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Provide guidance on the process for handling complaints and grievances filed by individuals who are covered under commercial health insurance policies. Better understand your client's obligations in the context of complaints and grievances, the structure...

Provide this HIPAA Special Enrollment Rights Notice to your employees who have become eligible to participate in your group health plans subject to the Employee Retirement Income Security Act (ERISA). Comply with ERISA by notifying your employees of their...

Assist nonprofit hospitals and health systems conduct a community health needs assessment (CHNA), a systematic process used by nonprofit hospitals and other health organizations to identify and analyze the health needs of a specific population within...

Review this LexisNexis Practical Guidance – Healthcare practice note from Winston & Strawn LLP which explains how healthcare mergers and acquisitions are frequently subject to antitrust scrutiny. Get up to speed on the relevant antitrust laws...

MT Follows Trend of States Increasing Oversight of Nonprofit Hospitals The Montana Department of Public Health has proposed rules regarding the collection of data on nonprofit hospitals’ charitable acts, including discounting prices and conducting...

Help healthcare providers and facilities, as well as health plans and insurers, understand and comply with the notice requirements of the federal No Surprises Act, enacted as Title I of Division BB of the Consolidated Appropriations Act, 2021 (CAA), Pub...

Compounded Weight-Loss Drugs Creating Headaches for State Regulators With popular weight-loss drugs like Mounjaro, Ozempic and Wegovy in short supply, many doctors, pharmacies and other providers have begun offering compounded versions of the drugs...

PA Lawmakers Pass Bill Regulating PBMs The Pennsylvania legislature passed a bill ( HB 1993 ) aimed at increasing oversight of pharmacy benefit managers. If signed by Gov. Josh Shapiro (D), the measure would prohibit PBMs from requiring patients to...

Guide your healthcare provider clients through key legal and operational considerations to avoid exclusion from participation in Medicare, Medicaid, and other government-funded healthcare reimbursement programs. Use this checklist to advise healthcare...

Understand how healthcare facilities may be found liable for the acts of their non-employed attending physicians under a theory of apparent or ostensible agency. Learn how courts have found that a physician, although technically an independent practitioner...

Review this practice note from Akerman LLP partners Elizabeth F. Hodge and Jordan T. Cohen to understand how healthcare organizations leverage the value of the individually identifiable health data in their possession for various purposes (e.g., to improve...

Expand your organization’s compliance policy library with this template from Lexis Practical Guidance – Healthcare, which provides direction to healthcare organizations and their workforce members regarding the procedure for reporting and...

PBMs Driving Up Prescription Drug Prices The three largest pharmacy benefit managers—CVS Health, Cigna and UnitedHealth Group—often “steer patients toward pricier drugs, charge steep markups on what would otherwise be inexpensive medicines...

Hospital Cost Transparency Bill Advances in PA The Pennsylvania House Health Committee approved a bill ( HB 2339 ) that would require hospitals to publish a list of the standard costs for all of their services on their website. It would also prohibit...

Get up to speed on physician compensation methodologies and the legal parameters that govern physician compensation structures. Balance productivity with cost containment, as well as productivity with cooperation, in structuring compensation arrangements...

FDA Advisory Panel Rejects Use of MDMA-Assisted Therapy for PTSD An advisory panel for the Food and Drug Administration rejected the use of MDMA-assisted therapy for the treatment of post-traumatic stress disorder. Among other things the panelists raised...

Check out Lexis Practical Guidance – Healthcare’s 12th State Law Comparison Tool (SLCT) Topic: Ambulatory Surgery Center Licensing, which covers all 50 states plus the District of Columbia. Consult this SLCT topic for information on state...

Understand the fundamentals of Washington's My Health My Data Act, Wash. Rev. Code Ann. §§ 19.373.005–19.373.900, which took full effect on March 31, 2024. Review how the state legislature defined ''consumer health data.''...

LA County Launching Ambitious Plan to Address Medical Debt Los Angeles County’s Department of Public Health has developed an ambitious plan to address the problem of medical debt, which impacted one in ten, or about 810,000, residents of the county...

Review statutes and regulations governing privacy and confidentiality of patient information in clinical trials involving drugs, medical devices, and other life sciences products. Counsel your healthcare organization clients on the Health Insurance Portability...

AL Enacts Bill Allowing Off-Label Medical Treatment Alabama Gov. Kay Ivey (R) signed a bill ( SB 72 )—passed unanimously by both legislative chambers—that bars the state’s Board of Medical Examiners and Medical Licensure Commission...

Incorporate this new policy and procedure template into your healthcare organization’s compliance program. Review with your healthcare organization clients their policies on workforce interaction with news media representatives. Ensure your clients’...

Bills Dealing with Psychedelics, Nurses and Breast Exam Insurance Coverage Near Enactment in AK Alaska’s Senate passed a pair of health care bills that originated in the House ( HB 228 and HB 237 ), sending them to Gov. Mike Dunleavy (R). A third...

Add this template to your clients’ existing contract lifecycle management processes. This template provides a request form to be used by all members of a healthcare organization's workforce when requesting any contract involving the organization...

Get a summary of—and insight into—OIG’s recently released General Compliance Program Guidance (GCPG) in this practice note from Lynn M. Barrett of Barrett Law, PA. Learn how the GCPG updates and consolidates previous OIG guidance into...