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As the use of telehealth continues to grow throughout the health care industry, government scrutiny of telehealth arrangements is also on the rise.  Read More ›

On April 27, 2018, the U.S. Department of Health and Human Services, Department of Labor, and the Treasury Department (collectively the Departments) issued a “Clarification” of its previously-issued Greatest of Three (GOT) rule regarding payment for out-of-network emergency services.  While the immediate impetus was a court order requiring the Departments to clarify the basis for the GOT rule, the Departments have provided valuable guidance that will assist providers in challenging the level of payment for such services. Read More ›

On April 27, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining proposed quality program changes for skilled nursing facilities (SNFs) that includes a new Patient-Driven Payment Model (PDPM).  Read More ›

HLB Attorneys Precious Murchison Gittens and Brett Moodie provide an in-depth look at remediation in health care investigations.

Through the MassHealth Payment and Care Delivery Innovations (PCDI), MassHealth is launching a system of provider-led accountable care organizations (ACOs) that will coordinate care for MassHealth members with a particular emphasis on primary care and a transition to value-based reimbursement.  Read More ›

For media inquiries, please contact Barrett McBride at bmcbride@health-law.com or 916.456.5855.