Susan HuntingtonOn May 28, the Centers for Medicare & Medicaid Services (CMS) published a final rule to update and modernize the Programs of All-Inclusive Care for…
Another Anti-Kickback Law to be Aware of in Clinical Treatment Facility Deals
Posted in Fraud and Abuse
The impact of the Eliminating Kickbacks in Recovery Act of 2018 (EKRA), enacted in October 2018, as part of the Substance Use-Disorder Prevention that Promotes…
George MikhailThe Centers for Medicare & Medicaid Services (CMS) published a final rule on Thursday, May 16, 2019 that provides, among other things, Medicare Part D…
A ruling Monday by the U.S. Supreme Court in Cochise Consultancy, Inc. v. United States ex rel. Hunt, No. 18-315, (Sup. Ct. May 13, 2019)…
Delania BarbeeThe Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), released a proposed rule on May 5 establishing new and revising…
Alexandra PearsallOn April 22, 2019, the Centers for Medicare & Medicaid Services (CMS) announced five new payment model options under its “Primary Cares” initiative. The aim…
In March 2016, the Centers for Disease Control and Prevention (CDC) published guidelines for prescribing opioids, which in large part was aimed at addressing the…
Erin HealyA new draft guidance published by FDA suggests steps that firms in a distribution chain, including manufacturers and distributors, should take to ensure they are…
HHS Exercises Discretion to Modify HIPAA Penalties Based on Culpability
Posted in Privacy and Data Protection, Uncategorized
On April 26, the Department of Health and Human Services (HHS) published a notification that it was exercising its discretion on assessing Civil Money Penalties…
CMS Final Rule Limits the Use of Copay Accumulator Programs by Insurers
Posted in Reimbursement Matters
On April 18, the Centers for Medicare and Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters Rule for 2020 (Rule). This…