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CMS, OIG Finalize Changes to Stark Law and Anti-kickback Statute to Encourage Value-Based Care and Reduce Technical Trip Wires
Summary of two final rules from the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (OIG) that will modernize and make important changes to physician self-referral (Stark law) and federal Anti-kickback statute (AKS) regulations.
Protecting Health Care from Cyber Attacks
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Federal Court Rejects FTC Challenge to Merger Between Thomas Jefferson University and the Albert Einstein Healthcare Network
A federal district court in Pennsylvania today rejected a legal challenge by the Federal Trade Commission to prevent the proposed merger of Philadelphia-based Jefferson Health and Einstein Healthcare Network.
Addressing Societal Factors to Improve Health Equity
The COVID-19 pandemic has placed spotlight on health inequities in the United States. It has illuminated that, regardless of access to health care services, social and economic circumstances make some people more likely than others to become ill or have poor health.
Fact Sheet: Patients Should Not Settle for Subpar Patient Protections against Surprise Medical Billing
Hospitals and health systems are deeply concerned about the effect of unanticipated medical bills on our patients, which could impact their out- of-pocket costs. Protecting patients from surprise medical bills is a top priority for the AHA and all of our members. However, we oppose legislative proposals that set a default payment rate for out-of-network services. Recently, an agreement was announced that would address surprise medical bills. While no legislative language has been provided, we understand the proposal would include a prohibition on balance billing and rely on rate setting to establish an initial payment, with an opportunity for providers to dispute the payment.
How to Help Clinicians Stay Resilient during COVID-19
The latest COVID-19 surge has led to record levels of hospitalizations and deaths, and health care professionals (HCPs) are suffering heavy casualties as well. The Centers for Disease Control and Prevention reported that as of Dec. 2, more than 247,000 HCPs had contracted COVID-19 and 843 had died from the virus.
How to Better Enable Physicians to Succeed in Telehealth
Recent research into telehealth adoption found that providers’ satisfaction was directly proportional to the amount of input they had in program design and rollout within their institutions. This speaks to the importance of engaging with physicians and others who provide virtual care services.