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Massachusetts Health Policy Commission's Annual Cost Trends Hearings
November 1, 2016 | Blog | By Daria Niewenhous
Continuing our current coverage of health policy issues and trends, Mintz Levin's Health Law Practice and ML Strategies have issued a joint Alert regarding the Massachusetts Health Policy Commission’s Annual Cost Trends Hearings.
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CMS Releases MACRA Final Rule, Easing 2017 Reporting Requirements
October 18, 2016 | Blog
On October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) released the final rule for the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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CMS Proposes Flexible Reporting Under MACRA
September 14, 2016 | Blog
In a blog post last week, CMS acting administrator Andy Slavitt said that physicians will have the ability to choose among several options to report data to Medicare under the new physician payment system ushered in by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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Senate Committee Releases Report on Potential Stark Law Changes, Hearing Scheduled
July 7, 2016 | Blog | By Laurence Freedman
On June 30, 2016, the Senate Finance Committee's Republican staff issued a 20-page report discussing comments made by industry stakeholders after a December 2015 round-table on the future of the physician self-referral law, also known as the Stark law.
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New Rules for ACOs in the MSSP
June 15, 2016 | Blog | By Bridgette Keller, Daria Niewenhous
CMS issued a final rule, published in the Federal Register on Friday, June 10, 2016, updating how the performance of ACOs participating in the Medicare Shared Savings Program (MSSP) is measured and compensated.
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Alternative Payment Models (APMs) Under MACRA Proposed Rule
May 6, 2016 | Blog | By Lauren Moldawer
Continuing our blog series on CMS’s massive proposed rule for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), we dedicate this post to examining the Advance Payment Model (APM) provisions of the proposed rule.
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Massachusetts Establishes Road-Map for New ACO Program
April 22, 2016 | Blog | By Bridgette Keller, Daria Niewenhous
Massachusetts Secretary of Health and Human Services, Marylou Sudders, held a public meeting earlier this week to receive feedback on the proposal of the Executive Office of Health and Human Services (EOHHS) to overhaul the Massachusetts Medicaid program, known as MassHealth.
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Talking about The Challenge of Quality in Health Care Policy Development
April 11, 2016 | Blog
Last week, I spoke at the National Quality Forum Annual Conference in Washington, D.C. about the role of health care quality in policymaking on the Hill. The challenge of policy making on the Hill is that many people know that quality is important. Policymakers know they need to be talking about health care quality. Unfortunately, too often quality is just a buzz word.
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Groundbreaking Multi-Payer Alignment on Core Measures for Quality-Based Payments
February 23, 2016 | Blog | By Bridgette Keller
For too long, health industry stakeholders have bandied about massive amounts of information that could not be used in a comparative sense.
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CBO’s Budget Forecast and the Silver Tsunami
January 28, 2016 | Blog
This week, the Congressional Budget Office (CBO) released a projection that shows Medicare enrollment will grow by more than 30 percent in the next decade alone, and the number of seniors will steadily grow from 55 million today to more than 80 million by 2036.
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Massachusetts Health Care Reform – Full Speed Ahead; Health Policy Commission 2015 Cost Trends Report
January 27, 2016 | Blog | By Daria Niewenhous
The Massachusetts Health Policy Commission (HPC) has issued its 2015 Cost Trends Report, based on the HPC’s annual health care cost growth hearings.
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Senate Working Group Considers Telehealth Policy Changes to Medicare
January 21, 2016 | Blog | By Carrie Roll
In keeping with the boom of telehealth legislation introduced last year at both the state and federal level, the Senate Finance Committee is considering several policy changes that, if ultimately enacted, could make telehealth the preferred method of care delivery for millions of Medicare beneficiaries living with chronic conditions.
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A Return to Evanston: FTC Revisits Old Ground in Yet Another Hospital Merger Challenge
December 23, 2015 | Blog | By Dionne Lomax
Last week, the Federal Trade Commission ("FTC" or "Commission") authorized staff to file an administrative complaint and to seek in federal court a temporary restraining order and a preliminary injunction to block the proposed merger of Advocate Health Care Network (Advocate) and NorthShore University HealthSystem (NorthShore) in the Chicago area.
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CMS Issues Final Rule for Fraud and Abuse Waivers in the Medicare Shared Savings Program
November 6, 2015 | Blog
On October 29th, 2015, the Centers for Medicare and Medicaid Services ("CMS") issued its final rule ("Final Rule") for waivers of fraud and abuse laws in the context of the Medicare Shared Savings Program ("Shared Savings Program").
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MA Health Policy Updates - Moves to Strengthen HPC and Expand Telemedicine
November 2, 2015 | Blog
In a recent Alert, the Mintz Levin Health Law Practice and ML Strategies provided a comprehensive look at recent developments in Massachusetts health policy. In addition to a detailed report on recent Health Policy Commission (HPC) activities, the Alert highlights pending legislation that will affect the health industry.
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Upcoming AHLA Webinar - Behavioral Health and ACOs
September 22, 2015 | Blog
On Thursday Mintz Levin attorney Daria Niewenhous will be moderating an American Health Lawyers Association webinar entitled “Behavioral Health and ACOs—Challenges and Opportunities.”
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Back to School – HIPAA 101
August 27, 2015 | Blog
After a summer that saw major data breaches at the Office of Personnel Management and UCLA Health System, this fall is a great time to take your organization back to school on HIPAA compliance and data security. Here are four items to add to your fall to-do list, no #2 pencils required.
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Personalized Medicine and Alternative Payment Models
August 19, 2015 | Blog | By Bridgette Keller
Earlier this month, my colleague Andy Shin at ML Strategies co-authored an article in the American Journal of Managed Care for a special issue of Evidence–Based Oncology, focusing on personalized medicine.
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Delivery System Reform 2.0: Scaling Alternative Payment Models is the New Normal
July 13, 2015 | Blog
For some health care providers, a pair of recent announcements made by the Obama Administration to implement mandatory alternative payment models (APMs) for home health value-based purchasing and bundled payments for hip and knee episodes of care will come as a shock.
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Massachusetts Health Care Regulatory Review – Opportunity for Industry Comment
June 25, 2015 | Blog | By Ellen Janos
Health care is big business in Massachusetts, and it is a highly regulated business. But Governor Charlie Baker hopes to simplify the Massachusetts regulatory regime.
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