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Health Law News

Fate of Obamacare Remains Uncertain During Election Season

[01/27/20]

Posted on January 27, 2020 in Health Law News

Published by: Hall Render

On January 21, 2020, the Supreme Court denied a motion to expedite consideration of a petition for certiorari in a case directly challenging the constitutionality of the Affordable Care Act (“ACA”).[1] Given the Supreme Court’s decision, it is likely that the fate of Obamacare will not be decided until sometime after the 2020 presidential... READ MORE

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Health Provider News – January 24, 2020

[01/24/20]

Posted on January 24, 2020 in Health Law News

Published by: Hall Render

NATIONAL DoJ Recovered $2.6B from Healthcare Fraud Cases in 2019 297%: The average difference between highest, lowest outpatient charges, study says SCOTUS declines expedited review of ACA case Uber Health plans to double in size this year Forbes names ‘Best Employers for Diversity’: 14 hospitals, health systems in top 100 Surgeries are being postponed... READ MORE

FTC, DOJ Release Draft Vertical Merger Guidelines

[01/21/20]

Posted on January 21, 2020 in Health Law News

Published by: Hall Render

On January 10, 2020, the Federal Trade Commission (“FTC”) and Antitrust Division of the U.S. Department of Justice (“DOJ”) (collectively, the “Federal Antitrust Enforcers”) proposed their first new vertical merger guidelines (the “Draft Vertical Merger Guidelines”) in 36 years. The Draft Vertical Merger Guidelines, which will supersede and replace the 1984 DOJ “Non-Horizontal Merger... READ MORE

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Informational Bulletin from CMS Addresses Best Practices to Avoid 340B Duplicate Discounts

[01/17/20]

Posted on January 17, 2020 in Health Law News

Published by: Hall Render

On January 8, 2020, the Centers for Medicare & Medicaid Services (“CMS”) released an Informational Bulletin titled “Best Practices for Avoiding 340B Duplicate Discounts in Medicaid” (“Bulletin”). The Bulletin outlines best practices that CMS encourages state Medicaid agencies to consider to avoid the situation where a manufacturer provides both a Medicaid drug rebate and... READ MORE

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Health Provider News – January 17, 2020

[01/17/20]

Posted on January 17, 2020 in Health Law News

Published by: Hall Render

NATIONAL Could Patient Privacy Awareness Drive Health IT Innovation in 2020? How tech will transform the healthcare workplace by 2050: 3 predictions Physicians will keep fighting on these 6 key issues in 2020 How healthcare will change in 2020 Health Plans Struggle with HIPAA Compliance, Unprepared for Audit AHA files another challenge to CMS... READ MORE

Congress Delays Laboratory Data Reporting Requirements Until 2021

[01/16/20]

Posted on January 16, 2020 in Health Law News

Published by: Hall Render

Under the Protecting Access to Medicare Act (“PAMA”), certain laboratories must report private payor data to the Centers for Medicare & Medicaid Services (“CMS”). This data is in turn used by CMS to establish a single, national Clinical Laboratory Fee Schedule. For a more detailed discussion on PAMA and the types of laboratories that... READ MORE

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DOJ’S 2019 False Claims Act Recoveries Total More Than $3 Billion

[01/15/20]

Posted on January 15, 2020 in Health Law News

Published by: Hall Render

On January 9, 2020, the Department of Justice (“DOJ”) announced that it collected over $3 billion in settlements and judgments under the False Claims Act (“FCA”) in the federal fiscal year 2019. The FCA has historically been the government’s primary tool for combatting perceived fraud, waste and abuse in the health care system, and... READ MORE

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Texas v. United States – House of Representatives and Defender States Petition Supreme Court for Review: Will Obamacare Fall?

[01/10/20]

Posted on January 10, 2020 in Health Law News

Published by: Hall Render

On December 18, 2019, in a 2-1 decision, the U.S. Court of Appeals for the Fifth Circuit held that the plaintiffs in Texas v. United States[1] had standing to bring a case challenging a provision of the Affordable Care Act (“ACA”) known as the individual mandate (26 U.S.C. §5000A) and that the individual mandate requiring... READ MORE

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Health Provider News – January 10, 2020

[01/10/20]

Posted on January 10, 2020 in Health Law News

Published by: Hall Render

NATIONAL Hospitals Exploring Short-Term Housing For Homeless Patients To Free Up Beds VA drops its star ratings system for hospitals TEVA Agrees to Pay $54 Million to Settle McEldrew Young False Claims Act Qui Tam Whistleblower Lawsuit 43% of older patients seek out physician ratings CMS releases 2021 Medicare Advantage risk adjustment payment changes... READ MORE

Health Provider News – January 3, 2020

[01/03/20]

Posted on January 3, 2020 in Health Law News

Written by: Lauren England

NATIONAL Electronic Health Records Creating a ‘New Era’ of Health Care Fraud, Officials Say ‘Epidemic’: 75% Of Workplace Assaults Happen To Health Care Workers Despite privacy concerns, 88% of Americans would share data for cancer research Nonprofit hospitals get bump in Moody’s ratings for 2020 HHS proposed rule adds new performance measures for organ... READ MORE