K&l Gates Health Care Triage

Sinopse

Triage: Rapid Legal Lessons for Busy Health Care Professionals has been created by K&L Gates to convey information about developments in health law through short, three to ten minute podcasts. If you work in the health care industry, you have grown accustomed to frequent changes in laws and regulations. On some days, it may seem like an insurmountable task to keep up with every change, especially as a new presidential administration and new policies take shape. The K&L Gates Health Care practice will regularly create Triage podcasts to help you learn about the latest developments in health law. Our lawyers will identify the most important changes and analyze the impact of these changes on our clients.

Episódios

  • COVID-19: KL Gates Triage: Alternative Payment Models: Tied to an Improved COVID-19 Response?

    COVID-19: K&L Gates Triage: Alternative Payment Models: Tied to an Improved COVID-19 Response?

    01/07/2020 Duração: 14min

    In this week's episode, Gabe Scott and Steve Pine discuss recent data showing how health systems participating in Alternative Payment Models compare to other health systems in responding to the COVID-19 crisis, and discuss the future of APMs. Presenters: Steve Pine, Gabe Scott

  • COVID-19: KL Gates Triage: United States vs Australia-Future of Nursing Homes and Long Term Care Facilities and What it Will Take to Succeed

    COVID-19: K&L Gates Triage: United States vs Australia-Future of Nursing Homes and Long Term Care Facilities and What it Will Take to Succeed

    25/06/2020 Duração: 22min

    In this week’s episode, Myla Reizen and Paris Petranis are joined again by Bruce Spurlock, President and CEO of Cynosure Health, and Judi Coombe, a Senior Operations Consultant at Ansell Strategic, to continue their discussion of the effects of the COVID-19 pandemic on nursing homes and long term care facilities in the United States and Australia. This week, the presenters focus on the ways in which regulatory authorities and industry leaders in the United States and Australia may adapt and change the face of long term and aged care as the COVID-19 pandemic continues, and beyond. Presenters: Myla Reizen and Paris Petranis Download Presentation Materials  

  • COVID-19: KL Gates Triage: Community Health Center Response to COVID-19 and the Evolving Landscape of Delivery of Care

    COVID-19: K&L Gates Triage: Community Health Center Response to COVID-19 and the Evolving Landscape of Delivery of Care

    22/06/2020 Duração: 28min

    In this week’s episode, Carla DewBerry is joined by with Carlos Olivares, Executive Director of the Yakima Valley Farm Workers Clinic, a community based health center in the Pacific Northwest serving low-income, migrant and seasonal farm workers and communities of color for over 40 years. Ms. DewBerry and Mr. Olivares discuss how the COVID-19 pandemic has impacted the organization and community at large, as well as the innovative projects the Yakima Valley Farm Workers Clinic has undertaken, and potential changes in the health care delivery system in years to come. Presenter: Carla DewBerry

  • COVID-19: KL Gates Triage: Nursing Homes and Long Term Care Facilities in the COVID-19 Environment: Huge Disparity between United States and Australia

    COVID-19: K&L Gates Triage: Nursing Homes and Long Term Care Facilities in the COVID-19 Environment: Huge Disparity between United States and Australia

    11/06/2020 Duração: 25min

    In this week’s episode, Myla Reizen and Paris Petranis are joined by Bruce Spurlock, President and CEO of Cynosure Health, and Judi Coombe, a Senior Operations Consultant at Ansell Strategic, to discuss the effects of the COVID-19 pandemic on nursing homes and long term care facilities in the United States and Australia. The presenters discuss the full scope of issues COVID-19 has created for the long term and aged care industries to date, and the ways in which regulatory authorities and industry leaders are addressing these issues in both the United States and Australia. Presenters: Myla Reizen and Paris Petranis Download Presentation Materials

  • COVID-19: KL Gates Triage: Responding to the Unimaginable: Legal Challenges for Nursing Homes  Long-Term Care Facilities in a COVID-19 Enforcement Environment

    COVID-19: K&L Gates Triage: Responding to the Unimaginable: Legal Challenges for Nursing Homes & Long-Term Care Facilities in a COVID-19 Enforcement Environment

    09/06/2020 Duração: 24min

    On this week’s episode, John Lawrence, Myla Reizen and Mark Rush discuss the devastating effects COVID-19 has had on nursing homes and long term care facilities in the United States and potential civil and criminal liability that may stem from how nursing homes and long term care facilities have responded. In particular, the presenters discuss guidance the United States government has provided to nursing homes and long term care facilities for handling the COVID-19 pandemic, areas of potential exposure to criminal and civil actions for nursing homes and long term care facilities related to their response to the pandemic, and what protective measures such facilities can take to prevent or defend against such civil and criminal actions.

  • COVID-19: KL Gates Triage: Considerations for Behavioral Health Providers in the COVID-19 Environment and Beyond

    COVID-19: K&L Gates Triage: Considerations for Behavioral Health Providers in the COVID-19 Environment and Beyond

    04/06/2020 Duração: 16min

    In this week’s episode, Carla Dewberry, Sarah Carlins, and Cheryl Choice discuss the ways in which the COVID-19 emergency has changed the landscape of behavioral health in the United States. The presenters address the ways in which the COVID-19 emergency has affected behavioral health providers and the ways in which they offer behavioral health services, as well as how some of these changes may continue to affect the field of behavioral health into the future. Presenters: Carla Dewberry, Sarah Carlins, Cheryl Choice

  • COVID-19: KL Gates Triage: Workplace Safety Highlights from the CDC’s May 2020 “Ten Ways Healthcare Systems Can Operate Effectively During the COVID-19 Pandemic” Guidance

    COVID-19: K&L Gates Triage: Workplace Safety Highlights from the CDC’s May 2020 “Ten Ways Healthcare Systems Can Operate Effectively During the COVID-19 Pandemic” Guidance

    28/05/2020 Duração: 09min

    In this week’s episode, Leann Walsh identifies key takeaways for hospitals and other health care employers from a guidance document recently published by the Centers for Disease Control (CDC) entitled “Ten Ways Healthcare Systems Can Operate Effectively during the COVID-19 Pandemic.” In particular, Ms. Walsh discusses CDC guidance related to worker safety and support, patient service delivery, data streams for situational awareness, facility practices, and communication plans. Presenters: Leann Walsh Download Presentation Materials

  • COVID-19: KL Gates Triage: Telehealth Expansions During the COVID-19 Emergency - What Providers Need to Know

    COVID-19: K&L Gates Triage: Telehealth Expansions During the COVID-19 Emergency - What Providers Need to Know

    21/05/2020 Duração: 27min

    Presenters: Gina Bertolini, Leah Richardson, Lindsey Rogers-Seitz In this week’s episode, Gina Bertolini, Lindsey Rogers-Seitz and Leah Richardson discuss a number of efforts undertaken by Congress and the U.S. Department of Health and Human Services (HHS) in recent weeks to expand the availability of telehealth services for the U.S. patient population in order to prevent unnecessary patient-provider contact and help combat the spread of COVID-19. The presenters discuss the scope and intended outcome of these efforts, as well as how these changes in access to telehealth services might continue going forward. 

  • COVID-19: KL Gates Triage: Value-Based Payment Arrangements

    COVID-19: K&L Gates Triage: Value-Based Payment Arrangements

    07/05/2020 Duração: 18min

    In this week’s episode, Limo Cherian, Carla Dewberry and Steven Pine discuss recent changes to value-based health care payment arrangements triggered by the current COVID-19 emergency. In particular, the presenters discuss changes implemented by CMS to the Quality Payment Program (QPP), the Merit-based Incentive Payment System (MIPS), and the Medicare Shared Savings Program (MSSP), as well as additional considerations for commercial value-based arrangements.

  • COVID-19: 340B Update - Hospitals Request Eligibility Flexibilities Amid COVID-19 Pandemic

    COVID-19: 340B Update - Hospitals Request Eligibility Flexibilities Amid COVID-19 Pandemic

    09/04/2020 Duração: 08min

    In this episode, Richard Church and Victoria Hamscho discuss recent developments in the 340B Drug Pricing Program, including recent COVID-19 guidance by the Health Resources and Services Administration and hospital requests for additional flexibilities to help them respond to the pandemic, particularly as it relates to eligibility requirements under the 340B Program. Presenters: Richard Church, Victoria Hamscho Download Presentation Materials  

  • COVID-19: KL Gates Triage: COVID-19 Stark Waivers

    COVID-19: K&L Gates Triage: COVID-19 Stark Waivers

    02/04/2020 Duração: 20min

    In this week’s episode, Mary Beth Johnston, Carolyn Merritt and Leah Richardson discuss the ways in which the Centers for Medicare and Medicaid Services’ (CMS) response to the ongoing COVID-19 outbreak is easing certain financial and compliance burdens on health care providers seeking agility in responding to the crisis. In particular, the presenters address the Stark Law compliance waivers issued by the Secretary of the Department of Health and Human Services related to the COVID-19 outbreak, and discuss the effect of a Self-Referral Disclosure Protocol submission in the context of CMS’ recently announced expansion of its Accelerated and Advanced Payment Program for various types of providers. Download Presentation Materials

  • COVID-19: KL Gates Triage: FDA Facilitates Diagnostic Testing and Heightens Public Safety Efforts Amid Outbreak

    COVID-19: K&L Gates Triage: FDA Facilitates Diagnostic Testing and Heightens Public Safety Efforts Amid Outbreak

    26/03/2020 Duração: 06min

    In this week’s episode, Kenneth Kennedy discusses several of FDA’s strategies for helping stakeholders in the drug and medical device industry support health care providers in their fight against the COVID-19 outbreak. In particular, Mr. Kennedy discusses several unprecedented measures FDA has taken with respect to laboratory test approval, as well as some important regulatory actions aimed at protecting the public health. Presenters: Kenneth Kennedy Download Presentation Materials

  • KL Gates Triage: COVID-19 - HIPAA Concerns in the Context of Novel Coronavirus

    K&L Gates Triage: COVID-19 - HIPAA Concerns in the Context of Novel Coronavirus

    09/03/2020 Duração: 11min

    In this week’s episode, Hannah Maroney, Cheryl Choice and Steven Pine provide some background on COVID-19 and discuss challenges health care providers may face with respect to the disclosure of protected health information related to COVID-19 patients under HIPAA, as well as recent guidance issued by the Department of Health and Human Services Office of Civil Rights (OCR) related to such disclosures. Presenters: Hannah Maroney, Cheryl Choice, and Steven Pine Download Presentation Materials

  • KL Gates Triage: Health Care Provider v. Payor Disputes Simplified: Getting Around ERISA Preemption

    K&L Gates Triage: Health Care Provider v. Payor Disputes Simplified: Getting Around ERISA Preemption

    05/03/2020 Duração: 04min

    In this week’s episode, Gary Qualls discusses the recent Louisiana federal district court decision in Crescent City Surgical Centre vs. United Healthcare of Louisiana, in which the court found that an out-of-network provider’s claim against a third party payer was not subject to preemption under the Employee Retirement Income Security Act (ERISA) and was properly heard in state court. Mr. Qualls highlights the implications of this decision, including how it may prevent future ERISA preemption of similar claims related to payment for out-of-network services. Presenters: Gary Qualls Presentation Materials

  • KL Gates Triage: The Impact of Allina — Potential Limitation on CMS’s Ability to Recoup Overpayments

    K&L Gates Triage: The Impact of Allina — Potential Limitation on CMS’s Ability to Recoup Overpayments

    27/02/2020 Duração: 06min

    In this week’s episode, Adam Cooper discusses the Supreme Court’s decision in Azar v. Allina Health Services, as well as a related memorandum issued in late 2019 by the Centers for Medicare and Medicaid Services (“CMS”) that addresses the ways in which the Allina decision augmented notice and comment rulemaking requirements with respect to certain types of regulatory guidance issued by CMS. In particular, Mr. Cooper discusses the ways in which the Allina decision and the CMS memorandum may limit CMS’ ability to cite certain regulatory guidance as a basis for enforcement actions. Presenters: Adam Cooper Download Presentation Materials

  • KL Gates Triage: EKRA - New Fraud and Abuse Considerations for Clinically Integrated Networks

    K&L Gates Triage: EKRA - New Fraud and Abuse Considerations for Clinically Integrated Networks

    20/02/2020 Duração: 14min

    In this week's episode, Limo Cherian, Carla Dewberry, and Steve Pine discuss EKRA - the 'Eliminating Kickbacks in Recovery Act of 2018,' which introduces new criminal penalties for kickbacks associated with referrals to recovery homes, clinical treatment facilities, and laboratories.  The presenters discuss how EKRA differs from the Federal Anti-Kickback statute, recent criminal litigation, and the role EKRA may play when structuring CIN arrangements. Presenters: Limo Cherian, Carla DewBerry, Steve Pine Download Presentation Materials

  • KL Gates Triage: ONC Signals Federal Health IT Priorities with 2020-2025 Strategic Plan

    K&L Gates Triage: ONC Signals Federal Health IT Priorities with 2020-2025 Strategic Plan

    13/02/2020 Duração: 06min

    In this week’s episode, Ryan Severson discusses the Federal Health IT Strategic Plan, which was recently released by the Office of the National Coordinator for Health Information Technology (“ONC”). Mr. Severson discusses several key aspects of the Strategic Plan, which offers both insight into the direction the ONC and other federal agencies may take with respect to health IT regulation in the coming year, and an opportunity for stakeholders to engage with the federal government on matters of health IT. Presenter: Ryan Severson Download Presentation Materials

  • KL Gates Triage: 340B Update: CMS Issues Guidance for Avoiding Duplicate Discounts in Medicaid

    K&L Gates Triage: 340B Update: CMS Issues Guidance for Avoiding Duplicate Discounts in Medicaid

    30/01/2020 Duração: 08min

    In this episode, Macy Flinchum and Victoria Hamscho discuss recent developments in the 340B Drug Pricing Program, including recent guidance by the Centers for Medicare and Medicaid Services on best practices for states to avoid duplicate discounts in Medicaid Fee-for-Service and Medicaid Managed Care Organization programs. The guidance largely lays out existing duplicate discount prevention strategies. However, it contains some recommendations that could greatly impact covered entities, such as using state plan amendments to limit the ability of some or all covered entities and/or contract pharmacies to use 340B drugs for Medicaid beneficiaries. As states implement these strategies, operational and compliance challenges may arise for covered entities, particularly for those that are filling prescriptions for Medicaid beneficiaries in multiple states with potentially differing requirements for identifying duplicate discounts. Presenters: Macy Flinchum, Victoria Hamscho Download Presentation Materials

  • Triage in 2020: Health Care Topics to Watch in the New Year

    Triage in 2020: Health Care Topics to Watch in the New Year

    23/01/2020 Duração: 21min

    In this week's episode, Lindsey Rogers-Seitz forecasts a number of critical issues spanning the health care industry that are likely to be points of focus in the coming year. Among these issues, Ms. Rogers-Seitz discusses the potential impacts of the 2020 presidential campaign, the health care industry's continued struggle against the opioid crisis, shifts in major regulatory structures, and overall trends in the business of health care.  Presenters: Lindsey Rogers-Seitz Download Presentation Materials

  • KL Gates Triage: Looking Ahead to 2020: Developing Issues in Pharmacy Law and the 340B Drug Pricing Program

    K&L Gates Triage: Looking Ahead to 2020: Developing Issues in Pharmacy Law and the 340B Drug Pricing Program

    19/12/2019 Duração: 10min

    In this episode, Ryan Severson and Victoria Hamscho discuss recent developments in pharmaceutical pricing and the 340B Drug Pricing Program heading into 2020, including reimbursement cuts for 340B drugs under the Outpatient Prospective Payment System and the ongoing litigation challenging the cuts, 340B state action on discriminatory pricing, drug pricing reform, International Pricing Index and Safe Drug Importation Action Plan, and pharmacists’ provider status under Medicare. Presenters: Ryan Severson, Victoria Hamscho Download Presentation Materials

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