Month: August 2022

August 30, 2022

MAYA GOLDMAN 

The surprise billing arbitration process has gotten off to a rocky start. 

Insurers are accusing providers of submitting every possible claim, even when they know some cases are not eligible for mediation. Providers allege insurers are holding up the federal dispute process by delaying submissions of clear and complete information. The recently published final rule on the process from the Health and Human Services, Labor and Treasury departments likely will not resolve all these problems.

August 26, 2022

MARI DEVEREAUX

Health systems strapped for resources worry that reporting on new quality measures and transitioning to interoperability as part of the Centers for Medicare & Medicaid Services’ final rule will be overly burdensome.

As a result, some hospitals want CMS to offer adequate financial and technological support. For larger systems with deeper resources, the rule doesn’t seem to be a big lift.

August 18th, 2022

Maria Nutile was recently selected by her peers for inclusion in the 2023 edition of The Best Lawyers in America® for her work in Health Care Law.

August 12, 2022

KARA HARTNETT 

The Joint Commission has established new accreditation standards to accelerate equity efforts within healthcare organizations.

As of Jan. 1, accreditation programs for primary care clinics, behavioral health centers, critical access facilities and hospitals will include new mandates for their leaders.

August 08, 2022

NONA TEPPER

A new lawsuit alleges Centene took advantage of enrollee churn between Medicaid and health insurance exchange policies to defraud the federal government and dupe consumers.

August 01, 2022

NONA TEPPER 

The Justice Department lawsuit seeking to block UnitedHealth Group’s $13 billion acquisition of data broker Change Healthcare begins in federal court Monday.