Iowans for Affordable Healthcare is drafting legislation that would require hospitals to notify patients about facility fees and could prohibit the fees for outpatient and telehealth visits, The Des Moines Register reported Sept. 15. The proposal comes after patients reported…
Legal & Regulatory Issues
CMS’ 2026 Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule marked the largest single-year expansion of outpatient-eligible surgery since at least 2018, surpassing, in one year, the 59 procedures Becker’s tracked as added to the ASC-covered list…
The Department of Justice’s decision not to prosecute an eye care management company this week, while indicting its founder on fraud and kickback charges, gives healthcare compliance teams their first real-world look at how a new federal disclosure policy works.…
The Leapfrog Group launched its ASC Public Reporting Program. The ASC Reporting Program highlights safety and quality information for more than 3,900 ambulatory surgery centers, according to a July 27 organization news release. Publicly reported results are updated monthly to…
Attorneys general from 25 states and the District of Columbia have filed a lawsuit against the Trump administration to block an Education Department rule that limits which degree programs qualify for higher federal student loan limits. The rule — finalized…
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The Affordable Care Act reshaped the health care landscape, expanding coverage while accelerating consolidation, administrative oversight, and complex benefit design. Neurosurgeons and their patients now live with the downstream consequences: delayed access, rising out-of-pocket costs, and pervasive burnout. Neurosurgical ASCs…
Oklahoma Attorney General Gentner Drummond confirmed CVS Caremark reached a settlement exceeding $5 million over allegations of pharmacy underpayments. The money will go to pharmacies that filled 68,099 eligible prescriptions between January 2024 and August 2025. “When your local pharmacy…
Creating the right ASC team isn’t about staffing alone, according to John Petroni, managing owner of Las Vegas-based Silver State Surgery Centers. Mr. Petroni joined Becker’s to discuss the benefit of his team’s collaborative culture, hands-on leadership and daily check-ins.…
The Department of Justice withdrew a felony indictment alleging wire fraud against two individuals: the former CEO of two El Paso, Texas-based long-term acute care hospitals and the owner of one of them. Four things to know: 1. Jose Huerta,…
Lilit Baltaian, MD, a formerly licensed physician from Porter Ranch, Calif., was sentenced to 54 months in prison for falsifying home health certifications and fraudulently billing Medicare. Dr. Baltaian is currently a fugitive and was sentenced in absentia, according to…