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Trick or Treat Beware Who Comes Knocking at Your Network Door
Waller, October 2020

It is the time of year for a good scare– but not all a welcome treat! The U.S. Department ofHealth and Human Services(HHS)published a cyber-threat advisory that comes as no great surprise to healthcare providers. As all healthcare providers are focused on continuing to provide excellent care during this COVID-19 pandemic, it is unfortunate that cyber-criminals see this as an opportunity for healthcare targeted ransomware attacks...

FDIC Seeking to Transition from Quarterly Call Reports
Waller, October 2020

The Federal Deposit Insurance Corporation (“FDIC”) Advisory Committee of State Regulators (“Committee”) recently announced a new technology initiative designed to transition to real-time financial reporting and to modernize the collection of data...

Financial Inclusion an Update on the FDICs Most Recent Efforts
Waller, October 2020

The Federal Deposit Insurance Corporation (“FDIC”) Advisory Committee of State Regulators (“Committee”) held its inaugural meeting on October 14, 2020. During the meeting, the Committee emphasized the importance of financial inclusion within the banking industry and the recent efforts to foster inclusion undertaken by the FDIC and applicable state regulators...

SEC Updates and Modernizes Statistical Disclosures for Financial Institutions
Waller, October 2020

The Securities and Exchange Commission (SEC) recently adopted rules to update the statistical disclosures that bank holding companies, banks, savings and loan holding companies, and savings and loan associations (Financial Institutions) provide to the market. The rules will eliminate Guide 3 and will replace it with new Subpart 1400 of Regulation S-K. The rules primarily streamline former Guide 3 disclosures and eliminate disclosures that overlap with SEC rules and U.S...

OCRs 'Right of Access' Initiative Leads to Nine Settlements
Waller, October 2020

Although HIPAA is probably best known for its privacy and security provisions, it also affords certain essential rights to ensure that individuals have access to their medical records. Since 2019, the HHS Office for Civil Rights (OCR) has stated its intent to increase enforcement of this specific right in response to a directive from HHS. There has been a gradual increase in this targeted enforcement activity until recently...

Fed Invites Feedback on Changes to Community Reinvestment Act
Waller, October 2020

The Federal Reserve Board (“Fed”) recently issued an Advance Notice of Proposed Rulemaking (ANPR) inviting public comment on an approach to revise and modernize the regulations implementing the Community Reinvestment Act (CRA). Enacted in 1977, the CRA served as a landmark piece of legislation in the wake of the civil rights movement to address systemic inequities that inhibited access to credit markets for low- and moderate-income (LMI) communities and minorities...

OCC and SEC Wade into Stablecoin Regulation
Waller, October 2020

The Office of the Comptroller of the Currency (“OCC”) issued an interpretive letter (the “Stablecoin Letter”) confirming that national banks and federal savings associations are permitted to take and hold fiat currency deposits that serve as reserves for fiat-currency backed stablecoins associated with hosted digital wallets (the “OCC Stablecoin Letter”)...

SBA Issues Guidance to PPP Lenders for Change of Ownership Transactions
Waller, October 2020

Since the Paycheck Protection Program (“PPP”) was passed into law earlier this year, buyers, sellers and PPP lenders in corporate transactions have struggled with the question of how to address outstanding PPP loans in the context of the sale of the business...

Three Days Left to Request 2019 MIPS Targeted Review
Waller, October 2020

Individuals who participated in the Centers for Medicare and Medicaid (“CMS”) Quality Payment Program Merit-based Incentive Payment System (“MIPS”) in 2019 may request a Targeted Review of their performance feedback, including their MIPS final score and payment adjustment factor at the Quality Payment Program website. In July, CMS released the MIPS Performance Feedback and scores for eligible providers...

Continuing Resolution Delays Repayment of Accelerated Advanced Payments by Healthcare Providers and Suppliers
Waller, October 2020

President Trump today signed a continuing resolution that will fund the federal government until December 11, 2020. The continuing resolution (the “CR”) also grants relief to the providers and suppliers that were preparing to repay the Medicare accelerated or advance payments they received in response to the COVID-19 pandemic...

HHS Issues Rules for New ESRD Treatment Choices Payment Model
Waller, September 2020

The Department of Health and Human Services (HHS) has implemented a new Medicare payment model, the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. The ETC Model was developed to test whether the greater use of home dialysis and kidney transplantation for Medicare beneficiaries with ESRD will reduce Medicare expenditures, while also preserving or enhancing the quality of care furnished to beneficiaries with ESRD...

SEC Adopts Significant Amendments to Regulation S-K and Accredited Investor and Qualified Institutional Buyer Definitions
Waller, September 2020

The U.S. Securities and Exchange Commission (SEC) has adopted several significant amendments affecting disclosure requirements under Items 101, 103 and 105 of Regulation S-K and also expanded the definitions of “Accredited Investor” and “Qualified Institutional Buyer” under Rule 501(a) and Rule 144A, respectively. As SEC Chairman, Jay Clayton, announced in the press release, Items 101, 103 and 105 have not undergone significant revisions in over 30 years...

Five Practical Tactics for Large Hospital Systems
Waller, September 2020

While the pandemic and subsequent economic downturn are creating unprecedented challenges for health systems across the country, opportunities for collaboration remain as strong as they had been pre-COVID, and large health systems are well positioned to take advantage of new opportunities. In light of this, Waller has partnered with Kaufman Hall to develop a guide for health system leaders, The Health System Growth Imperative: Charting Opportunities During the Pandemic and Beyond...

HHS Implements New Radiation Oncology Payment Model
Waller, September 2020

Details regarding a new Medicare payment model for radiation oncology care have been released by the Department of Health and Human Services (HHS). The new Radiation Oncology Model (RO Model) qualifies as an Advanced Alternative Payment Model (APM) and a MIPS APM under the Quality Payment Program. According to this release from HHS, the RO Model aims to “promote quality and financial accountability for providers and suppliers of radiotherapy...

DOJ Clarifies Guidelines on Settling Cases Based on Ability to Pay
Waller, September 2020

In early September, the Department of Justice issued additional guidance that the Commercial Litigation Branch can consider when settling cases for less than the full amount of the claim based on the defendant’s inability to pay. Under its statutory authority, the Civil Division has the ability to settle claims for less when an entity offers the maximum amount that it is able to pay and the federal government is acting as plaintiff...

Department of Labor Issues Updated and Revised Regulations for the Families First Act
Waller, September 2020

The Families First Coronavirus Response Act (FFCRA) was enacted on March 18, 2020, creating additional leave rights for employees in response to the COVID-19 pandemic through two provisions: the Emergency Family and Medical Leave Expansion Act (EFMLA) and the Emergency Paid Sick Leave Act (EPSLA). Since then, however, the exact contours of employee rights and employer obligations under the FFCRA have been the subject of some debate and disagreement...

Definition of Healthcare Provider Narrowed in revised FFCRA regulations
Waller, September 2020

The U.S. Department of Labor (DOL) announced Friday Friday that it had revised the Families First Response Act (FFCRA) in response to a recent ruling by a federal court in New York. The new regulations are effective September 16 and represent a significant change for healthcare entities who previously (and correctly) used “blanket” denials of FFCRA requests for all of their employees...

6 Ways Independent Hospitals can get Stronger Amid the COVID-19 Pandemic
Waller, September 2020

The impact of COVID-19 and the economic downturn has pressured independent hospitals, rural hospitals and smaller health systems in particular. Despite the immense challenges, independent facilities and their Boards should take this time to best position for the near- and long-term. In light of this, Waller partnered with Kaufman Hall to develop a guide for healthcare leaders, The Health System Growth Imperative: Charting Opportunities During the Pandemic and Beyond...

Alternative Financing Solutions: Intellectual Property-Backed Loans
Waller, September 2020

As the world begins to adjust to the short and long-term impact and implications of the COVID-19 pandemic, many companies are seeking ways to preserve cash on their balance sheets while simultaneously raising funds to ensure a continuation of operations. One option to consider is using the company’s intellectual property (IP) portfolio as collateral for funding...

That Was Then and This Is Now: How the COVID-19 Crisis Changed Telehealth Services
Waller, September 2020

Historically, telehealth services were limited both in reimbursement and location. Most encounters took place for purposes of rural health treatment and in underserved areas as a way to get specialized treatment to patients in geographic locations where they would not otherwise have treatment options. The use of telehealth services has increased in recent years...

Alternative IPO Methods Gain Traction as NYSE Direct Listings are Approved by the SEC
Waller, August 2020

In a year that has already seen explosive growth in the alternative initial public offering space, the New York Stock Exchange (NYSE) has gotten approval to allow companies to raise capital through a primary direct listing on the NYSE. The NYSE submitted its proposal relating to direct primary listings in November 2019, and had amended the proposal twice in an effort to satisfy the United States Securities and Exchange Commission (SEC), which is the NYSE's primary regulator...

Get Your Drinks To Go or Delivered to Your Home
Waller, August 2020

Tennessee Gov. Bill Lee has extended the executive order allowing carryout and delivery of beer, wine and spirits for restaurants. Restaurants, limited-service restaurants and wine-only restaurants can continue to sell carryout and deliver alcoholic beverages and beer. There is no additional license or permission needed to deliver. Lee extended the privilege through to 11:59 pm September 30, which brings welcome certainty to an industry battered by the pandemic...

The Health System Growth Imperative Charting Opportunities During the Pandemic and Beyond
Waller, August 2020

Executive summary The COVID-19 pandemic has created significant challenges for smaller hospitals and health systems. It has presented significant challenges to smaller, less capitalized and otherwise distressed healthcare providers. In terms of operating performance, half of our country’s hospitals reported negative margins as Q1 of 2020...

Tennessee enacts COVID-19 Recovery Act
Waller, August 2020

Tennessee Governor Bill Lee has signed into law the Tennessee COVID-19 Recovery Act which provides liability protection from claims related to the COVID-19 pandemic. The Waller Government Relations team worked closely with the Tennessee Chamber of Commerce and Industry and various stakeholders in recent months to achieve passage of the Tennessee COVID-19 Recovery Act...

CMS Announces Initiative to Transform Rural Health
Waller, August 2020

A new reimbursement model intended to address healthcare access and availability in rural communities was introduced by The Centers for Medicare & Medicaid Services (CMS) Innovation Center. The Community Health Access and Rural Transformation (CHART) Model will “provide up-front investments and predictable, capitated payments that pay for quality and patient outcomes,” according to CMS...

 

 

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