In the context of Medicare Advantage (“MA”) reform initiatives, we previously addressed the Centers for Medicare & Medicaid Services’ (“CMS”) December 27, 2022 proposal to amend its regulations set forth at 42 C.F.R. §...more
8/6/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
False Claims Act (FCA) ,
Final Rules ,
Healthcare Fraud ,
Investigations ,
Medicare Advantage ,
Medicare Part D ,
Overpayment ,
Physician Fee Schedule ,
Proposed Rules ,
Regulatory Reform ,
Reporting Requirements ,
Voluntary Disclosure
As the largest public funder of biomedical research in the world, the National Institutes of Health (“NIH”) annually funds over $38 billion in extramural research, including about $6 billion for clinical trials. On May 28,...more
7/25/2024
/ 21st Century Cures Act ,
Affordable Care Act ,
Artificial Intelligence ,
Clinical Trials ,
Department of Health and Human Services (HHS) ,
Diversity ,
Final Rules ,
Food and Drug Administration (FDA) ,
National Institute of Health (NIH) ,
OCR ,
OIG
On April 22, 2024, the Office for Civil Rights (OCR) for the United States Department of Health and Human Services issued a Final Rule amending the Privacy Rule of the Health Insurance Portability and Accountability Act...more
6/24/2024
/ Attestation Requirements ,
Audits ,
Covered Entities ,
Department of Health and Human Services (HHS) ,
Dobbs v. Jackson Women’s Health Organization ,
False Claims Act (FCA) ,
Final Rules ,
Health Insurance Portability and Accountability Act (HIPAA) ,
HIPAA Privacy Rule ,
HIPAA Violations ,
Medicaid ,
Medicare ,
OCR ,
OIG ,
Patients ,
PHI ,
Popular ,
Reproductive Healthcare Issues ,
SCOTUS
On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. Parts 417, 422, 423,...more
On November 2, 2021, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (“Final Rule”) that advances the shift from paying for Medicare home health services based on volume to a system that pays based on...more