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Client Alerts, News Articles, Blog Posts, & Multimedia
Everything you need to know about BMD and the industry.
Client Alert, Multimedia
WEBINAR SERIES RECAP | Ending the Public Health Emergency + Post-Pandemic Check-Up
May 10, 2023
Some may take the position that the rest of the country already returned to a new “normal” following the COVID-19 pandemic. But healthcare providers continue to implement COVID protocols and navigate the ever-changing healthcare regulations at both the federal and state levels. It is important for healthcare providers to take time for a “Healthcare Check-Up” with the start of 2023 and the ending of the Public Health Emergency (“PHE”).
Posted by
Ashley Watson, Daphne Kackloudis, Jeana Singleton, Amanda Waesch, and Bryan Meek
Client Alert
No Surprises Act Update: The IDR Portal is Open
April 25, 2022
The No Surprises Act (“NSA”) became effective January 1, 2022, and has been the subject of lawsuits and criticisms since its inception. The goals of the No Surprises Act are to shield patients from surprise medical bills, provide to uninsured and self-pay patients good faith estimates of charges, and create a process to resolve payment disputes over surprise bills, which arise most typically in emergency care settings. We have written about Part I and Part II of the NSA previously. This update concerns the Independent Dispute Resolution (“IDR”) procedure created by Part II but applicable to claims covered by Part I. The Centers for Medicare & Medicaid Services (“CMS”) finally opened the Portal for providers to submit disputes to the IDR process following some updated guidance regarding the arbitration process itself.
Posted by
Ashley Watson, Daphne Kackloudis, and Jordan Burdick
Client Alert
Updated FAQs for the No Surprises Act - Good Faith Estimates
April 7, 2022
The No Surprises Act (“NSA”) became effective January 1, 2022. Meant to protect consumers from surprise medical bills, the new law is good for consumers, but vexatious for health care providers and facilities. One particular source of frustration is the operationalization of the Good Faith Estimate (“GFE”) requirement, governed by Part II of the regulations that implement the NSA. The GFE requirements apply broadly to all healthcare providers and facilities that practice within the scope of their state-issued license.
Posted by
Daphne Kackloudis and Ashley Watson
Client Alert
Interesting Trends Revealed in 50-State Medicaid Budget Survey
November 3, 2021
Results of the KFF annual survey of state Medicaid directors reveal some fascinating trends in Medicaid service delivery and benefit coverage. Read on for a summary of the highlights we find most noteworthy. Background As a preliminary matter, many of the trends KFF identifies and that we highlight below are no doubt a result of the Covid-19 pandemic. The pandemic triggered a public health emergency and economic crisis that resulted in increased Medicaid enrollment, service offerings, and flexibility in service delivery, along with a heightened awareness of disparities in access to care and health outcomes.
Posted by
Daphne Kackloudis
Client Alert
S.B. 263 Protects 340B Covered Entities from Predatory Practices in Ohio
January 14, 2021
Just before the end of calendar year 2020 and at the end of its two-year legislative session, the Ohio General Assembly passed Senate Bill 263, which prohibits insurance companies and pharmacy benefit managers (“PBMs”) from imposing on 340B Covered Entities discriminatory pricing and other contract terms. This is a win for safety net providers and the people they serve, as 340B savings are crucial to their ability to provide high quality, affordable programs and services to patients.
Posted by
Daphne Kackloudis
Client Alert
BMD COVID-19 Healthcare Provider Resource Guide
March 18, 2020
Providers - for the latest information related to Medicaid/Medicare, Telehealth, HIPAA, CPT Codes, as well as Ohio and Federal Information, click here for a comprehensive resource guide to navigating during the Coronavirus pandemic.
Posted by
BMD Healthcare and Hospital Law Practice Group