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Health Updates

Read need-to-know updates, commentary, and analysis on Health issues written by leading professionals.

Telemedicine Reimbursement and Regulation: an Overview for Providers

by Snell & Wilmer on

The advent of telemedicine supplies a unique and convenient gateway for patients and providers to connect. The benefits of telemedicine range from increased access to care for patients, to increased efficiency and lower...more

OFCCP Clarifies Methodology for Contractor Audit Selection

by Littler on

On April 18, 2018, in another step signaling increased transparency for federal contractors, OFCCP issued a release describing its methodology for selecting and scheduling federal contractors for audit in 2018. ...more

Countdown to Cannabis Legislation: Cannabis Regulation in Canada's Territories

by Field Law on

Canada's plans for cannabis legalization are slowly rolling into focus. While many of the details of the regulatory framework are still under review, it is clear that the approach to regulation taken by the Provinces and...more

Annual HSR Report: No New Challenges to Hospital or Ambulatory Surgery Center Mergers in 2017

by Epstein Becker & Green on

On April 11, 2018, the Federal Trade Commission (“FTC”) and the Department of Justice (“DOJ”) released their 40th Annual Hart-Scott-Rodino Report (“HSR Report”) detailing merger enforcement activity in fiscal year 2017...more

Supreme Court Order Indicates Interest in Reviewing Campie, the False Claims Act Outlier of the Ninth Circuit

In an order issued on April 16, 2018, the U.S. Supreme Court invited the Solicitor General to file a brief “expressing the views of the United States” concerning the 2017 decision of the U.S. Court of Appeals for the Ninth...more

Court Holds International Cancer Agency Is Not A Private Corporation

by Allen Matkins on

More than a half century ago, the World Health Assembly established the International Agency for Research on Cancer as the specialized cancer agency of the World Health Organization. Although headquartered in Lyon, France,...more

New California Bill Attempts to Set Standard Pricing for Healthcare Services and Procedures

by King & Spalding on

Assembly Bill 3087 seeks to establish a nine-person commission tasked with imposing set prices for specific services and procedures provided by hospitals and other healthcare providers in California. Medi-Cal, Medicare, and...more

AGG Food and Drug Newsletter - April 2018

by Arnall Golden Gregory LLP on

Arnall Golden Gregory LLP's Food and Drug Newsletter is a monthly update of legal and regulatory issues that affect the FDA-regulated community, including regular updates on legislative initiatives from AGG’s Washington, DC...more

Alabama CON Report

I. Certificate of Need Program - A. AL2018-008, Eastchase Operations, LLC d/b/a The Crossings at Eastchase, Montgomery, AL: Proposes to construct and operate thirty-two (32) Specialty Care Assisted Living Facility...more

Key Takeaways from Final 2019 Payment Notice Rule

by King & Spalding on

Last week, CMS issued a final rule which aims to relax certain Affordable Care Act (ACA) health plan regulations, found at 45 C.F.R. Parts 147, 153, 154, 155, 157, and 158, while increasing marketplace competition. In...more

The State AG Report Weekly Update April 2018 #3

by Cozen O'Connor on

2018 AG Elections- Republican Gentner Drummond Announces Bid for Oklahoma Attorney General- Republican Gentner Drummond has declared his candidacy for Oklahoma AG in 2018. ...more

Health Care Providers Beware: Consumer Finance Regulations Apply Medical Debt Collection

by Baker Donelson on

While the prosecution of consumer banks and other lenders is the type of federal regulation that typically makes the headlines, many of the same debt collection regulations also apply to the collection of medical debts....more

New 2019 ACA Payment Policies for Individual and Small Group Markets

by Baker Donelson on

On April 9, the Department of Health and Human Services (HHS) released the long-anticipated final Notice of Benefits and Payment Parameters (NBPP) for plan year 2019, providing standards for health insurers and the health...more

Will the dismantlement of Obamacare affect healthcare restructuring?

by Epiq on

Bankruptcy filings among hospitals and medical centers more than tripled in 2017, according to data compiled by Bloomberg. While there are many factors contributing to this financial volatility, the political battle over The...more

FY2019 Massachusetts Budget Update: House Ways and Means Budget

On Wednesday, April 11, the House Ways and Means Committee proposed a $40.991 billion budget for FY2019 that represents an increase of $1.24 billion, or 3.1 percent, above FY2018 spending levels. The budget proposes $83...more

San Francisco Health Care Security Ordinance Annual Reporting Due April 30

by McDermott Will & Emery on

If an employer has employees in San Francisco and is subject to the Health Care Security Ordinance (HCSO), the employer must submit its 2017 Annual Reporting Form by April 30, 2018...more

Health Care Enforcement Quarterly Roundup - April 2018

by McDermott Will & Emery on

Over the past 18 months, we have closely monitored the Trump administration’s approach to health care enforcement issues, with a particular focus on whether prosecution of the False Claims Act (FCA) remains a priority under...more

Appealing Massachusetts Employer Medical Assistance Contribution (EMAC) Supplement Determinations Based on ConnectorCare Coverage

The Massachusetts Department of Unemployment Assistance (DUA) has begun assessing Employer Medical Assistance Contribution (EMAC) supplemental payments for the first quarter. This post proposes a grounds for appealing DUA...more

CMS Removes Data Requirement for MRIs on Beneficiaries with Implanted Cardiac Devices

by King & Spalding on

CMS’s recent national coverage decision ends the Coverage with Evidence Development (CED) requirement for physicians seeking to perform MRIs on patients with a cardiovascular implanted electronic device (CIED)....more

Massachusetts Federal Judge Approves Settlement to Expand Dialysis Company’s Compliance Department

by King & Spalding on

On April 10, 2018, U.S. District Judge Allison D. Burroughs preliminarily approved a settlement requiring American Renal Associates Holdings, Inc. (ARAH) to expand its compliance department in response to a shareholder...more

Medicare Advantage to Address Social Determinants of Health: An Important Step for Value-Based Care

On April 4, 2018, the Centers for Medicare & Medicaid Services (“CMS”) finalized guidance and policies for the Medicare Advantage program that will expand the supplemental benefits afforded to beneficiaries to include items...more

Dealing with the ROT in Mass TORts

by Reed Smith on

Anyone interested in what’s wrong with mass torts in today’s litigation landscape should read the recent article in the New York Times article, “How Profiteers Lure Women Into Often-Unneeded Surgery,” which ran in the paper...more

National Right to Try Act Passes U.S. House

by Thompson Coburn LLP on

The concept of a “Right to Try” has been spreading through the U.S. over the last four years, beginning with the first passing of such laws in Colorado in 2014. Most recently, President Trump has echoed support for a federal...more

California: Proposed Legislation Regulating Health Care Rates for Payors and Providers

by Foley & Lardner LLP on

An ambitious California proposal to regulate health care rates and curb long-term health care spending was unveiled last week in Assembly Bill 3087 (Proposed Legislation). The key concept in the Proposed Legislation is the...more

In One Decision, The Eleventh Circuit Creates Two Circuit Splits

by Dorsey & Whitney LLP on

Rejecting the views of the Fourth and Tenth Circuits, the Eleventh Circuit held the FCA’s three year statute of limitations period in § 3731(b)(2) applies to a relator’s claim even when the United States declines to...more

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