Medcom Blog

SCOTUS Ruling in Marietta Memorial Hospital v. DaVita Inc.

SCOTUS Ruling in Marietta Memorial Hospital v. DaVita Inc.

On June 21, 2022, the Supreme Court of the United States ruled that Marietta Memorial Hospital Employee Health Benefit Plan did not violate the Medicare Secondary Payor Statute (MSPS) when it limited payment for dialysis, in the case of Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita Inc. DaVita provides medical treatments to patients living with end-stage renal disease (ESRD), which can be costly. Private group health plans or Medicare typically covers these patients.

Individuals enrolled in Marietta Memorial Hospital's employer-sponsored group health plan went to DaVita for their treatment for ESRD. The group health...

Read More
2021 Adjustments to HIPAA Penalties and More

2021 Adjustments to HIPAA Penalties and More

At the end of November, the Department of Health and Human Services (HHS) announced inflation adjustments for HIPAA penalties and a few others. Group health plan sponsors and other entities who violate any rules of HIPAA will see a penalty increase of 1.182%.

HIPAA is broken down into four tiers of violations, categorized by level of culpability, with minimum and maximum penalty amounts for each and an annual cap for multiple breaches of an identical HIPAA provision. We've outlined these changes for you:

Minimum Penalties

2021

2020<...

Read More