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

  • KL Gates Triage: The Opioid Epidemic: Medicaid Reimbursement and Other Funding Opportunities

    K&L Gates Triage: The Opioid Epidemic: Medicaid Reimbursement and Other Funding Opportunities

    01/03/2018 Duração: 09min

    In the fourth episode of our series on the national opioid crisis, Ruth Granfors and Tracy Lawless discuss how opioid treatment is reimbursed under Medicaid and other public programs. Recently, policymakers have considered a variety of solutions for increased funding, such as the availability of Section 1115 waivers of the institution for mental diseases (“IMD”) exclusion to provide funding for residential treatment of individuals aged 21-64 in such institutions. While inpatient and outpatient reimbursement operates somewhat differently in each state, many states have responded to the opioid crisis in some way and plan to make further changes to ensure that opioid treatment is accessible and affordable for the Medicaid population.   Presenter: Ruth Granfors and Tracy Lawless Download Presentation Materials

  • KL Gates Triage: Opioid Epidemic: Update on Policy Issues in Washington, DC.

    K&L Gates Triage: Opioid Epidemic: Update on Policy Issues in Washington, DC.

    22/02/2018 Duração: 10min

    In the third episode of our series on the national opioid crisis, Amanda Makki and Corbin Santo provide an overview of how the Trump Administration and Congress may address the opioid epidemic this year. Following the establishment of a presidential commission on drug addiction and the opioid crisis in 2017, additional federal grant funding and numerous congressional committee hearings on the issue in the early part of 2018 may prompt action from the new Secretary for the U.S. Department of Health and Human Services, additional changes to the federal budget, and constituent pressure on representatives to develop legislative solutions to the opioid crisis later this year. Presenter: Amanda Makki and Corbin Santo Download Presentation Materials

  • KL Gates Triage: Opioid Epidemic: Recent HIPAA Guidance – What Does It Mean?

    K&L Gates Triage: Opioid Epidemic: Recent HIPAA Guidance – What Does It Mean?

    15/02/2018 Duração: 13min

    In the second episode of our series on the national opioid crisis, Gina Bertolini discusses the overlay of recent guidance concerning privacy laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Confidentiality of Substance Use Disorder Patient Records (Part 2) regulations and how they are interpreted with regard to opioid treatment. While the HIPAA Privacy Rule generally restricts the sharing of patient information, there are certain circumstances particularly relevant in the drug overdose and treatment context that allow for permissive disclosure without prior authorization. Presenter: Gina L. Bertolini Download Presentation Materials

  • KL Gates Triage: The Opioid Epidemic: Laws Impacting Prescribers and Care Givers

    K&L Gates Triage: The Opioid Epidemic: Laws Impacting Prescribers and Care Givers

    09/02/2018 Duração: 14min

    This is the first episode in a series focused on the legal issues surrounding the nationwide opioid crisis. To begin the series, Carla DewBerry discusses the laws and regulations impacting health care providers caring for persons at risk for an opioid addiction and highlights how certain state laws are attempting to prevent and remediate drug dependency. This episode also notes similar efforts at the federal level to address these issues. Presenter: Carla M. DewBerry Download Presentation Materials

  • KL Gates Triage: Triage in 2018: Health Care Topics to Watch in the New Year

    K&L Gates Triage: Triage in 2018: Health Care Topics to Watch in the New Year

    31/01/2018 Duração: 10min

    We expect 2018 to be another year of rapid change within the health care industry. In this episode, Mary Beth Johnston highlights some of the key topics that the health care practice group will monitor in the coming year, including legal and regulatory changes in the areas of payment and reimbursement, fraud and abuse, pharmacy, and data privacy. Presenter: Mary Beth Johnston Download Presentation Materials

  • KL Gates Triage: 2017 Updates to the OIG’s Active Work Plan Items  Related Audit Experience

    K&L Gates Triage: 2017 Updates to the OIG’s Active Work Plan Items & Related Audit Experience

    20/12/2017 Duração: 06min

    In this episode, Hilary Bowman summarizes recent updates to the U.S. Department of Health & Human Services, Office of Inspector General (OIG) 2017 Work Plan. Specifically, she discusses OIG’s plans to investigate and audit opioid prescribing and use by Medicaid beneficiaries, telemedicine claims paid by State Medicaid programs, severe malnutrition claims paid by Medicare, and the benefits received by Medicaid beneficiaries through State-funded managed care organizations. The episode also highlights the health care practice group’s recent experience responding to denials of claims by Palmetto GBA for severe malnutrition. Presenter: Hilary H. Bowman Download Presentation Materials

  • KL Gates Triage: FDA  Health Care Update: The Use of Real-World Data and Real-World Evidence in Medical Product Development

    K&L Gates Triage: FDA & Health Care Update: The Use of Real-World Data and Real-World Evidence in Medical Product Development

    15/12/2017 Duração: 05min

    In this episode, Erica Jackson discusses recent guidance from the Food & Drug Administration (FDA) on the consideration of real-world data and real-world evidence in regulatory decision-making related to medical devices and their development. The episode notes stakeholders should work closely with the FDA so that real-world data collected and maintained during the development process is high quality, relevant, reliable, and stored with the appropriate privacy and data security protections.  Presenter: Erica M. Jackson Download Presentation Materials

  • KL Gates Triage: Changes in Marijuana Laws for Health Care Employers

    K&L Gates Triage: Changes in Marijuana Laws for Health Care Employers

    30/11/2017 Duração: 10min

    This episode of Triage provides an overview for employers of the current state law landscape and federal enforcement priorities regarding marijuana use for recreational and medical purposes. While marijuana is a controlled substance that cannot be sold, bought, or possessed under federal law, certain states allow use of such drug in limited circumstances. This segment addresses how certain state laws may require employers to accommodate limited uses of marijuana by their employees.   Presenter: Bridget A. Blinn-Spears Download Presentation Materials

  • KL Gates Triage: Drones and Disruption in the Health Care Field

    K&L Gates Triage: Drones and Disruption in the Health Care Field

    21/11/2017 Duração: 06min

    In this latest episode on drones in health care, Tom DeCesar discusses how an increase in the prevalence of drone use may complicate existing health care operations, particularly through the disruption of air ambulances and the protection of patient privacy in and around health care facilities. This episode also discusses a variety of tools that can be used to assist with drone interference, including drone detection devices, anti-drone devices, applicable laws and regulations. Presenter: Thomas R. DeCesar Download Presentation Materials

  • KL Gates Triage: 340B Update: CMS Finalizes 340B Program Reimbursement Cut on Part B Drugs

    K&L Gates Triage: 340B Update: CMS Finalizes 340B Program Reimbursement Cut on Part B Drugs

    16/11/2017 Duração: 09min

    In this episode, Richard Church and Ryan Severson discuss the recent decision by the Centers for Medicare and Medicaid Services (CMS) to substantially decrease reimbursement under the Outpatient Prospective Payment System (OPPS) for Medicare Part B drugs purchased pursuant to the 340B Drug Discount Program beginning January 1, 2018. Additionally, the episode addresses related changes to billing 340B Drugs, including the implementation of two new claims modifiers “JG” and “TB.” Presenters: Richard P. Church and Ryan J. Severson Download Presentation Materials

  • KL Gates Triage: An Insider’s Perspective on the Health Care Debate in Washington, DC

    K&L Gates Triage: An Insider’s Perspective on the Health Care Debate in Washington, DC

    31/10/2017 Duração: 27min

    In this episode of Triage, Amanda Makki and Corbin Santo of the K&L Gates Public Policy and Law practice group discuss several fundamental issues that are currently at the center of the health care debate in Washington, DC.  Specifically, the episode helps provide an insider’s perspective on market stabilization under the Patient Protection and Affordable Care Act, the opioid addiction crisis, and prescription drug pricing. Presenters: Amanda Makki and Corbin T. Santo  Download Presentation Materials

  • KL Gates Triage: Emergency Preparedness and Response in Long Term Care - Part III

    K&L Gates Triage: Emergency Preparedness and Response in Long Term Care - Part III

    27/10/2017 Duração: 14min

    In the final episode of our three-part series on emergency preparedness and response in long term care, Kimi Gordy sits down with Sara Hamm, Senior Vice President of Successful Aging & Health Services for Lifespace Communities, to discuss disaster recovery and fostering resilience in long term care communities. Based on her firsthand experiences both recently with Hurricane Irma and over many years in the industry, Ms. Hamm discusses the importance of emergency planning, support procedures, and both internal and external communication during a time of crisis. Ms. Hamm also highlights the importance of mental health and emotional support for residents, as well as team members dealing with the stress of a traumatic event. Presenters:Kimberly C. Gordy and Sara E. Hamm  Download Presentation Materials

  • KL Gates Triage: Using Drones in Medicine

    K&L Gates Triage: Using Drones in Medicine

    20/10/2017 Duração: 06min

    Unmanned aircraft, commonly known as “drones,” are gaining traction as a tool used by many industries today, including health care. Researchers are currently studying potential applications for drones in delivering medical supplies to rural areas or the site of emergencies. Though operational restrictions set by the Federal Aviation Administration (FAA) regulations currently limit the use of drones for such purposes, the FAA is expected to expand potential operations in the next few years. This episode discusses the current landscape for drone use, potential future uses, and steps providers may take to test these devices. Presenters: Thomas R. DeCesar Download Presentation Materials

  • KL Gates Triage: Emergency Preparedness and Response in Long Term Care - Part II

    K&L Gates Triage: Emergency Preparedness and Response in Long Term Care - Part II

    11/10/2017 Duração: 09min

    This is the second episode in a three-part series on emergency preparedness and response in long-term care. Since natural disasters can result in monumental expenses for rebuilding facilities, it is important to understand how to select insurance policies that appropriately cover common losses and liabilities. This episode discusses some of the major types of insurance coverage, the elements required to trigger coverage, and some practical tips for providers that may affect coverage in the aftermath of a disaster. Presenters: Jennifer H. Thiem and Kimberly C. Gordy Download Presentation Materials

  • KL Gates Triage: Emergency Preparedness and Response in Long Term Care

    K&L Gates Triage: Emergency Preparedness and Response in Long Term Care

    03/10/2017 Duração: 12min

    This is the first episode in a three-part series on emergency preparedness and response in long-term care. Recent hurricanes affecting the United States have brought to light the importance of health care providers devising a plan to safeguard human resources, maintain business continuity, and protect physical resources in an emergency. Providers participating in the Medicare program are required to satisfy seventeen specific categories of emergency preparedness, which will take effect this November 15, 2017. Under these new requirements, providers must hold two testing exercises of the emergency preparedness plan on an annual basis. Presenters: Ted Lotchin and Kimberly C. Gordy Download Presentation Materials

  • KL Gates Triage: Cyber Insurance Issues for the Healthcare Industry

    K&L Gates Triage: Cyber Insurance Issues for the Healthcare Industry

    28/09/2017 Duração: 08min

    This episode provides an overview of the major cyber security issues affecting the health care industry. Given that health care is one of the most frequently targeted industries by data hackers, this episode outlines the primary cyber risks for providers and suggests key questions providers should ask to better understand the terms and potential limitations of their own cyber insurance policies before an attack occurs. Presenters: John R. Hardin and James E. Scheuermann Download Presentation Materials

  • KL Gates Triage: Substantial Payment Reductions Proposed in CY 2018 for Hospital Outpatient Departments Subject to the Site-Neutral Payment Rule

    K&L Gates Triage: Substantial Payment Reductions Proposed in CY 2018 for Hospital Outpatient Departments Subject to the Site-Neutral Payment Rule

    15/09/2017 Duração: 04min

    This episode explains the proposed changes to the site-neutral payment rule for off-campus hospital outpatient departments for CY 2018, as discussed in both the recent Hospital Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules. While the CY 2018 OPPS proposed rule provides surprisingly little new guidance on the rule’s implementation, the CY 2018 MPFS rule proposes to substantially lower the payment rate for non-excepted services from 50% to only 25% of the OPPS rate in CY 2018. Presenter: Darlene S. Davis Download Presentation Materials

  • KL Gates Triage: Reading the Fine Print: A Closer Look at the Proposed Regulation over Arbitration Clauses in Long-Term Care Resident Agreements

    K&L Gates Triage: Reading the Fine Print: A Closer Look at the Proposed Regulation over Arbitration Clauses in Long-Term Care Resident Agreements

    07/09/2017 Duração: 06min

    This episode discusses a recent policy shift by the Centers for Medicare & Medicaid Services (CMS) regarding binding pre-dispute arbitration clauses in long-term care resident agreements over the course of the past year. CMS’ current proposal reverses the ban on binding pre-dispute arbitration agreements and allows such agreements with residents when certain conditions are met (e.g., the agreement is described in plain language, acknowledged by the resident, available for inspection by CMS, and disclosed through a notice posted in an area visible to residents and visitors). This episode outlines these conditions and discusses the implications for providers.  Presenter: Kimberly C. Gordy Download Presentation Materials

  • KL Gates Triage: Avoiding the Risks Associated with Mandatory Vaccination Programs

    K&L Gates Triage: Avoiding the Risks Associated with Mandatory Vaccination Programs

    28/08/2017 Duração: 09min

    This episode discusses the risks associated with mandatory employee vaccination programs and practical tips for health care entities on how to minimize these risks from an employment law perspective. In particular, this episode highlights a recent case brought by the Equal Employment Opportunity Commission (EEOC) regarding exemptions for religious beliefs. The case provides insight into how health care employers should approach an accommodation or exemption process that will comply with Title VII of the Civil Rights Act and the Americans with Disabilities Act. Presenter: Erinn Rigney Download Presentation Materials

  • KL Gates Triage: 340B Regulatory Update: CMS Proposal and Draft Executive Order Could Have Big Impact on 340B Program

    K&L Gates Triage: 340B Regulatory Update: CMS Proposal and Draft Executive Order Could Have Big Impact on 340B Program

    09/08/2017 Duração: 05min

    This episode outlines the basics of the 340B Drug Pricing Program and discusses potential changes affecting the program, including CMS’s recent proposal to cut reimbursement for Part B drugs purchased under the 340B program. Additionally, a draft Executive Order currently circulating from the Trump Administration suggests that more significant changes may be in the program’s near future. Presenter: Ryan J. Severson Download Presentation Materials

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