Articles and Blogs

Year: 2016

Proposed Michigan Legislation to Prohibit Physician Maintenance of Certification in Privileging and Credentialing

[08/19/16]

Posted on August 19, 2016 in Health Law News

Published by: Hall Render

Late last year, Rep. Edward Canfield (R-Sebewaing) and Sen. Peter MacGregor (R-Rockford) proposed legislation that would amend: (1) the Public Health Code to prohibit the Department of Licensing and Regulatory Affairs or a professional board from requiring a physician to maintain a national or regional certification and prohibits hospitals from denying admitting privileges on... READ MORE

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Transgender Employee’s EEOC Claim Against Religious Employer Dismissed Under Religious Freedom Restoration Act

[08/19/16]

Posted on August 19, 2016 in HR Insights for Health Care

Written by: Jonathon A. Rabin

On August 18, 2016, Judge Sean F. Cox in the U.S. District Court for the Eastern District of Michigan ruled that a funeral home business did not violate the law when it terminated a transgender employee who wished to dress as a woman. This decision is significant because it is one of the first... READ MORE

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Third Party Discovery Begins in Expedited Antitrust Challenge to Health Insurance Mega-Mergers

[08/19/16]

Posted on August 19, 2016 in Health Law News

Published by: Hall Render

As has been widely reported, on July 21, 2016, the Antitrust Division of the DOJ filed two separate complaints to block both Anthem’s acquisition of Cigna and Aetna’s acquisition of Humana, alleging both acquisitions violate the federal antitrust laws. In both cases, the parties have decided to fight the DOJ’s challenge. Originally, both cases were... READ MORE

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OCR Announces Largest Single-Entity Settlement to Date

[08/18/16]

Posted on August 18, 2016 in Health Law News

Published by: Hall Render

On August 4, the Office for Civil Rights (“OCR”) announced a $5.55 million settlement with the largest fully integrated health care system in Illinois. The settlement is the largest HIPAA settlement ever by a single entity and follows two recent settlements with university health systems in Oregon and Mississippi that were $2.7 million and... READ MORE

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Reminder: Critical Access Hospitals in Counties that Changed to Urban in 2014 Must Reclassify as Rural by September 30, 2016

[08/18/16]

Posted on August 18, 2016 in Health Law News

Published by: Hall Render

On August 5, 2014, the Centers for Medicare & Medicaid Services (“CMS”) issued an Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) adopting the updated labor market area delineations based on the 2010 census. The updated labor market area delineations became effective October 1, 2014. The Final Rule effectively caused, among other changes,... READ MORE

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22 Hall Render Attorneys Listed by Best Lawyers

[08/15/16]

Posted on August 15, 2016 in Firm News

Published by: Hall Render

22 Hall Render attorneys were recently selected by their peers for inclusion in The Best Lawyers in America® 2017. Hall Render congratulates: Elizabeth Callahan-Morris, Shareholder, Best Lawyers Since 2014 Lawrence K. Coon, Shareholder, Best Lawyers Since 2007 Arthur F. deVaux, Shareholder, Best Lawyers Since 2013 Mary C. Gaughan, Shareholder, Best Lawyers Since 2016 Scott J. Geboy,... READ MORE

9th Circuit Issues Blockbuster Medicare Advantage FCA Decision

[08/12/16]

Posted on August 12, 2016 in False Claims Act Defense

Published by: Hall Render

The 9th Circuit Court of Appeals just issued a blockbuster ruling in U.S. ex rel. Swoben v United Healthcare et al., ruling that United Healthcare, WellPoint, Aetna and other major health insurance providers must answer to a whistleblower’s complaint that they defrauded the Medicare Advantage program. The Medicare Advantage Program, also known as Medicare... READ MORE

Mandatory Federal Remedies for Nursing Homes

[08/12/16]

Posted on August 12, 2016 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

On July 22, 2016, the Center for Clinical Standards and Quality/Survey & Certification Group released a memorandum that revised Chapter 7 of the State Operations Manual (“SOM”) and provided guidance on its policy to immediately impose federal remedies when a deficiency of a certain type is cited. The remedies are in addition to a... READ MORE

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OIG Issues Favorable Advisory Opinion on Prescription Drug Discount Program

[08/11/16]

Posted on August 11, 2016 in Health Law News

Published by: Hall Render

The Department of Health and Human Services Office of Inspector General (“OIG”) recently issued a favorable Advisory Opinion, No. 16-07, of an arrangement that offers Medicare Part D beneficiaries discounts on prescriptions for an erectile dysfunction drug that is statutorily excluded from coverage under Part D (the “Arrangement”). While OIG concluded that the Arrangement... READ MORE

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Join Hall Render Attorneys and IHA for IHA Health Care Legal Forum

[08/10/16]

Posted on August 10, 2016 in Firm News

Published by: Hall Render

Join the Indiana Hospital Association and Hall Render attorneys Mike Batt, Elizabeth Callahan-Morris, Tim Kennedy, Jennifer Skeels, Kevin Stella, Mark Swearingen and Regan Tankersley for the IHA Health Care Legal Forum on September 16, 2016. The Legal Forum is designed specifically for hospital attorneys and executives, as well as those interested in legal topics... READ MORE