MACRA Law

MACRA Law is a complex rule. MACRA healthcare affects how a patient receives care and how a doctor is paid by medicare.

Center for Health Policy

Established in 2007, the Center for Health Policy at Brookings is dedicated to providing practical solutions that achieve high-quality, innovative, and affordable health care throughout the United Sta

The CMS Blog | The official blog for the Centers for Medicare & Medicaid Services (CMS) – visit www.cms.gov

The official blog for the Centers for Medicare & Medicaid Services (CMS) - visit www.cms.gov

Building a Health App? Part 2: Protecting Your Intellectual Property

This post is the second in a series of weekly blog posts covering legal issues for consideration during the early stages of development of a health app and providing best practices to help guide you t

Graham-Cassidy Could Result in 32 Million Uninsured and Higher Costs

The Cassidy-Graham bill has been estimated by studies to result in 32 million uninsured by 2027 and beyond and higher costs for many sick, poor, and seniors.

Rand Paul Opposes Graham-Cassidy Bill, but Don’t Get the Wrong Idea

Rand Paul opposes the Graham-Cassidy bill to repeal and replace ObamaCare, not because it cuts too much, but because it doesn't cut enough.

New Jersey Supreme Court Reminder – Don’t Forget about the Corporate Practice of Medicine

A New Jersey Supreme Court case earlier this summer has New Jersey lawyers re-examining their clients’ business structures under the State’s corporate practice of medicine doctrine. Many s

Tennessee Department of Health Grants COPA Request for Health Care Alliance

On September 19, 2017, the Tennessee Department of Health (“TDOH”) granted the request for a Certificate of Public Advantage (“COPA”) from Wellmont Health System and Mount

A Summary of the Graham-Cassidy Obamacare Repeal Bill

We explain the gist of the Graham-Cassidy Obamacare repeal bill. In short, it looks a lot like the last repeal attempt, the Better Care Reconciliation Act.

In the Wake of Harvey and Irma, OCR Reminds Providers of HIPAA Rules

As Texas, Florida, and the Caribbean rebuild after the latest string of deadly hurricanes and prepare for the possibility of future storms, the U.S. Department of Health and Human Services (HHS) Offic

Health Care Weekly Preview from ML Strategies – Week of September 18, 2017

Our colleagues at ML Strategies have provided their Health Care Weekly Preview for the week of September 18, 2017.  This week’s preview focuses on the prognosis for the

Building a Health App? What You Need to Know

Last week, Apple announced the new Apple Watch Series 3 which will feature an enhanced heart rate app.  The app will notify you when it detects an elevated heart rate even when you are not w

Empire Blue Cross Blue Shield Kicks Off Two Autistic Children – Story

I missed one month payment due to incorrectly inputting my credit card. the insurance company dropped me and my children.

Congress should have to get obamacare – Story

I resent that congress is except from obama care; angry republican.

Very Sad!! – ObamaCare Story

I am a single woman who just lost her job. I am appalled that you ask for my income, however you do not ask what my cost of Living is.

Does Bernie’s Medicare-for-all Bill Ignore Funding?

Bernie's Medicare-for-all bill ignores funding, but not as an oversight. The bill itself purposefully leaves funding mechanisms open to debate.

Bernie Sanders Introduces Medicare for All Act of 2017

We explain the basics of the Bernie Sanders Medicare-for-all bill, a bill to expand universal coverage to all Americans by expanding Medicare.

Do You Approve of Our Single Payer Systems?

Are Our Single Payer Health Care Systems Working? We look at our existing single payer health care systems, the VA System, Medicare, and Medicaid, and ask how well they are working for us. The VA

Washington State AG Files Suit to Break Up Health System That Expanded Through Incremental Acquisitions

On Monday, September 11, our colleagues in the Antitrust Section published an alert describing a developing antitrust lawsuit against Franciscan Health System (“CHI Fanciscan”): State of W

Why are Primary Care Doctors Disappearing?

The wealth gap between primary care doctors and procedure-driven specialists is increasingly forcing primary care physicians to become a vanishing breed.

Health Care Weekly Preview from ML Strategies – Week of September 11, 2017

Our colleagues at ML Strategies have provided their Health Care Weekly Preview for the week of September 11, 2017.  This week’s preview focuses on Congress’ effort

FDA Takes First Steps to Cut Regulations, Solicits Public Feedback

Since our  March 17th post about President Trump’s executive actions aiming to implement his deregulatory agenda, several important developments related to the so-called “2-for-1

FDA Commissioner Announces Stem Cell Enforcement Shift, Plans to Develop Comprehensive Regenerative Medicine Policies

In a major public move that has been long-awaited by proponents of evidence-based stem cell science, FDA Commissioner Scott Gottlieb issued a lengthy statement on August 28, 2017 “on the FDA&rsq

MACRA’S QUALITY PAYMENT PROGRAM HAS GONE LIVE – ACTION REQUIRED IN 2017 TO AVOID PART B PAYMENT REDUCTIONS IN 2019 – QPP BASICS TO KNOW IN GETTING STARTED

MACRA’S QUALITY PAYMENT PROGRAM HAS GONE LIVE – ACTION REQUIRED IN 2017 TO AVOID PART B PAYMENT REDUCTIONS IN 2019 – QPP BASICS TO KNOW IN GETTING STARTED A new Congress has convened

President-Elect Trump Names Rep. Tom Price, MD (R-GA) as HHS Secretary, Seema Verma, Health Care Consultant, as CMS Administrator

Medicare/Medicaid Reform and ACA Repeal on the Horizon, MACRA Moves Forward for Now The new administration’s agenda for health care may have come into clearer focus with President-Elect Donald T

Time Remains to File a request for Informal Review of CY 2017 PQRS Negative Payment Adjustment

QRUR Informal Review Also Available. Physicians and other eligible professionals and practices who failed to meet criteria for satisfactory PQRS reporting in calendar year (CY) 2015 now face a negativ

CMS publishes Final MACRA Rule for MIPS and APM Incentives

On October 14, 2016, the Centers for Medicare & Medicaid Services (CMS) released its final rule implementing the new Quality Payment Program for physicians in lieu of the repealed sustainable grow

HHS’ FINAL NONDISCRIMINATION RULE IMPACTS MOST PHYSICIANS

Physicians subject to the Rule must meet notice and posting obligations by October 16, 2016. The federal Department of Health and Human Services (HHS), through its Office for Civil Rights (OCR), has p

MACRA ON THE MOVE!

CMS proposed rule details Medicare’s new physician “Quality Payment Program” Reporting under new measures slated to begin in 2017 The Centers for Medicare & Medicaid Services (CM

IOWA LEGISLATURE AMENDS BEHAVIORAL HEALTH DISCLOSURE LAWS

2016 Amendments Permit Disclosure for Care Coordination Only Under State Law One of the more challenging aspects of medical records management are federal and state legalities around release of substa

Iowa Supreme Court Crafts An Avenue Of Relief For Employers Who Fail To Notify Injured Workers That Medical Care Is No Longer Authorized

Even so, employers are best protected in giving statutory notice and medical providers are best protected in assuring that continued care remains authorized. Notification requirements imposed by Iowa&

Paul Drey Addresses Iowa Medical Society Conference

Brick Gentry’s president Paul Drey twice addresses the Iowa Medical Society (IMS) at its Annual Conference in Coralville, Iowa this month. “Protect Yourself: The Basics of Employment

HIPAA AND FEES FOR MEDICAL RECORDS

HIPAA AND FEES FOR MEDICAL RECORDS – Updated OCR guidance sets limits. Physicians and other HIPAA covered entity providers are familiar with HIPAA’s rule on fees that may be charged when i

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