & Medicaid Services commentary relating to the anti-kickback safe harbors...
Check out this checklist from Practical Guidance – Healthcare addressing the formation and operation of management services organizations, often called MSOs. It provides guidance to investors and healthcare practices on how to legally structure MSO arrangements...
MT Targets Insurers’ Use of AI Montana’s House Committee on Business and Labor held a public hearing last week on a bill ( HB 556 ) that would regulate the use of artificial intelligence in healthcare utilization review and management. Among other...
Check out this practice note from Practical Guidance – Healthcare to better understand how to structure value-based arrangements (VBAs) that comply with the federal Physician Self-Referral Law, commonly referred to as the Stark Law. The practice note outlines...
Check out this practice note from Practical Guidance – Healthcare to better understand artificial intelligence’s (AI) development in healthcare, and federal and state efforts to regulate its use. You will get an overview of the legal considerations...
CA Bill Focuses on Mental Health of Wildfire Victims A bill ( AB 1032 ) introduced in the California Assembly would require healthcare service plans and insurers to reimburse enrollees or insureds who live in a county where a state or local emergency has been...