Regulatory

How FTC’s Noncompete Agreements Rule Could Impact Healthcare

Noncompete agreements have become so ubiquitous that a proposed rule published by the Federal Trade Commission (FTC) yesterday will affect almost all industries, experts say. Healthcare will be no exception, Carrie Amezcua, an attorney with the law firm Buchanan Ingersoll & Rooney, told Fierce Healthcare. She said healthcare industry executives should keep a close eye […]

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CMS Singles Out Behavioral Health in Plan to Streamline Payment between Primary Care, Specialty Care

The U.S. Centers for Medicare & Medicaid Services (CMS) is looking to streamline primary care-specialist care integration, which could make it easier for behavioral health providers to get paid. Medicaid programs may now directly pay consulting providers for interprofessional consultations, even when a patient is not present. CMS informed state health officials of the new

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Omnibus Bill Will ‘Move the Ball Quite Substantially’ in Behavioral Health

The $1.66 trillion omnibus funding bill touches nearly every aspect of the behavioral health industry. Advocates in the space weren’t shy about praising the bill even though it didn’t include some long-sought reforms. A quick tally of funding for the most germane items finds that the federal government is putting at least $10 billion into

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Oregon Health Agency Approves Amazon, One Medical Acquisition

Oregon’s health agency has approved Amazon’s proposed acquisition of primary care provider One Medical, clearing a potential hurdle for the tech and e-commerce giant to gain a greater foothold in the health care industry. Following a new state regulation, the Oregon Health Authority reviews business deals, like mergers and acquisitions, to examine potential impacts on

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The Advocate-Atrium Merger Closed without an Antitrust Challenge. What Does That Mean for Competition in 2023?

The agency tasked with policing competition was able to thwart a number of hospital tie-ups this year, but in a closely watched deal, regulators did not challenge a megamerger between Advocate Aurora Health in the Midwest and Atrium Health in the South. A challenge would have represented a rare attempt by the Federal Trade Commission

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HHS Releases Ownership Data on All Medicare-Certified Hospitals

HHS is releasing ownership data on all Medicare-certified hospitals in a bid to promote competition in a highly consolidated industry. Detailed information on the ownership of more than 7,000 hospitals will be available for the public to view on CMS’ website. The information includes enrollment information, such as organization name, type, practice location addresses (e.g.,

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Senators Ask CMS for Briefing on Hospice Fraud

Leaders of the U.S. Senate’s Comprehensive Care Caucus have asked federal regulators to examine program integrity within the Medicare Hospice Benefit. The four senators wrote to the U.S. Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, urging the agency to investigate a spate of newly licensed hospice operators in multiple states that some

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