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In This Issue:
Implementation of the Affordable Care Act (ACA); Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings & Mark-ups…more
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In This Issue:
Implementation of the Affordable Care Act (ACA); Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings & Mark-ups…more
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Since President Obama formed the Health Care Fraud Prevention and Enforcement Action Team (“HEAT”) in May 2009, combating health care fraud has been a federal “cabinet-level priority.” …more
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Originally published in Health Care Fraud Report, 16 HFRA 80, 01/25/2012.
Pharmaceutical and medical device manufacturers as well as group purchasing organizations (GPOs) finally received some insight into how the Centers…more
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Relators and their counsel are being held accountable for the misuse of qui tam defendants’ confidential and privileged documents in connection with lawsuits alleging violations of the False Claims Act (FCA). As a January 12,…more
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After withdrawing nearly identical proposed legislation one day earlier, on January 18, 2012, New York Governor Andrew Cuomo issued an Executive Order directing certain New York State agencies, including the Department of…more
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Implementation of the Affordable Care Act (ACA)
On June 28th CMS Administrator Donald Berwick uploaded a blog post outlining how the ACA has strengthened Medicare by $260 million so far this year with reforms to Medicare’s…more
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Implementation of the Affordable Care Act (ACA)
On June 19th Rep. Phil Roe (R-TN) wrote an op-ed for POLITICO in which he detailed his plans to abolish the Independent Payment Advisory Board (IPAB). Rep. Roe claims that IPAB…more
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Implementation of the Affordable Care Act (ACA)
On June 13th the House Energy & Commerce Subcommittee on Health announced that the hearing on the Independent Payment Advisory Board (IPAB), originally scheduled for the next day,…more
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Health care providers have known for some time that the government intended to adopt a predictive modeling data analysis system to supplement its Medicare fraud fighting efforts.1 And on Friday, June 17th, the Centers for…more
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Implementation of the Affordable Care Act (ACA)
On June 6th House Republican Policy Committee Chair Tom Price (R-GA) introduced H.R. 2077, legislation to repeal the medical loss ratio (MLR) requirements in the ACA. The…more
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On June 1, 2011, the Office of In Vitro Diagnostics (OIVD) in the Food and Drug Administration’s (FDA) Center for Devices and Radiological Health and the Center for Biologics Evaluation and Research issued the first of several…more
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A recent decision by the Seventh Circuit Court of Appeals upholding a physician’s criminal sentence is yet another reminder that health care providers and physicians must carefully structure their financial relationships to…more
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Implementation of the Affordable Care Act (ACA)
On May 30th the Illinois state legislature passed the Illinois Health Benefits Act that authorized the creation of a health insurance exchange, making it the 10th state to pass a…more
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The Noerr-Pennington doctrine, which protects the First Amendment right to petition the government, has traditionally been used to shield lobbying activity from antitrust liability, even when such activity’s intent is to harm…more
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