Pharmaceutical Price Reduction Approaches
It has now become clear that there are two different approaches being proposed in the Presidential election. President Trump has, through Executive Order, to a limited extent, enacted a Most Favored Nation application to pharmaceuticals. That is a position that I have been advocating for a significant period of time. Former Vice President Biden is […]
Most-Favored Nation Update
Over the last couple of years I have been writing blogs suggesting that we adopt a Most-Favored Nation clause in regard to pharmaceuticals. Most Favored Nations Prescriptions from Outside the US Pharmaceuticals Pharmaceutical Pricing: Update to May 17, 2018 Blog Pharmaceutical Pricing It appears that President Trump has adopted this concept and has incorporated it […]
June 2020 State Regulatory Developments
Here are the most recent health care related regulatory developments as published in the New Jersey Register in June 2020: On June 1, 2020, at 52 N.J.R. 1150(a), the Department of Health Commissioner issued a notice of rule waiver/modification/suspension pursuant to Executive Order No. 103 (2020) related to the qualifications an administrator of an assisted […]
March and April 2020 State Regulatory Developments
Here are the most recent health care related regulatory developments as published in the New Jersey Register in March and April 2020: On March 2, 2020, at 52 N.J.R. 10(a), Department of Law and Public Safety, Division of Consumer Affairs, the Board of Nursing issued a rule proposal to amend N.J.A.C. 13:37 Subchapter 1, relating […]
Department of Banking and Insurance Mandates Insurance Premium Refunds
On May 12, 2020, the New Jersey Department of Banking and Insurance issued Bulletin No. 20-22. As a result of the COVID-19 pandemic and the resulting reduction in loss exposure for insurers, the Department has ordered insurers to make an initial premium refund or other adjustment for certain specified lines of insurance. Premium refunds are required […]
CMS Makes Initial Distribution from CARES Act Provider Relief Fund
If you are a health care provider, you may have received a direct deposit identified as “HHSPAYMENT” into your business bank account in the past week. The funds are being disbursed in order to provide financial assistance to health care providers that have been impacted by the Covid-19 pandemic. The funds distributed to providers are […]
Medicare and the 2020 Election
Now that the campaign for President appears to be down to two candidates, we need to address the health care questions that both will face. In this blog, we will talk about Medicare and in a later blog, we will talk about the public option. A question which has faced not just these two individuals, […]
New Jersey Implements Expedited Licensing for Out-of-State Health Care Licensees
As we reported earlier, the State of New Jersey has enacted legislation providing for expedited New Jersey licensure for individuals who are licensed health care professionals. The link to the expedited licensure application can be found here. In addition, there is a separate expedited application for certified homemaker-home health aides. The application page for certified […]
NJDOBI Mandates Insurance Carriers to Reimburse Providers for Telemedicine and Telehealth Encounters During State of Emergency and Public Health Emergency
NJDOBI issued Bulletin 20-07 to mandate insurance carriers to reimburse providers for telemedicine and telehealth encounters. This applies to: (1) all health insurance companies; all HMOs; all health service corporations and any other entity issuing health benefits plans in New Jersey. The mandate requires the insurance carriers to do the following: Review their telemedicine and […]
Governor Murphy Signs Legislation to Expand Telehealth Access and Expedite Licensure of Out-of-State Professionals
A3860 authorizes any health care practitioners to provide telemedicine and telehealth services for the duration of the public health emergency declared by Governor Murphy and directs the Commissioner of Health and the Director of Consumer Affairs to waive any requirements in law or regulation necessary to facilitate the provision of healthcare services using telemedicine and […]
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