Health Law Alert

The Medicare program provides for payment to critical access hospitals (CAHs) of their reasonable cost-based facility services.  It also allows CAHs to elect the Optional Payment Method (Method II) which additionally pays professional services at 115% of the physician fee schedule.  If a CAH elects the Optional Payment Method, physicians […]

If the first eight months of the new administration are an indicator, HIPAA Security Rule compliance and enforcement will remain a key priority for the U.S. Department of Health and Human Services, Office for Civil Rights (OCR) and other regulatory agencies.  Many commentators point to the current state of the […]

Many providers have made substantial investments in ACOs for participation in the Medicare shared savings program.  As the Trump Administration makes significant changes to many government programs, many have questioned how the Administration will view this program.  That concern was stoked by an announcement in March that four smaller CMS […]

Recent legal and regulatory changes around reproductive health care are creating a boomerang effect for the health care industry. On June 18, 2025, the U.S. District Court for the Northern District of Texas issued an order vacating the majority of the HIPAA Privacy Rule to Support Reproductive Health Care Privacy […]

On May 22, 2025, CMS issued updated price transparency guidance following the Trump Administration’s February 2025 Executive Order directing federal agencies to require the disclosure of actual prices of items and services instead of estimates and continue efforts to standardize pricing data across hospitals and health plans. The guidance requires […]