Today the Centers for Medicare & Medicaid Services (CMS), in order to promote Medicaid and Medicare program efficiency, transparency, and burden reduction, proposed new rules that revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs). The link of this rule will be republished in the Federal Register on Sept. 20. According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as … [Read more...] about Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
In The News: 5 Healthcare Legal Battles That Could Head To The Supreme Court
Changes to the healthcare market nationwide could manifest if these 5 lawsuits make it to the highest court in the nation. According to news reports, there are several significant pieces of healthcare legislation that could result from multiple major healthcare cases going through the federal courts. The consequential healthcare cases include: Texas vs Alex Azar - Re: ACA is unlawful and the Court should enjoin its operation. Therefore, Plaintiffs seek declaratory and injunctive relief … [Read more...] about In The News: 5 Healthcare Legal Battles That Could Head To The Supreme Court
$434 Million in Financial Payments Improperly Issued by CMS to Insurers
In a new report by The HHS Office of Inspector General, the Centers for Medicare & Medicaid Services (CMS) was found to have wrongly funded $434.4 million in financial assistance payments to qualified health plan (QHPs) issuers for 461,127 policies. The audit revealed that the improperly authorized funding occurred in 2014, the first year the ACA law’s health insurance marketplaces went online. According to the report, CMS relied on insurers to verify that their enrollees were confirmed and … [Read more...] about $434 Million in Financial Payments Improperly Issued by CMS to Insurers
HHS Releases Report on Hospice Care Fraud in US
A report released recently released by the Office of Inspector General (OIG) at the US Department of Health titled: Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity has highlighted that hospice care fraud is a nationwide problem in the US. The report found that hospices do not always provide needed services to beneficiaries and sometimes provide poor quality care for Nursing home residents and other patients. When care is provided hospices’ inappropriate … [Read more...] about HHS Releases Report on Hospice Care Fraud in US
Accessibility Standards in Assisted Living Facilities
Long-Term Care Regulatory Provider Letter - PL 18-05 Policy Update Re; Life Safety Code for Assisted Living Facility Senate Bill 1049, 85th Legislature, 2017 added §247.0264 to Texas Health and Safety Code, Chapter 247. This code affirms the role of the Texas Department of Licensing and Regulation (TDLR) in the interpretation and enforcement of accessibility standards in assisted living facilities. Effective since September 1, 2017, a Health and Human Services (HHSC) inspector may not cite … [Read more...] about Accessibility Standards in Assisted Living Facilities
Accessibility Standards in Assisted Living Facilities
Provider Letter PL 18-05 (ALF) This letter describes procedures related to enforcement of accessibility standards during initial Life Safety Code (LSC) inspections for Assisted Living Facilities. 2.0 Policy Details Senate Bill 1049, 85th Legislature, 2017 added §247.0264 to Texas Health and Safety Code, Chapter 247, that affirms the role of the Texas Department of Licensing and Regulation (TDLR) in the interpretation and enforcement of accessibility standards in assisted living … [Read more...] about Accessibility Standards in Assisted Living Facilities
Texas Biometric Privacy Law restricts certain “biometric identifiers.” Only three states have laws regulating the collection and storage of Biometric data.
Healthcare is rapidly expanding the use of biometric information with hospitals utilizing fingerprinting to secure patient electronic data. Employers are also using the technology which debaters argue could compromise an individual’s right to privacy. However, new laws continue to create protection and security through the use of biometric information. “Biometrics” are biological measurements that cannot be replicated of individual biological patterns or characteristics such as fingerprints, … [Read more...] about Texas Biometric Privacy Law restricts certain “biometric identifiers.” Only three states have laws regulating the collection and storage of Biometric data.
Texas, and 19 other states battle Affordable Care Act as “unconstitutional” in Federal Court
More than 8.8 million Americans are enrolled in the Affordable Care Act healthcare law spearheaded by President Barack Obama. An unpopular mandate of the Affordable Care Act, a tax penalty for the uninsured was repealed by a bill passed by Congress and signed by President Trump in December. Now, Texas is among 20 states where 20 Republican state attorneys general are suing to overturn the law, asking a federal court to hold the Affordable Care Act's individual mandate and the … [Read more...] about Texas, and 19 other states battle Affordable Care Act as “unconstitutional” in Federal Court
Elderly patients at risk at Nursing homes that overmedicate
National reports by Human rights advocates say that nursing homes are overprescribing antipsychotics to patients. According to the latest data from the federal Centers for Medicare & Medicaid Services, known as CMS, the percentage of long-term nursing home residents being given antipsychotic drugs dropped from about 24 percent in late 2011 to under 16 percent last year. Yet advocacy groups reveal that misuse of drugs remains a major problem in nursing facilities. The findings outlined in a … [Read more...] about Elderly patients at risk at Nursing homes that overmedicate
HHS OIG Releases Report Regarding Group Homes and Critical Incident Reporting
This January, the Office of Inspector General (OIG) at the U.S. Department of Health and Human Services (HHS) in conjunction with the Administration for Community Living (ACL) and the Office for Civil Rights (OCR) at HHS issued a report which detailed that "health and safety policies and procedures were not being followed. Failure to comply with these policies and procedures left group home beneficiaries at risk of serious harm. These are not isolated incidents but a systemic problem – 49 … [Read more...] about HHS OIG Releases Report Regarding Group Homes and Critical Incident Reporting
