George MikhailIn 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Erin HealyA new draft guidance published by FDA suggests steps that firms in a distribution chain, including manufacturers and distributors, should take to ensure they are…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
Susan HuntingtonOn 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…
On March 25, the Centers for Medicare & Medicaid Centers (CMS) issued its annual report for the 2019 open enrollment in Health Insurance Exchanges. The…
On March 27, the Centers for Medicare & Medicaid Services (CMS) announced a new program called the “Artificial Intelligence Health Outcomes Challenge” (AI Challenge) which…
On March 28, the Division of National Standards, at the Centers for Medicare & Medicaid (CMS) announced the launch of its Compliance Review Program to…
CMS Issues Alert for Expanded Drug Reporting for Medicare Secondary Payers
Posted in Medicare and Medicaid
On March 26, the Centers for Medicare & Medicaid Services (CMS) published a technical alert titled, “Technical Alert: Group Health Plan (GHP) Reporting Change for…
Alexandra PearsallMany states have enacted any willing provider (“AWP”) laws that apply to pharmacy participation in networks. These laws require managed care plans to accept qualified…
HHS: 2018 Was All-time Record Year for HIPAA Enforcement The Office for Civil Rights (OCR) at the U.S Department of Health and Human Services (HHS)…