Archive
Wade Emmert
CMS Unveils New Changes to ACO REACH Model
By Noah Tong, for Fierce Healthcarel: Among numerous tweaks, CMS reduced the beneficiary alignment minimum for new entrant accountable care organizations from 5,000 to 4,000. It…
Texas Attorney General’s Medicaid Fraud Control Unit Helps Secure 49-Month Sentence and Over $5 Million Restitution in Orthopedic Supplies Fraud Case
This is a common tale. It seems like most of my time is spent explaining to clients why you cannot pay marketers a percentage of the…
OIG Issues Final Information Blocking Enforcement Rule and Highlights the Potential for Referrals to the FTC and FCA Liability
By Ryan P. Blaney & Jonian Rafti, for Proskauer: The Final Rule codifies the prohibition on “information blocking” introduced by the 21st Century Cures Act (“Act”),…
Healthcare Industry Faces Heightened Antitrust Scrutiny Under New Merger Guidelines, HSR Rules
By Wendy Arends, Mark Tobey & Kelsey Toledo, for HuschBlackwell: The draft Merger Guidelines were published on July 19, 2023, by the Agencies just weeks after…
Private Equity in Healthcare Is Under A Microscope, So What’s Next?
Jacqueline LaPointe, for RevCycle Intelligence: As of 2019, private equity entities accounted for 65 percent of physician practice acquisitions, representing the vast majority of physician deals,…
5 Steps to Ensure HIPAA Compliance on Mobile Devices
For mobile devices used by your providers and staff (your mobile endpoints), Michael Goad, for TechTarget, suggests: 1. Ensure devices and data are secure and encrypted…
New Regulations on Health Care Transactions in California
While this blog is focused on Texas and federal law, many of our clients offer telehealth or Internet-centric services which implicate the laws of other states.…
Attacks at US Hospitals Show Why Health Care Is One of the Nation’s Most Violent Fields
Rebecca Boone, for AP News: Data shows American health care workers now suffer more nonfatal injuries from workplace violence than workers in any other profession, including…
Should Patient Consent Be Considered When Using AI/RPA Technology for Prior Authorization?
From Physician’s Weekly: The HIPAA Privacy Rule doesn’t specify provisions for protecting PHI data entered in AI technologies. What the rule does stipulate is that healthcare…
How to Measure Acuity-Adjusted Panel Size for Contemporary Provider Compensation Plans
A report from VMG Health by Anthony Domanico, CVA, and Ben Minnis discussing the growing trend of introducing empanelment metrics into compensation formulas: Empanelment can take…