Whistleblower Case Impedes Lawsuits
CMS by Kristin Rowan, Editor Whistleblower Action A United States District Court in Tampa, Florida ruled against a whistleblower action under the False Claims Act (FCA) against her former employer. In 2019, a family care physician filed a whistleblower, or qui tam, action...VitalCaring Pulls Agreement
Breaking News by Kristin Rowan, Editor Just as we were setting the article on UnitedHealth Group and Amedisys for publication, we received the following breaking news story: VitalCaring Divestment Agreement Cancelled VitalCaring entered into the agreement on June 28, 2024, just...Congress Allows Medicare Advantage to Deny Coverage
Advocacy by Kristin Rowan, Editor Medicare Advantage Bill Dies in Congress The 118th United States Congress, ran from January 3, 2023 to January 3, 2025. This Congress’s first law was passed on March 20, 2023, much later than most previous congressional sessions. In its...Good News for Veterans and Care at Home
Advocacy by Kristin Rowan, Editor Biden's Final Acts With only a short number of days left in office, President Joe Biden has been making headlines. Not all of his final decisions have been met with absolute approval, but his latest one will make a difference for our veterans...Proposal to Update HIPAA Security Rule
CMS HHS OCR Proposes Updates to the HIPAA Security Rule to Respond to Emerging Threats by Paul F. Schmeltzer and John F. Howard, Clark Hill PLC HHS Proposal On Dec. 27, the Department of Health and Human Services (HHS) issued proposed updates to the HIPAA Security Rule to...UnitedHealth Group Amedisys Merger Faces Further Delays
M&A by Kristin Rowan, Editor UHG and Amedisys Waive Termination The UnitedHealth Group and Amedisys merger has been an ongoing story since the initial merger agreement was signed in June of 2023. The proposed merger came under scrutiny by the Federal Trade Commission...Pharmacy and PBM Separation Pushed by Congress
Advocacy by Kristin Rowan, Editor Bi-Partisan Bill Introduced The final session of this Congress may not be as “lame” as anticipated. On December 11, 2024, Senators Elizabeth Warren (D-Mass.) and Josh Hawley (R-Mo.), with the support of Representatives Diana...HH Accessibility Report
Partner News FOR IMMEDIATE RELEASE Contact: Lauren Corcoran press@trellahealth.com Trella Health Launches Special Report on Home Health Accessibility for Medicare Fee-for-Service (FFS) Beneficiaries An analysis of the key trends shaping access to care for Medicare...Employee vs Independent Contractor
Admin by Kristin Rowan, Editor Follow the Rules The very nature of care at home lends itself to different organizational structures. Hourly vs. per visit compensation. Employee vs. independent contractor. Shift work vs. standard schedules. Each decision can have its own...Updates on UnitedHealthcare CEO Shooting
Breaking News by Kristin Rowan, Editor Last Week As most of the U.S. now knows, last week, UnitedHealthcare CEO Brian Thompson was shot and killed outside a hotel in Manhattan just hours before the UnitedHealth Group Investor Event. The Rowan Report provided the breaking news story...Health Insurance Impact after Thompson’s Death
Advocacy by Kristin Rowan, Editor Will Thompson's death change healthcare? It's all Relative On the same day that Brian Thompson died, Blue Cross Blue Shield announced a reversal of an earlier planned policy change. In November, the insurance giant announced it would change...UnitedHealth Group Acquisition of Amedisys Under Fire by DOJ
CMS by Kristin Rowan, Editor Justice Department Sues In September of 2023, UnitedHealth Group made a bid to purchase Amedysis. That acquisition has been under scrutiny since last year. When the bid was announced, the Department of Justice began an inquiry, asking for...Here We Go Again
Clinical by Tim Rowan, Editor Emeritus OIG Accuses Medicare Advantage Providers of Padding Patient Assessments...Again “Hello, this is your Medicare Advantage company calling. I am one of their clinicians and it is time for us to update your health assessment. If you...The Great Hospital/Home Health Divorce Movement
Admin by Tim Rowan, Editor Emeritus Hospitals Divesting Home Health Departments Is this an early omen of two related trends? A number of hospitals are divesting their home health departments, while large health insurance companies are swallowing up large home health...
