SKILLED NURSING FACILITIES: INCREASED LAWSUIT CLAIMS Besides government enforcement mechanisms, including surveys, sanctions, corrections, and complete exclusion from Medicaid funding, based on the new case of Health and Hospital Corporation of Marion County, Indiana, et al. v. Talevsk, decided by the US Supreme not just the government, but now private...
Medical Practitioners Should Pay Attention To Self-Reporting Requirements Medical Providers sometimes suffer a state licensing inquiry or disciplinary matter, credentialing action or criminal charge (“Adverse Legal Action”). When that happens, the Medical Provider should consider the timeline required to self-report. The time varies, can be before the Adverse Legal Action...
CMS Issues Proposed Rule to Empower Commercial Plans and States to Negotiate Payment for Innovative New Therapies Based on Patient Outcomes Proposed rule updates provisions to promote value-based payment for prescription drugs The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to promote development of payment models...