Nikki Golden

October 29, 2019

CMS Issues a Final Rule on Discharge Planning Rule, Supports Interoperability and Patient Preferences

On September 29, The Centers for Medicare & Medicaid Services (CMS) issued a final rule that aims to empower patients to make informed decisions about their care as they are discharged from acute care into post-acute care (PAC), a process called “discharge planning.”  In addition to improving quality by improving these care transitions, the rule attempts to support CMS’ interoperability efforts by promoting the seamless exchange of patient information between health care settings and ensuring that a patient’s health care information follows them after discharge from a hospital or PAC provider. The final rule revises hospital discharge planning requirements for long-term care hospitals (LTCHs) and inpatient rehabilitation facilities, inpatient psychiatric facilities, children’s hospitals, cancer hospitals, (IRFs), critical access hospitals (CAHs), […]
October 29, 2019

CMS Issues Omnibus Burden Reduction Final Rule

On September 26, the Centers for Medicare & Medicaid Services (CMS) issues a final rule on The Omnibus Burden Reduction (Conditions of Participation) Final Rule. The intent of the rule is to strengthen patient safety by removing unnecessary, obsolete, or excessively burdensome health regulations on hospitals and other healthcare providers. The rule seeks to advance CMS’s Patients over Paperwork initiative by saving providers an estimated 4.4 million hours previously spent on paperwork annually, with overall total provider savings projected to be approximately $8 billion over the next 10 years, giving doctors more time to spend with their patients. CMS conducted a comprehensive review of regulations to determine where changes to obsolete, duplicative, or unnecessary requirements could be made to improve healthcare delivery. […]
October 29, 2019

White House Issues Executive Order on Medicare

On Thursday, October 3, President Trump issued an Executive Order on “Protecting and Improving Medicare for our Nation’s Seniors.”  While the Executive Order does not provide legislative or regulatory specifications, it raises policy areas that the President believes need to be addressed to improve the Medicare program. The Executive Order aims to expand enrollment in Medicare Advantage (MA) plans to make them more attractive to seniors than the traditional fee-for-service program.  Within one year, the Secretary of Health and Human Services is asked to propose regulations and implement other administrative actions to provide more diverse and affordable MA options for seniors, by: Encouraging innovative MA benefit structures and plan designs, including better use of Medical Savings Accounts (MSAs) by seniors; Including a […]
October 29, 2019

Health and Human Services Proposes Stark Law and Anti-Kickback Statute Reforms

On October 9, the Department of Health and Human Services (HHS) announced proposed changes to modernize and clarify the regulations that interpret the Physician Self-Referral Law (the “Stark Law”) and the Federal Anti-Kickback Statute. The proposed rules seek to provide greater certainty for healthcare providers participating in value-based arrangements and providing coordinated care for patients. The proposals would ease the compliance burden for healthcare providers across the industry, while maintaining strong safeguards to protect patients and programs from fraud and abuse. The proposed rules are part of HHS’s “Regulatory Sprint to Coordinated Care,” which seeks to promote value-based care by examining federal regulations that impede efforts among providers to better coordinate care for patients. The Stark Law’s new value-based exceptions, […]