Government News of the Week
Medicare Compliance, HIPAA, Medicare Advantage and Part D,
Health Care Reform, and Other Federal and State Government Developments
Government News of the Week is a weekly email newsletter with timely news stories from Washington, D.C., and the 50 state capitals. Articles are selected for their impact on hospitals, health plans, medical group practices, physicians and other health care providers. Subscribe now to get an issue delivered to your inbox every Monday!

April 20, 2015

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(1) The Senate on April 14 overwhelmingly passed House-approved legislation to repeal the Medicare sustainable growth rate (SGR) formula (H.R. 2) by a vote of 92-8. President Obama said he would sign the measure .... (more)

(2) A trio of whistleblowers has filed a lawsuit against the AIDS Healthcare Foundation (AHF), alleging violations of the anti-kickback statute and the False Claims Act that resulted in government health care programs paying “at least tens of millions of dollars in fraudulent payments” and grants awarded for HIV/AIDS assistance programs by the Health Resources and Services Administration and the Centers for Disease Control and Prevention .... (more)

  From the AIS Blogs
  SHOP ’til It’s Dropped: How Long Will the Small Business Exchange Survive? Join the conversation at the AIS Blogs.

(3) Cache Valley Cancer Treatment and Research Clinic in Logan, Utah, pleaded guilty on April 14 to receipt of misbranded drugs and delivery for sale .... (more)

(4) The Equal Employment Opportunity Commission (EEOC) on April 16 issued draft regulations intended to clarify how businesses can deploy wellness programs while at the same time meeting the standards of the Americans with Disabilities Act (ADA) .... (more)

  From Congress and the Federal Agencies

(5) Florida Hospital Orlando was overpaid the eye-popping sum of $11.5 million, according to a Medicare compliance review posted by the HHS Office of Inspector General on April 16 .... (more)

(6) CMS on April 15 issued a proposed rule (CMS-3311-P) that would relax its Stage 2 meaningful use criteria in electronic health records .... (more)

(7) CMS emphasizes major changes to home health documentation requirements that have compliance and payment implications in a new MLN Matters .... (more)

(8) South Florida ophthalmologist Salomon E. Melgen was charged on April 14 with a Medicare fraud scheme, the U.S. Attorney’s Office for the Southern District of Florida said .... (more)

(9) Two more states enacted laws around the dispensing of biosimilars and interchangeable biologics, including how and when pharmacists must inform physicians of a dispensed biologic’s name and manufacturer .... (more)

(10) The future of Hawaii's insurance exchange is being discussed by Hawaii Gov. David Ige and HHS, according to an April 13 article in Pacific Business News. Although Ige has indicated that he would like to keep control of the exchange, the exchange is running low on funding and is seeking up to $10 million from the state for fiscal year 2016, which begins July 1. HHS has restricted about $70 million in federal grants for the Connector, the remainder of a $204.3 million grant for its construction and operation. (From Inside Health Insurance Exchanges' E-Alert)



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