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CMS and OIG release sweeping proposals to modernize Stark Law and AKS regulations

On Thursday, October 17, 2019, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG) will publish in the Federal Register two proposals to implement major changes to Stark Law and Anti-Kickback Statute (AKS) regulations. We have summarized a portion of those proposed … Continue reading

US regulators to align key health care regulations with transformation to value-based care system; CMS and OIG propose major overhaul of Stark Law and AKS regulations

On October 9, 2019, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued two sweeping proposals aimed at revising the Stark Law and Anti-Kickback Statute (AKS) regulations to adapt to and promote the US health care system’s transformation to value-based payment … Continue reading

Medicaid Update: D.C. Circuit Court of Appeals Reviews CMS Approval of Medicaid Work and Community Engagement Eligibility Requirements

Today, October 11, 2019, the United States Court of Appeals for the D.C. Circuit is hearing oral arguments in Stewart v. Azar (Case No. 19-5095), an appeal from the federal district court’s rulings invalidating three prior approvals of Section 1115 Waivers in Kentucky and Arkansas that would have implemented work and community engagement requirements as … Continue reading

President Trump signs executive order to make changes to Medicare Advantage

On Thursday, October 3, 2019, President Trump signed an executive order that aims to expand the Medicare Advantage program. Medicare Part C, commonly known as Medicare Advantage, is administered by private insurers in which CMS pays the health insurer  on a fee per beneficiary basis and the insurer in turn pays providers a negotiated rate … Continue reading

Uber as a HIPAA business associate

Uber recently announced the launch of Uber Health, a non-emergency ride service that allows healthcare providers to schedule and pay for transportation for their patients. The stated purpose of the service is to expand medical transportation to traditionally underserved areas. Roughly 3.6 million Americans miss medical appointments each year due to lack of reliable transportation, contributing to the … Continue reading

Update on medical assistance in dying: Bill C-14

Update on Medical Assistance in Dying: Bill C-14 On April 15, 2016, the federal government responded to the Supreme Court of Canada’s decision in Carter v. Canada (Attorney General), 2015 SCC 5 by introducing Bill C-14 into the House of Commons for first reading. While Bill C-14 addresses many of the issues raised by the … Continue reading

Update on physician-assisted dying: A changing medical legal landscape

On February 29, 2016, an Alberta woman suffering from amynotrophic lateral sclerolsis (“ALS”), became the first person in Canada to obtain a physician-assisted death. Four days prior to her death, Ms. S applied to the Alberta Court of the Queen’s Bench and successfully obtained an exemption from the Criminal Code prohibition on physician-assisted dying in … Continue reading

Physician-assisted dying part 4: Patient perspectives

The right to determine what should be done with one’s own body is a fundamental right in our society. In Carter v. Canada (Attorney General), 2015 SCC 5, the Supreme Court of Canada confirmed that, for a competent adult suffering from a grievous and irremediable medical condition, this right includes a right to die with … Continue reading

Physician-assisted dying part 3: Finding a balance between autonomy and access

“Health institutions, including regional health authorities and other institutional providers (e.g. hospitals, hospices and long-term care facilities) are critical enablers of effective and equitable access to physician-assisted dying.” Provincial-Territorial Expert Advisory Group on Physician-Assisted Dying, Final Report, November 30, 2015, at 3. Part 2 of this series examined the implications of the decriminalization of physician-assisted … Continue reading

Physician-assisted dying: Where are we now and where are we going?

What is the current status of physician-assisted dying in Canada? For most of Canada’s history, physician-assisted dying was a crime: sections 14 and 241(b) of the Criminal Code absolutely prohibited any person from assisting another person to commit suicide and provided that any person who violated this prohibition was liable to imprisonment for up to 14 … Continue reading
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