C&M Health Law

C&M Health Law

Analysis, commentary, and the latest developments in health care law and policy

Tag Archives: HHS

Health Care Fraud and Abuse Control Program FY 2017: Insights from Our Enforcement Team

Posted in Fraud, Waste & Abuse
The Health Care Group’s newest partners, William S.W. Chang and Laura M. Kidd Cordova, along with Counsel Stephanie D. Willis, have authored an Alert about the 21st Health Care Fraud and Abuse Control Program (HCFAC) annual report released last Friday.  The HCFAC report is a joint effort of the U.S. Department of Justice (DOJ) and… Continue Reading

HHS Proposes New Substance Abuse Confidentiality Rules, Solicits Comments

Posted in Health IT, HIPAA & Privacy
The U.S. Department of Health and Human Services (“HHS”) announced a proposed rule to modernize the federal substance abuse confidentiality rules set forth in 42 C.F.R. Part 2.  The proposed updates seek to address longstanding complaints from providers and Health Information Exchanges (“HIE”) that the highly stringent confidentiality rules often stymie patient care by limiting… Continue Reading

FY 2014 HCFAC Report Shows Increasing DOJ and OIG Fraud-Fighting Efficiency

Posted in Fraud, Waste & Abuse
Every year, the Department of Justice (DOJ) and the Department of Health and Human Services Office of the Inspector General (OIG) report the results of their fraud prevention and recovery efforts to Congress.  As recounted in the recently released Health Care Fraud and Abuse Control Program (HCFAC) report, the overall amount recovered in FY 2014… Continue Reading

DOL, HHS & Treasury Issue Additional Guidance Regarding Excepted Benefits

Posted in Employee Benefits, ERISA, Health Care Reform & ACA, HIPAA & Privacy, Mental Health Parity
On February 13, the Departments of Health and Human Services (“HHS”), Labor (“DOL”) and Treasury (collectively, the “Departments”) issued Part XXIII of their FAQs about Affordable Care Act implementation. This latest FAQ provides additional guidance regarding “excepted benefits,” i.e., benefits that are exempt from the portability rules under HIPAA as well as various requirements under… Continue Reading

U.S. Territories Exempt from ACA Market Reform, Non-Discrimination Provisions

Posted in Health Care Reform & ACA
Insurers in U.S. Territories will soon be exempt from popular market-reform and non-discrimination provisions of the Affordable Care Act (ACA). In a July 16 letter, the Department of Health and Human Services (HHS) clarified that the ACA provisions on guaranteed availability, community rating, single risk pool, medical loss ratio, and essential health benefits only apply… Continue Reading