Category Archives: Department of Health & Human Services

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Finding Common Ground in the Healthcare Debate: Federal, State, and Local Governments Respond to the Opioid Epidemic

Kenneth YoodBy Kenneth Yood on Posted in Department of Health & Human Services
As stories and statistics of the opioid crisis become increasingly prevalent in our national discourse, we are seeing a stronger, more innovative, and more aligned push for interventions across communities, government agencies, and the public, social, and health services sectors.… Continue Reading

New Affordable Care Act and Medicaid Regulations Will Require Covered Entities Providing Healthcare Programs and Services to Have Accessible Websites

Michael ChilleenGregory HurleyBradley LeimkuhlerBy Michael Chilleen, Gregory Hurley and Bradley Leimkuhler on Posted in Affordable Care Act (ACA), Department of Health & Human Services, Medicaid
There has been a proliferation of ADA lawsuits alleging that websites are not accessible to the blind or deaf.  Individuals who are blind or have low vision may require assistive devices and specialized software to access the Internet.  These devices often include software that enables them to magnify the content of a web page, reads … Continue Reading

HHS Recognizes Changing Environment of Research: Still Time to Comment

Dawn CrumelBy Dawn Crumel on Posted in Department of Health & Human Services
Late last month the Department of Health and Human Services (HHS) and other Federal Departments and Agencies announced an extension until January 6, 2016  to the comment period for the Federal Policy for the Protection of Human Subjects notice of proposed rulemaking (NPRM).  The proposed rulemaking is the most sweeping since 1991 when HHS codified … Continue Reading

HHS Launches New Payment and Delivery Model to Improve Oncology Care

Eric KleinRachel LandauerBy Eric Klein and Rachel Landauer on Posted in Department of Health & Human Services, Medicaid, Medicare
Cancer care is notoriously complex, intensive and costly. With more than 1.6 million people diagnosed with cancer each year, there is a strong impetus towards reforming service delivery. Accordingly, the U.S. Department of Health and Human Services is launching a new payment and care delivery model for Medicare beneficiaries undergoing chemotherapy treatment.[1]… Continue Reading

Task Force of Healthcare Providers and Insurers are Shifting to Incentive Based Contracts

Aytan DahukeyBy Aytan Dahukey on Posted in Accountable Care Organization (ACO), Department of Health & Human Services, Medicare
Some of the largest healthcare providers and insurers in the country have joined to form the Healthcare Transformation Task Force in an effort to change healthcare industry payment models.  The announcement of the task force and its efforts come shortly after the Department of Health and Human Services announced plans to overhaul Medicare’s fee-for-service program … Continue Reading

HHS Aims to Tie Most Medicare Reimbursements to Quality by 2018

By Sheppard Mullin on Posted in Accountable Care Organization (ACO), Department of Health & Human Services, Medicare
On January 26, 2015, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced specific goals and a timeline for shifting Medicare reimbursements from the traditional fee-for-service (FFS) model, to a quality or value-based model.[1] This is the first time in Medicare’s history that HHS is setting specific goals for such a shift. Secretary Burwell … Continue Reading

Effects of the New Federal Spending Package on the Health Sector

Eric KleinRachel LandauerBy Eric Klein and Rachel Landauer on Posted in Affordable Care Act (ACA), Centers for Medicare and Medicaid Services ("CMS"), Department of Health & Human Services, Health Information Technology, Medicare
In mid-December, President Obama signed into law a $1.1 trillion spending bill known as the “Consolidated and Further Continuing Appropriations Act, 2015” or “Cromnibus.”[1] This post explores provisions that relate to the health sector and Affordable Care Act (ACA) implementation.… Continue Reading

False Press Release Leads To Exclusion From Federal Programs

By Sheppard Mullin on Posted in Department of Health & Human Services
By Robert Rose  Dr. Harkonen was the CEO of InterMune, Inc, a pharmaceutical company that developed, marketed and sold drugs for lung and liver diseases, including Actimmune. In 2002, the FDA had approved Actimmune to treat only two conditions: chronic granulomatous disease and severe malignant osteopetrosis. A year before the approval, an Austrian clinical trial … Continue Reading

Switching to Electronic Medical Records May Not Be a Cure for Billing Abuses

By Sheppard Mullin on Posted in Department of Health & Human Services, DOJ
By Robert Rose Last month, in a joint letter by HHS and DOJ to five prominent hospital associations, the government warned that some providers are using electronic medical records (EMR) to “game the system.” The September 24th letter gave examples of “troubling indications” of EMR misuse: Cutting and pasting the same examination findings for multiple … Continue Reading

Dual Eligibles Coordinated Care Demonstration postponed to July 2013

By Sheppard Mullin on Posted in Department of Health & Human Services
By Ken Yood The California Department of Health Care Services recently announced that it will start its Dual Eligibles Coordinated Care Demonstration in June 2013 instead of January. The Dual Eligibles Coordinate Care Demonstration is expected to lead to the enrollment of up to 560,000 of California’s dual-eligible Medicare-Medicaid patients into managed care plans designed … Continue Reading

OIG Releases Fiscal Year 2011 Work Plan

By Sheppard Mullin on Posted in American Recovery and Reinvestment Act of 2009, Department of Health & Human Services, Hospitals, Office of the Inspector General ("OIG")
By Ken Yood and Lynsey Mitchel The mission of the Office of the Inspector General ("OIG") is to protect the integrity of the programs and operations of the Department of Health & Human Services, for example Medicare, by detecting and preventing waste, fraud and abuse, and identifying opportunities to improve program economy, efficiency and effectiveness. The Work … Continue Reading
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