| Sep.18.2020 |
Dismissal, Says Who? Recent Seventh and Ninth Circuit Decisions Offer Competing Views on DOJ’s Dismissal Authority under the False Claims Act, But Congress May Have the Last Word |
| Aug.06.2020 |
In the Midst of a Pandemic, the Validity of the Affordable Care Act will be Revisited this Fall |
| Aug.03.2020 |
Payers, Providers, and Patients – Oh My!: ERISA Preemption of State PBM Regulation |
| Jul.23.2020 |
SAMHSA's "Final" Substance Use Disorder Records Confidentiality Rules: a Short-Term Change Towards Further Alignment with HIPAA in 2021 |
| Jul.17.2020 |
NY DFS Proposes Strict Measures Relating to Mental Health Parity Compliance |
| Jun.29.2020 |
Payers, Providers, and Patients – Oh My! - Bostock and HHS’s Nondiscrimination Regulations |
| Jun.16.2020 |
Trump Administration Scales Back Obama-era Healthcare Nondiscrimination Regulations |
| Jun.16.2020 |
Navigating Medical Supply Chain Challenges in the Aftermath of COVID-19 |
| Jun.08.2020 |
Nursing Homes Again in the Regulatory Hot Seat: COVID-19 Spurs CMS to Increase Infection Control Survey Penalties |
| Jun.04.2020 |
Payers, Providers, and Patients – Oh My! - Who CARES: The Provider Relief Fund and Other CARES Act Provisions |
| Jun.01.2020 |
Testing, Testing - Doors Open at Nursing Homes? CMS Offers Guidance on How and When |
| May.29.2020 |
HHS' Distribution of Provider Relief Funding to Skilled Nursing Facilities Along with New Terms and Conditions Raises Compliance Considerations for Providers |
| May.14.2020 |
Medicare Agency Announces More Telehealth and Virtual Care Service Expansions in Second Round of Federal Waivers and Rule Changes |
| May.08.2020 |
FDA Reissues EUA for Non-NIOSH Approved Respirators Manufactured in China |
| Apr.29.2020 |
OIG Seeks Comment on Key Enforcement Parameters and Deadlines For Information Blocking; HHS Delays Enforcement |
| Apr.23.2020 |
Congress Approves an Interim Stimulus Package Adding Over $480 Billion in Funding for Small Businesses, Health Care Providers, and Testing |
| Apr.20.2020 |
OSHA Issues Memo Regarding Discretion in Enforcement When Considering an Employer’s Good Faith Efforts During COVID-19 |
| Apr.16.2020 |
Telehealth Guidance for Health Plans in California During the COVID-19 State of Emergency |
| Apr.16.2020 |
OSHA Issues Enforcement Guidance |
| Apr.15.2020 |
Eligible Providers Can Now Apply for Telehealth Related Funding Through FCC COVID-19 Telehealth Funding Program |
| Apr.13.2020 |
HHS Begins Delivery of Cares Act Provider Relief Funding – What Providers Should Consider |
| Apr.09.2020 |
Guide to the COVID-19 Crisis Stark Waivers |
| Mar.27.2020 |
Payers, Providers, and Patients – Oh My!: What Providers Should Know about COVID-19 (Part 2 – Federal and State Guidance) |
| Mar.26.2020 |
Payers, Providers, and Patients – Oh My!: What Providers Should Know about COVID-19 (Part 1 – Labor and Employment Issues) |
| Mar.24.2020 |
Governor Newsom Continues to Fine Tune California’s Response to COVID-19 |
| Mar.20.2020 |
HHS Lifts Major Barriers to Telehealth to Help Reduce the Spread of COVID-19 |
| Mar.18.2020 |
Payers, Providers, and Patients – Oh My!: Medical Loss Ratios (Part 2) |
| Mar.11.2020 |
CMS Finalizes New Requirements on Health Plans to Release Health Data; Updates Medicare Conditions of Participation for Hospitals to Send Electronic Notifications |
| Mar.10.2020 |
Coronavirus (COVID-19) Emergency Spending Measure Waives Medicare Telehealth Restrictions |
| Mar.09.2020 |
HHS Finalizes Sweeping Regulations on Interoperability of Health Information and Information Blocking |
| Feb.25.2020 |
Payers, Providers, and Patients – Oh My!: Medical Loss Ratios (Part 1) |
| Feb.05.2020 |
All Aboard: New York Enacts The Women on Corporate Board Study Act |
| Feb.04.2020 |
Practice Fusion Settlement Highlights Government’s Increasing Focus on Health Information Technology Certification and Financial Relationships in Enforcement Actions |
| Jan.14.2020 |
Payers, Providers, and Patients – Oh My!: Digital Health Innovation |
| Jan.10.2020 |
Governor Signs Legislation Increasing New York Department of Health Scrutiny Over Nursing Home Sales and Other Transactions |
| Jan.10.2020 |
DOJ Announces $3B in False Claims Act Recoveries |
| Dec.12.2019 |
Payers, Providers, and Patients – Oh My!: Multi-State Plan Program |
| Nov.13.2019 |
Payers, Providers, and Patients – Oh My!: Pharmacy Benefit Managers |
| Oct.23.2019 |
Payers, Providers, and Patients – Oh My!: FDA Digital Health Guidance |
| Oct.16.2019 |
Playing Catch-Up to Innovation and Value-Based Care: CMS and OIG’s Proposed Fraud and Abuse Regulatory Updates to Physician Self-Referral, Anti-Kickback, and Civil Monetary Penalty Laws |
| Oct.10.2019 |
Payers, Providers, and Patients – Oh My!: Medicare Advantage Supplemental Benefits |
| Sep.26.2019 |
Beat by Beat: Data Governance Innovation for Healthcare Outcomes in the Asia-Pacific |
| Sep.13.2019 |
11th Circuit Issues Long-Awaited Opinion in AseraCare Affirming that Mere Differences in Reasonable Clinical Judgement Cannot Be False Under the FCA and Remanding for New Trial and Consideration of Full Record |
| Sep.11.2019 |
Payers, Providers, and Patients – Oh My!: Removal under ERISA |
| Sep.09.2019 |
HHS Proposes Changes to Substance Use Disorder Data Confidentiality Rules to Improve Care Coordination |
| Aug.21.2019 |
Payers, Providers, and Patients – Oh My!: Some Potential Impacts of Legal Challenges to the ACA |
| Aug.13.2019 |
CMS Proposes Changes to its Stark Law Advisory Opinion Process |
| Aug.07.2019 |
Payers, Providers, and Patients – Oh My!: Health Care Compliance Programs |
| Jul.24.2019 |
Payers, Providers, and Patients – Oh My!: Private Equity Investing in Health Care |
| Jul.10.2019 |
Payers, Providers, and Patients – Oh My!: Fiduciary Duties Under ERISA |
| Jun.26.2019 |
Payers, Providers, and Patients – Oh My!: FCA Dismissals Under the Granston Memo |
| Jun.24.2019 |
Supreme Court Grants Certiorari in Tucker Act Case Regarding ACA Payments |
| Jun.18.2019 |
Department of Managed Health Care Issues Final Guidance on Licensure Regulation |
| May.28.2019 |
Beat by Beat: Harnessing e-Health to Optimize Health Care Delivery in China |
| May.10.2019 |
Department of Justice Releases Long-Awaited Guidance on FCA Cooperation Credit |
| Apr.02.2019 |
Court Unravels New Association Health Plan Rules |
| Mar.06.2019 |
New DMHC Regulation Substantially Expands Number of Entities Requiring Knox-Keene Licensure |
| Feb.12.2019 |
Health Plans Seek Supreme Court Review in ACA "Risk Corridors" Cases |
| Feb.12.2019 |
ONC Proposes Regulations on Health IT Certification and Information Blocking |
| Feb.11.2019 |
CMS Proposes New Requirements on Health Plans to Release Data |
| Feb.01.2019 |
HHS Proposed Rule Takes Aim at Drug Rebates from Manufacturers to Health Plans/PBMs, Proposes Safe Harbors to Pass Savings to Consumers and Protect Some Manufacturer-PBM Payments |
| Jan.22.2019 |
Amendments to New York NPCL Affect Sole Member Not-for-Profits: Singles Get Ready to Mingle |
| Jan.10.2019 |
Supreme Court Clarifies that the Arbitrator, and Not the Court, Determines when Arbitration Is Required Under the Federal Arbitration Act |
| Jan.10.2019 |
Open Season: Multi-Agency Report Makes Recommendations to Free the Health Care Sector from Overregulation and Enhance Competition |
| Dec.21.2018 |
DOJ Moves to Dismiss Ten Kickback-Related False Claims Act Complaints Against Pharmaceutical Companies |
| Dec.17.2018 |
Modernizing HIPAA to Pave the Way for Value-Based Care |
| Dec.17.2018 |
Christmas Comes Early for Trump Administration, as Federal District Court Strikes Down Entire ACA |
| Dec.12.2018 |
Who Says There’s No Free Parking in New York? |
| Dec.03.2018 |
The Solicitor General Provides an Unexpected and Quicker Path to Victory for Gilead |
| Nov.12.2018 |
The New Wave of ACA Waivers |
| Nov.08.2018 |
CMS Announces and Solicits Comments on Expanded RADV Audit Methodology |
| Nov.07.2018 |
CMS Seeks Comment on Proposed Rule to Expand Telehealth Access and Coverage in the Medicare Advantage Program |
| Sep.13.2018 |
Let's Talk FCA: Parallel Criminal and Civil False Claims Act Proceedings (September 2018) |
| Aug.29.2018 |
Ninth Circuit’s Rose Decision Could be a Thorn in the Side of Relators (At Least for Now) |
| Jul.13.2018 |
Running with Scissors – and Association Health Plans |
| Jul.03.2018 |
Amid Repeated Calls from Leadership, DOJ Exercises Its “Virtually Unfettered Discretion” to Dismiss “Weak” Qui Tam Action |
| Jun.22.2018 |
Department of Justice Leadership Previews Reforms to False Claims Act Enforcement: Significant Incentives for Cooperation and Strong Compliance |
| Apr.30.2018 |
In HHS-OIG’s Cross-Hairs: Medicare Telehealth Services |
| Apr.09.2018 |
HCFAC Annual Report 2017: Monetary Recovery Decreased but Enforcement Remained Steady with Expanded Focus on Opioids |
| Jan.25.2018 |
Charitable Donations Not Grounds for False Claims Act Liability, But Government Scrutiny Continues |
| Jan.11.2018 |
Expansion of Health Insurance Coverage For Small Businesses and Self-Employed – New Rules for Association Health Plans |
| Dec.26.2017 |
DOJ Reports $3.7B Haul in FY 2017 FCA Recoveries |
| Nov.30.2017 |
CMS's Proposed Rule for Contract Year 2019 Is a Mixed Bag for Medicare Advantage Organizations and Prescription Drug Plan Sponsors |
| Nov.20.2017 |
CMS Issues Proposed Rule on Contract Year 2019 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs |
| Nov.17.2017 |
Unqualified Expert Witness Causes DOJ to Dismiss FCA Case |
| Oct.19.2017 |
Advantage United Healthcare: U.S. District Court Judge Tosses Allegations in Medicare Advantage Lawsuit |
| Oct.13.2017 |
Trump Administration Expands Availability of Non-ACA Compliant Health Plans |
| Sep.27.2017 |
Regulatory Kindness – IRS/DOL/PBGC/FRTIB Provide Hurricane Relief |
| Jun.28.2017 |
Task Force Report Hopes to Galvanize Cybersecurity Efforts in the Health Care Industry |
| Jun.22.2017 |
Report of $729M in Improper Electronic Health Record Incentive Payments From 2011 to 2014 Poses Risks for Meaningful Use Program Participants |
| Jun.07.2017 |
U.S. Supreme Court Favors Religious-Affiliated Hospital Retirement Plans |
| Jun.05.2017 |
Changes to the CMS Self-Referral Disclosure Protocol: Continuing Challenges & Issues Providers Need to Address Before Disclosure |
| Jun.02.2017 |
DOJ's $155M Settlement with Electronic Health Record Vendor |
| Mar.08.2017 |
Analysis of the House Republican Repeal and Replace Bills for the Affordable Care Act |
| Feb.10.2017 |
Court of Federal Claims Grants Summary Judgment on $214 Million ACA "Risk Corridors" Claim |
| Dec.01.2016 |
Outlook on California’s Health Care Landscape After the 2016 Elections |
| Nov.22.2016 |
Health Care Update: What is Happening with 21st Century Cures, the Trump Team & ACA Repeal/Replace? |
| Nov.21.2016 |
CMS Approves MassHealth Restructuring Utilizing Medicaid ACOs |
| Nov.02.2016 |
Know Your SSNIP: FTC Prevails in Hospital Merger Appeals |
| Oct.19.2016 |
CMS Releases Final Rules on MACRA Quality Payment Program Implementation for 2017-Onward |
| Oct.18.2016 |
New California Law to Curb Surprise Medical Bills Will Impact Relationships Between Health Plans and Non-Contracted Professionals |
| Oct.17.2016 |
ONC Certification Rule Scales Back in Scope from Proposal on Oversight of Health IT |
| Oct.11.2016 |
The Office of Civil Rights Issues Demanding HIPAA Guidance to Cloud Services Providers |
| Sep.26.2016 |
Don’t Sign That Yet! – New HHS Guidance on Health IT Contracts |
| Jul.27.2016 |
CMS Issues Proposed Rule on Releasing Medicare Part C and Part D Data and New Medicare Advantage Provider Network Requirements |
| Jul.25.2016 |
Medicare Quality Payment Program: Alternative Payment Models (APMs) |
| Jun.23.2016 |
Digital Health — Recent Developments (June 2016) |
| Jun.15.2016 |
Department of Justice Heightens Focus on Health Care, Challenges North Carolina Hospital’s Patient Steering Restrictions |
| Jun.15.2016 |
Sensitive Health Information and Deceptive Business Practices – FTC Releases Proposed Settlement with Practice Fusion, Inc. |
| Jun.02.2016 |
MACRA and MIPS: The Basics and Beyond |
| May.13.2016 |
Court Rules in Favor of House Republicans in ACA Subsidies Suit |
| May.11.2016 |
Court Denies Preliminary Injunction in Pennsylvania Hospital Merger Challenge |
| May.10.2016 |
CMS Finds a Way Around the Prohibition on the Use of Medicaid Funds for Institutions for Mental Diseases |
| May.06.2016 |
Medicaid Managed Care in a Post-ACA World: CMS Continues Convergence in Healthcare Regulation in Medicaid Managed Care Final Rule |
| Apr.20.2016 |
DOJ Charges Hospitals with Illegal Agreement to Allocate Marketing Territories |
| Apr.19.2016 |
Where Fraud Leads, We Will Follow: DOJ to Heighten Focus on Corporate Health Care Fraud, Health Care Executives, and Adequacy of Compliance |
| Mar.31.2016 |
ONC Seeks Comment on Proposed Changes to Oversight and Transparency in Health IT Certification Program |
| Mar.29.2016 |
Managed Care Lawsuit Watch - March 2016 |
| March 2016 |
Digital Health – Recent Developments |
| Feb.29.2016 |
CMS Finalizes Rules for Reporting and Returning Overpayments |
| Feb.23.2016 |
CMS and AHIP Announce New Core Quality Measures |
| Feb.09.2016 |
CONNECT for Health Act: Bipartisan Bill Would Expand Telehealth and Remote Patient Monitoring |
| Feb.01.2016 |
FDA Draft Guidance: Design Considerations and Pre-market Submission Recommendations for Interoperable Medical Devices |
| Jan.27.2016 |
Key Provisions in the Bipartisan Health Information Technology Legislation |
| Jan.21.2016 |
Key Takeaways from HIPAA Guidance on Individuals' Rights to Access Health Information |
| Dec.29.2015 |
New Consolidated Appropriations Act Yields Tax Delays, Funding Limitations, & Medicare/Medicaid Changes |
| Dec.01.2015 |
2017 Payment Rule Signals Increased Federal Oversight as Exchanges Evolve |
| Nov.04.2015 |
Managed Care Lawsuit Watch - November 2015 |
| Oct.12.2015 |
New California Court of Appeal Decision May Impose Premium Taxes on California Health Plans |
| Sep.22.2015 |
HHS Office for Civil Rights Announces Controversial Anti-Discrimination Regulations for ACA Section 1557 |
| Jun.26.2015 |
Context Matters: The Supreme Court Rules in Favor of ACA Subsidies |
| Jun.23.2015 |
VIDEO: Alternative Fees in Law |
| Jun.08.2015 |
Managed Care Lawsuit Watch - June 2015 |
| Apr.22.2015 |
EEOC's Proposed Wellness Plan Rules Largely Clarify Use of Incentives |
| Apr.16.2015 |
VIDEO: Crisis Management for Government Contractors |
| Mar.31.2015 |
VIDEO: Supreme Court to Decide Lawfulness of Receiving Post-Expiration Royalties on Licensed Patents |
| Mar.03.2015 |
Supreme Court Requires "Active State Supervision" over State Regulatory Agency Comprised of Active Market Participants |
| Feb.03.2015 |
California Department of Insurance’s Emergency Regulations on Provider Networks Go Into Effect |
| Jan.28.2015 |
FDA's Latest Round of Warning Letters Signal that the Agency is Closely Watching and Policing Improper "Healthy" Claims |
| Dec.05.2014 |
Supreme Court Decision Unlikely to Provide Regulatory Relief in Perez v. MBA |
| Nov.12.2014 |
Pharmaceutical Take-Back Program Deadlines Are Here |
| Oct.07.2014 |
FDA Publishes Cyber Guidance for Medical Devices |
| Aug.25.2014 |
Announcing C&M Health Law, Crowell & Moring's New Health Care Blog |
| Jul.23.2014 |
Dueling Appellate Rulings on the Availability of Federal Subsidies for Federally Facilitated Exchange Plans: What's Next for States with Federally Facilitated Exchanges? |
| Apr.28.2014 |
California Court of Appeal Expands Coverage for Autism Related Services for Certain Health Plans |
| Apr.23.2014 |
FTC Wins Review of Divestiture Order in Hospital Merger Case |
| Apr.15.2014 |
Medicare Accountable Care Organizations: The Time is Now |
| Mar.03.2014 |
FTC's Unabated Focus on Competition Impacts Health Care Reform and Makes Deals Risky...But Not Impossible |
| Feb.04.2014 |
FTC Wins Antitrust Challenge to Health System's Acquisition of Physician Practice |
| Jan.17.2014 |
CMS Proposes 'Not So Technical' Technical Changes to the Medicare Advantage and Medicare Part D Programs |
| Nov.21.2013 |
'Use It Or Lose It?' Not Necessarily... A Closer Look at the Recent IRS Guidance on Flexible Spending Accounts |
| Nov.19.2013 |
The Obama Administration's 'Fix' for Insurance Cancellations: Five Things Worth Taking into Account |
| Nov.11.2013 |
Final Mental Health Parity Regulations Issued |
| Oct.17.2013 |
Landmark False Claims Act Judgment: What Hospitals and Healthcare Providers Should Know |
| Sep.27.2013 |
Will your HRA or FSA Survive the Affordable Care Act? Answering Your Questions About Technical Release 2013-03 |
| Sep.26.2013 |
New OFCCP Regulations to go into Effect March 23, 2014 |
| Aug.06.2013 |
OIG Issues Unfavorable Opinion on Proposed Offer of Equity Interest to GPO Members |
| Jul.30.2013 |
U.S. Department of Labor Administrative Review Board Reverses Prior Ruling and Holds that a Tricare Network Provider is a "Subcontractor" Under OFCCP Regulations |
| Apr.26.2013 |
Supreme Court Reinforces Importance of Uniform Application of Clear ERISA Plan Language in U.S. Airways v. McCutchen |
| Apr.17.2013 |
California District Court Finds Lawful Health Plan's Categorical Exclusion of Certain Types of Prosthetic Devices |
| Apr.16.2013 |
Supreme Court Denies Review of Third Circuit Decision That MA Organizations Have a Direct Right of Recovery Under the Medicare Secondary Payor (MSP) Act |
| Apr.11.2013 |
CMS and OIG Propose Amendments to the Electronic Health Records Exception and Safe Harbor |
| Apr.05.2013 |
Federal Court Rules Hospitals Contracting with FEHBP HMO are "Subcontractors" Subject to Federal Affirmative Action Requirements |
| Mar.08.2013 |
CMS Publishes Physician Payment "Sunshine" Rule |
| Mar.08.2013 |
OPM Issues Notice of Written Suspension and Debarment Policy |
| Mar.05.2013 |
Treasury, IRS Release Proposed Rule Regarding Annual Health Insurer Fee |
| Feb.23.2013 |
CMS Proposed 2014 Payment and Policy Updates for Medicare Health & Drug Plans & Draft Call Letter |
| Feb.22.2013 |
HIPAA Final Rule Expands Liability for Violations, Clarifies Penalty Assessment Methodology |
| Feb.21.2013 |
CMS Announces Medicare Advantage and Prescription Drug Program MLR Proposed Rule—Largely Follows Commercial MLR Rules |
| Feb.20.2013 |
Supreme Court Nixes "State Action" Immunity for Hospital Acquisition in Georgia |
| Feb.11.2013 |
CMS Explains the PPACA Exchange Record System |
| Feb.08.2013 |
Final HIPAA Rules Clarifies Direct Liability of Business Associates and Subcontractors |
| Jan.29.2013 |
Conduit Exception Remains Narrow Under New HIPAA Rule |
| Jan.24.2013 |
Supreme Court Nixes "Equitable Tolling" for Hospitals Seeking to File Late Appeals of Medicare Underpayments |
| Jan.22.2013 |
Mental Health Key Component of President Obama's Gun Control Executive Orders |
| Jan.18.2013 |
HHS Issues Final HIPAA Regulations and Eliminates Risk of Harm Standard |
| Jan.18.2013 |
SMART Act Amends Medicare Secondary Payer Statute, Creates Three-Year Statute of Limitations, Opens Possibility of Section 111 Safe Harbors |
| Jan.16.2013 |
CMS Releases Proposed Rule to Consolidate Eligibility, Notices, Appeals, and Cost-sharing Maximums for Medicaid, CHIP, and Exchanges |
| Dec.14.2012 |
OPM Releases Proposed Rule on Establishment of Multi-State Plan Program for Affordable Insurance Exchanges |
| Dec.12.2012 |
CMS Releases Proposed 2014 Star Ratings Methodology |
| Dec.11.2012 |
CMS Says No Extra Funding for States That Do Not Make Full Medicaid Expansion and Offers Other ACA Guidance |
| Nov.30.2012 |
CMS Formally Recognizes NCQA and URAC as Accrediting Entities for QHPs |
| Nov.30.2012 |
Agencies Release Proposed Regulations Regarding Incentives for Nondiscriminatory Wellness Programs in Group Health Plans |
| Nov.29.2012 |
CMS Issues Proposed Rules on Rate Review, Risk Pools, Guaranteed Availability and Renewability, and Fair Premiums Under Patient Protection and Affordable Care Act (Comments due by Dec. 26, 2012) |
| Nov.29.2012 |
CMS Proposed Rule on Affordable Care Act Standards for Essential Health Benefits, Actuarial Value and Accreditation |
| Aug.30.2012 |
OPM Publishes FAQ on FEHBP Medical Loss Ratio |
| Aug.09.2012 |
FEHBP Community-Rated HMO Carrier Contract Changes |
| Jun.28.2012 |
Supreme Court Decision on Constitutionality of Health Reform Law |
| Jun.28.2012 |
Third Circuit Holds that MA organizations have a direct right of recovery under the Medicare Secondary Payer (MSP) Act |
| Apr.03.2012 |
New MLR Final Rule for Community Rated Plans Under FEHBP |
| Feb.07.2012 |
DOL Issues Long-Awaited Final Rules For Service-Provider Compensation Disclosures Under ERISA |
| Jan.09.2012 |
IRS Issues Updated Guidance on Mandatory Form W-2 Informational Reporting of Employer-Sponsored Health Coverage |
| Dec.01.2011 |
Federal Funding Opportunity: Challenge Grant Announcement Solicits Proposals Totaling $1 Billion to Promote Health Care Innovation |
| Nov.18.2011 |
Antitrust Division Challenges Montana Plan's Deal with Hospitals |
| Oct.31.2011 |
Nevada Supreme Court Rules Common Law Doctrine of Unconscionability Preempted By Medicare Advantage Law |
| Oct.21.2011 |
Centers For Medicare & Medicaid Services Releases Final ACO Rule and Additional Guidance |
| Oct.21.2011 |
IOM Issues Report, Essential Health Benefits: Balancing Coverage and Costs |
| Oct.07.2011 |
CMS Issues Proposed Rule to Revise Medicare Parts C and D Regulations |
| Oct.04.2011 |
CMS Confirms Hospitals May Not Bill Secondary Payor Insurers For Amounts In Excess Of Medicare Coinsurance And Deductible Amounts |
| Aug.26.2011 |
CMS issues regulations implementing the Medicare Improvements to Patients and Providers Act (MIPPA) of 2008 |
| Aug.12.2011 |
11th Circuit Ruling On PPACA Constitutionality |
| Jul.12.2011 |
Department of Health and Human Services Releases Affordable Insurance Exchange Proposed Regulations |
| May.19.2011 |
CMS Rules on Premium Increases |
| May.19.2011 |
New Accountable Care Model Information From CMS |
| Apr.01.2011 |
IRS Issues Guidance on Mandatory Form W-2 Informational Reporting of Employer-Sponsored Health Coverage |
| Jan.28.2011 |
OFCCP Directive Continues Agency's Efforts To Expand Its Jurisdiction Over Health Care Providers |
| Jan.04.2011 |
Corrections to the Medical Loss Ratio Interim Final Rule |
| Dec.22.2010 |
CMS Issues RADV Methodology for Comment |
| Dec.13.2010 |
The United States District Court for the Eastern District of Virginia Issued a Declaratory Judgment Today Finding PPACA’s Minimum Essential Coverage Provision Exceeds the Constitutional Boundaries of Congressional Power |
| Dec.02.2010 |
Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under The Patient Protection and Affordable Care Act |
| Nov.15.2010 |
CMS Announces One Year Delay Of Requirement To Report Liability Payments Under The Medicare Secondary Payer Statute |
| Oct.07.2010 |
Michigan court upholds PPACA "Individual Mandate" |
| Sep.20.2010 |
Federal Trade Commission and Department of Health and Human Services Announce Public Workshops Addressing Legal Implications of Accountable Care Organizations |
| Sep.01.2010 |
Ninth Circuit Addresses Medicare Preemption in New Uhm v. Humana Opinion |
| Apr.14.2010 |
Administration seeks comments to get ready for health reform expense ratio and related regulations |
| Apr.09.2010 |
Detailed Summary of Health Reform Legislation |
| Apr.07.2010 |
CMS Issues Final Rule on Changes to the Medicare Advantage and Part D Programs |
| Mar.30.2010 |
Reporting and Repayment of Medicare and Medicaid Overpayments Must Be Made by May 22, 2010 Under Section 6402(a) of the Patient Protection and Affordable Care Act |
| Mar.24.2010 |
Health Reform Legislation Enacted |
| Mar.02.2010 |
CMS Provides Additional Guidance Regarding The Delay Of The Reporting Requirement Under The Medicare Secondary Payer Statute |
| Mar.01.2010 |
Interim Final Mental Health Parity and Addiction Equity Act Regulations Issued |
| Feb.19.2010 |
CMS Unexpectedly Announces 9-Month Delay Of Requirement To Report Liability Payments Under The Medicare Secondary Payer Statute |
| Jan.05.2010 |
CMS Proposes Definition Of Meaningful Use Of EHR; ONC Publishes Interim Final Rule Regarding EHR Certification And Standards |
| Dec.08.2009 |
CMS Proposed Rulemaking For The Medicare Advantage And Medicare Prescription Drug Programs |
| Nov.23.2009 |
Ninth Circuit Leaves Open Possibility for Claims by FCA Defendant Against Allegedly Liable Third Party |
| Nov.06.2009 |
FTC Announces Fourth Extension of Red Flags Rule Enforcement |
| Nov.06.2009 |
HIPAA Interim Final Rule, October 30, 2009 |
| Oct.28.2009 |
"Retroactive" Amendments to False Claims Act Found Unconstitutional |
| Oct.20.2009 |
CMS Provides Guidance on Use of Medicare Advantage Enrollee Information for Communications |
| Oct.15.2009 |
Updates on the HIPAA Breach Notification Requirements |
| Aug.05.2009 |
Attorney General Commits to 'Smart on Crime' Approach to Economic Crimes |
| Aug.03.2009 |
FTC Extends Enforcement Date of Red Flags Rule |
| Aug.03.2009 |
FTC Extends Enforcement Date of Red Flags Rule |
| Jul.30.2009 |
FTC Again Delays Enforcement of Red Flags Rule |
| Jul.28.2009 |
FTC Sues Virginia Health System for Alleged Anticompetitive Acquisition of Imaging Center and Outpatient Surgery Center |
| Jun.17.2009 |
Hospitals Contracting With HMO to Provide Medical Services to Federal Employees Held to be "Subcontractors" Even Where Subcontract Fails To Include EEO And Affirmative Action Provisions |
| May.28.2009 |
New False Claims Act Amendments Significantly Impact Health Care Entities And Their "Obligations" Regarding Overpayments |
| May.22.2009 |
Genetic Discrimination Act Restriction Becomes Effective |
| May.22.2009 |
OIG Issues New Advisory Opinion Identifying Acceptable and Risky On-Call Physician Payment Arrangements |
| May.04.2009 |
FTC Extends Enforcement Date of Red Flags Rule to August 1 |
| Apr.09.2009 |
Getting in Compliance with the FTC Red Flags Rule as May 1st Enforcement Date Approaches |
| Mar.04.2009 |
CMS Re-Issues Draft 2010 Medicare Advantage, Prescription Drug Plan and Health Plan Call Letter |
| Feb.18.2009 |
Changes in American Recovery and Reinvestment Act of 2009 |
| Dec.30.2008 |
FTC Files Antitrust Suit Against Ovation: The Government Seeks Divestiture and Disgorgement of Profits |
| Dec.18.2008 |
Secretary Leavitt Announces New Principles, Tools to Protect Privacy, Encourage More Effective Use of Patient Information to Improve Care |
| Dec.04.2008 |
NIST HIPAA Security Rule Guidance |
| Dec.01.2008 |
EPA to Allow Certain Hazardous Pharmaceuticals to be Disposed of as Universal Waste |
| Nov.14.2008 |
FTC Grants Reprieve: Health Care Companies Prepare |
| Oct.16.2008 |
Court Issues Final Consent Judgment On United-Sierra Acquisition |
| Oct.07.2008 |
Non-Contracted Ambulance Services Can Be "Emergency Services" Subject to State Medicaid Rate Cap Payment by Medicaid MCOs |
| Sep.03.2008 |
HHS OIG Identifies Potential Violation of Anti-Kickback Laws In Proposed "Block Lease" Arrangements Between Physician Groups |
| Aug.26.2008 |
Massachusetts Law Imposes Limitations and Monitoring Requirements on Medical Device and Pharmaceutical Company Interactions with Health Care Practitioners and Facilities |
| Aug.22.2008 |
New FDA Label Change Rule |
| Jul.15.2008 |
PhRMA Updates Marketing Code for Interacting with Healthcare Professionals; California Law Mandates Updates to Comprehensive Compliance Programs of Covered Pharmaceutical and Medical Device Companies |
| Jul.02.2008 |
CMS Issues 2009 Proposed Physician Fee Schedule Rule: Proposed Changes Would Impact Anti-Markup Rule, Add New Stark Law Exception |
| Jun.30.2008 |
Supreme Court Limits Deference for ERISA Claims Denials by Fiduciaries with Conflicts of Interest |
| May.28.2008 |
The Fifth Circuit Affirms the FTC’s Ruling and Order Against North Texas Specialty Physicians |
| May.22.2008 |
Two New FTC Hospital Merger Enforcement Actions: The FTC Seeks to Block Hospital Merger in Northern Virginia and Issues Order Requiring Merged Hospital in Illinois to Create Independent Negotiating Teams |
| May.22.2008 |
Two New FTC Hospital Merger Enforcement Actions: The FTC Seeks to Block Hospital Merger in Northern Virginia and Issues Order Requiring Merged Hospital in Illinois to Create Independent Negotiating Teams |
| May.09.2008 |
CMS Proposes New Medicare Advantage and Prescription Drug Plan Rule |
| Apr.16.2008 |
OIG “Open Letter” Delivers Welcome News to Health Care Providers |
| Feb.28.2008 |
United’s Acquisition of Sierra Proceeds with Settlement of Medicare Advantage Antitrust Allegations |
| Feb.01.2008 |
Crowell & Moring Obtains Victory In First Tried Indirect Purchaser Pharmaceutical Antitrust Case |
| Jan.24.2008 |
IRS Releases Final Version of Form 990 (Return of Organization Exempt from Income Tax) |
| Jan.04.2008 |
EEOC Final Rule Allows Employers to Reduce or Eliminate Retiree Benefits for Medicare-Eligible Retirees |
| Dec.17.2007 |
HHS OIG OKs Incentive Arrangements for Hospital Services in MediGap Product |
| Dec.17.2007 |
Dept. of Labor Clarifies HIPAA with Compliance Safe Harbor |
| Oct.02.2007 |
STARK II PHASE III: A Detailed Section-By-Section Analysis of the Long-Awaited “Final” Rule |
| Oct.01.2007 |
OIG Opines On Propriety of ED Call Coverage Arrangements |
| Aug.28.2007 |
Long-Awaited Stark Law Phase III Final Rule Released By CMS |
| Aug.14.2007 |
FTC Finds Evanston Hospital Merger Unlawful, But Refuses to Order Spin-Off |
| Jul.05.2007 |
2008 Physician Fee Schedule Proposes A Host of Stark Law Revisions - And It Isn’t Even Phase III… |
| Jun.21.2007 |
OIG Advisory Opinion 07-05: How a Fair Market Value Deal Can Place Hospital-Physician Joint Venturers at Risk of Kickback Violation |
| Jun.14.2007 |
Third Circuit Upholds EEOC Rule Permitting Retiree Health Plan Coordination of Benefits with Medicare |
| May.31.2007 |
Hot Fraud and Abuse Issues for Medical Device Companies |
| May.30.2007 |
Hospital Credentialing of Medical Device Sales Representatives – Increasing Legal Issues on the Horizon |
| Apr.30.2007 |
PRRB Rules In Favor of Hospital on Bad Debt Issue |
| Apr.27.2007 |
OIG Will Engage in Unannounced Site Visits to Ensure Compliance With CIAs |
| Apr.19.2007 |
Health Plans Need Contingency Plans for National Provider Identification Compliance after May 23, 2007 |
| Mar.30.2007 |
Supreme Court Deals Set-Back to Whistleblowers |
| Mar.30.2007 |
Supreme Court Deals Set-Back to Whistleblowers |
| Mar.21.2007 |
CMS Extends Deadline For Publication of Final Stark II, Phase III Rule |
| Mar.01.2007 |
Bill To Repeal Mccarran-Ferguson Act Antitrust Exemption For Insurance Business Introduced |
| Feb.28.2007 |
CON Laws Pose Threat to Health Care Markets, DOJ Antitrust Division Official Tells Georgia Legislative Committee |
| Feb.22.2007 |
CMS Takes a Step Back on Recently Published Guidance on the New IDTF Quality Standards |
| Feb.01.2007 |
Health Savings Accounts Expanded in Year-End Legislation |
| Jan.22.2007 |
Good Guidance Practices and Other Regulatory Management Reforms |
| Dec.19.2006 |
CMS Letter to State Medicaid Directors Offers Much-Needed Guidance on DRA Employee Education Requirements |
| Dec.13.2006 |
Out With Thompson - In With McNulty: Department of Justice Issues New Guidance to Prosecutors |
| Dec.05.2006 |
Ernst & Young Report to IRS Reveals Tax-Exempt Hospitals' Community Benefits Justify Their Tax Exemptions |
| Dec.01.2006 |
New Hospital Conditions of Participation to Take Effect January 26, 2007 |
| Aug.29.2006 |
HHS Issues Final Anti-Kickback Safe Harbors and Stark Exceptions for Donations of E-Prescribing & Electronic Health Record Technology |
| Jul.27.2006 |
CMS Releases Final Medicare Advantage and Prescription Drug Plan Marketing Guidelines |
| Jul.24.2006 |
Fifth Circuit Faults IRS Attempt To Impose Intermediate Sanctions On Owners Of Home Health Care Agencies |
| Jun.14.2006 |
CMS Comes Down Hard on State Medicaid Fraud Enforcement Efforts |
| Jun.07.2006 |
New Provider and Supplier Enrollment Requirements To Take Effect June 20, 2006 |
| Apr.14.2006 |
OIG Opines on Nominal Value, Federal Health Care Program Carve-Outs, and Applicability of Safe Harbors in Context of Multi-Layered Relationships |
| Feb.24.2006 |
Fraud, Wast and Abuse Guidance for Medicare Part D |
| Feb.09.2006 |
Congress Requires False Claims Act Employee Materials for Medicaid Providers and Plans |
| Feb.01.2006 |
CMS Part D Guidance on LTC Pharmacy Rebates Creates Confusion |
| Feb.01.2006 |
Judges Tosses RICO Managed Care Claims Against PacifiCare |
| Jan.06.2006 |
DOJ Consent Order Resolves Antitrust Concerns for United - PacifiCare Transaction |
| Jan.04.2006 |
District of Columbia Law Limiting Pharmaceutical Prices Held Unconstitutional |
| Dec.15.2005 |
Crowell & Moring Attorneys Successfully Rebuff Challenge to Modification of Medicare Coordination of Benefits Contract |
| Dec.09.2005 |
HHS OIG Issues Work Plan for 2006 |
| Dec.02.2005 |
Arbitrators Dismiss United Healthcare’s Antitrust Claims against Chicago Health Care System |
| Nov.30.2005 |
Third Circuit Issues Important HIPAA Decision |
| Nov.29.2005 |
First Circuit Upholds Maine Law Requiring Disclosures by Pharmacy Benefit Managers |
| Nov.21.2005 |
CMS Guidance Bars Providers from Seeking Payment Over Medicare Rates from Secondary Payors |
| Nov.14.2005 |
D.C. Circuit Refuses to Remedy Hospital Wage Data Errors by Medicare |
| Nov.11.2005 |
Legal Approaches To Waiving Co-Payment Obligations As An Out-Of-Network Provider |
| Nov.03.2005 |
HHS Proposes Anti-Kickback Safe Harbor and Stark Exceptions For The Donation of E-Prescribing & Electronic Health Record Technology |
| Oct.29.2005 |
TRO Blocks Deceptive Claims That Drug Card Would Provide Free Drugs |
| Oct.28.2005 |
FTC ALJ Order Hospital Merger Undone |
| Oct.23.2005 |
Court Lifts Injunction Against EEOC Retiree Health Regulations |
| Sep.08.2005 |
New State Security Breach Notification Laws |
| Aug.23.2005 |
New Patient Safety and Quality Improvement Act of 2005 Enacted |
| Jul.01.2005 |
New Kickback Safe Harbor for Federally Qualified Health Centers |
| Jun.10.2005 |
DOJ Says HIPAA Criminal Liability Limited to Covered Entities |
| Jun.10.2005 |
OPM Amends FEHBP Regulations |
| Jun.08.2005 |
CMS Releases Retiree Plan Drug Subsidy Guidance |
| Jun.01.2005 |
CMS Issues Draft Part D Plan Marketing Guidelines |
| May.17.2005 |
DC Insurance Commissioner Clarifies Charitable Obligations of Blue Cross/Blue Shield Plan |
| Mar.08.2005 |
Gainsharing Client Alert |
| Mar.03.2005 |
Medicare Prescription Drug Benefit and Medicare Advantage FIinal Regulations |
| Mar.02.2005 |
DOL Provides New ERISA Guidance Regarding Reporting of Commissions and Fees Paid to Insurance Brokers and Agents |
| Feb.07.2005 |
New Developments on Drug Reimportation |
| Feb.07.2005 |
Final Health Coverage Portability Regulations Clarify Preexisting Condition Exclusion Requirements |
| Feb.05.2005 |
IG Issues Supplemental Compliance Program Guidance for Hospitals |
| Feb.05.2005 |
Court Says Provider Can See Search Affidavit |
| Jan.29.2005 |
Ambulatory Surgery Center Can Press Antitrust Claim against Hospital |
| Nov.01.2004 |
New Patent Applications for Health Insurance Plan Technology Innovations |
| Sep.01.2004 |
Promotion of HSAs May Raise Broker-Dealer and Investment Adviser Registration Concerns |
| Aug.26.2004 |
First Ever HIPAA Privacy Criminal Conviction |
| Aug.16.2004 |
Court Dismisses Resident Match Antitrust Lawsuit |
| Jul.26.2004 |
FTC/DOJ Report Pushes Competition for Health Care Industry Ills |
| Jul.26.2004 |
IRS Expands Period for Provider Incentive Payment Deductibility |
| Jul.26.2004 |
CMS Issues Proposed Regulations Implementing Medicare Part D Drug Benefit and Medicare Advantage Program |
| Jul.22.2004 |
CMS Holds Open Meeting on Medicare Advantage Regions |
| Jul.02.2004 |
OIG Issues Corporate Compliance Guide for Boards |
| Jun.22.2004 |
ERISA Preempts State Law Claims Challenging Coverage Denials |
| Jun.18.2004 |
Class Action Suits Against Non-Profit Hospitals |
| May.27.2004 |
DOL Issues Final Rules on COBRA Notice Requirements |
| Apr.06.2004 |
The Stark II Phase II Interim Final Rule |
| Mar.26.2004 |
EPA Signs "Self-audit" Agreements With Three Hospitals |
| Mar.11.2004 |
HHS OIG Report on MCO Institutional Status Patients |
| Mar.08.2004 |
FEHBP Final Rule on Provider Sanctions |
| Feb.13.2004 |
Crowell & Moring Helps St. Francis Hospital Achieve OIG "Self-Disclosure" Settlement |
| Feb.11.2004 |
FTC Challenges Consummated Hospital Merger in Illinois and Related Physician Pricing Actions |
| Jan.16.2004 |
Congressional Investigation of Pharmacy Rebates on Medicaid Drugs |
| Jan.12.2004 |
The FCC Expands Eligibility for Discounts on Charges for Telecommunications Services Supporting Rural Health Care |
| Jan.01.2004 |
The Medicare Prescription Drug Improvement and Modernization Act of 2003 |
| Dec.22.2003 |
Tax Provisions of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 |
| Dec.22.2003 |
House and Senate Pass Mental Health Parity Extension |
| Dec.22.2003 |
Treasury and IRS Announce 2003-2004 Priority Guidance Plan for Employee Benefits Issues |
| Dec.22.2003 |
IRS Announces Inflation-Adjusted Dollar Limits for 2004 |
| Nov.28.2003 |
Center for Medicare and Medicaid Services Issues a Final Rule on Medicare + Choice ("M+C") |
| Nov.15.2003 |
CMS Issues EMTALA Interim Guidance to State Survey Agency Directors Concerning Hospital Compliance |
| Oct.30.2003 |
ASBCA Grants Summary Judgment in Favor of FEHBP Contractor on Audit Disallowance |
| Sep.24.2003 |
HHS Clarifies NPDB Reporting Obligations |
| Sep.23.2003 |
IRS Allows Reimbursement of OTC Drugs Under Employer-Sponsored Health Plans |
| Sep.16.2003 |
HHS OIG Publishes Proposed Rules on Exclusion of Providers for Charging Medicare Substantially in Excess of Usual Charges |
| Jul.31.2003 |
Conferees Reach Agreement on Medicare Contractor Reform Legislation |
| Jul.24.2003 |
Federal Court Grants Summary Judgment Against Health Plan's Antitrust Challenge to Hospital Combination in Pennsylvania |
| Jul.20.2003 |
First IRS letter ruling on "Health Reimbursement Arrangements" |
| Jul.16.2003 |
EEOC Proposes to Ease ADEA Limits on Health Benefit Reductions for Medicare Eligible Retirees |
| Jun.14.2003 |
Sixth Circuit Upholds Finding that Agreement Between Andrx and Hoechst Marion Roussel was a Per Se Illegal Market Division |
| Jun.13.2003 |
FDA Gives Boost to Generics |
| Jun.12.2003 |
Supreme Court Relaxes Proof Requirements in EEO Cases |
| May.30.2003 |
DOL Issues Proposed COBRA Notice Regulations |
| May.28.2003 |
CMS Determines Not to Proceed With Specialty Hospital Amendment to Stark Rule |
| May.15.2003 |
DOL Compliance Guidance for Health Plans |
| Apr.12.2003 |
HHS OIG Audit Report on Institutional Status of Medicare + Choice Enrollees |
| Apr.08.2003 |
RICO Claims Arbitrable |
| Apr.03.2003 |
U.S. Supreme Court Upholds Kentucky "Any Willing Provider" Laws that Restrict HMOs' Ability to Select Providers |
| Feb.23.2003 |
HHS Issues New HIPAA Security Rule |
| Feb.15.2003 |
Health Plans in the Cross Hairs: FDA Gets Tough on Imported Prescription Drugs Plans Could Face Criminal, Civil Liability |
| Feb.04.2003 |
Hospital Not A Subcontractor Under Federal Employees Health Benefit Program |
| Jan.27.2003 |
CMS Issues Quality Improvement Program Requirements for Hospitals |
| Jan.15.2003 |
Ohio Supreme Court Grants $32.5 Million Punitive Damages in Challenge to Benefit Denial and Review Process |
| Jan.07.2003 |
Maine's Discount Drug Program Struck Down |
| Dec.15.2002 |
DOJ Antitrust Settlement Requires North Carolina Physician Group To Disband |
| Dec.04.2002 |
New HIPAA Privacy Rule Guidance |
| Nov.20.2002 |
11th Circuit Grants Appeal of Provider Class Certification |
| Oct.15.2002 |
OIG Focus on Hospital DRG Outlier Payments |
| Sep.12.2002 |
Federal Trade Commission Workshop On Healthcare Competition Law & Policy |
| Aug.15.2002 |
HHS Publishes Final Changes to HIPAA Privacy Rule |
| Aug.01.2002 |
FTC Report Recommends Changes in Hatch-Waxman Law |
| Jun.02.2002 |
Recent HIPAA and ERISA Guidance and Rules Issued by Department of Labor and HHS |
| Jun.01.2002 |
HHS Releases Supplemental HIPAA Regulations |
| Apr.01.2002 |
Pharmaceutical Company Settles FTC Charges for Unintentional Disclosure of Email Addresses of Consumers |
| Mar.28.2002 |
Changes To HIPAA Privacy Rule Proposed By HHS Secretary - Public Comments Due By April 26, 2002 |
| Mar.25.2002 |
OSHA - Beverly Settlement Requires Lifting Equipment To Avoid Ergonomic Injuries |
| Mar.19.2002 |
On Behalf of Sagamore Health Network, Crowell & Moring Attorneys Successfully Defeated a Preliminary Injunction Motion Brought by Gateway Contracting Services in the Southern District of Indiana |
| Feb.21.2002 |
FTC Advisory Opinion Approves Collective Negotiation With Payors for Clinically Integrated Physician Network |
| Feb.20.2002 |
New HHS Guidance on Providers' Ability to Seek Payment Over Medicare Rates from Secondary Payors -- SUPERSEDED |
| January 12, 2002 |
Quality of Service Deficiency Rejected as Basis for False Claim |
| Jan.05.2002 |
DOL Publishes Q&A on Claims Processing and Appeals Regulations |
| Dec.15.2001 |
Stark Law "Set In Advance" Rule Definition Delayed |
| Nov.21.2001 |
HHS OIG Issues Open Letter On Changes In OIG Civil Fraud Settlement Policies and Practices |
| Oct.23.2001 |
Federation of Physicians and Dentists Consents to Judgment in Delaware Sherman Act Case |
| Aug.21.2001 |
EEOC Revokes Stance That Health Plans Discriminate If Retiree Benefits Change Upon Medicare Eligibility |
| Aug.01.2001 |
Courts Upholds Law Mandating Matching Copays and Supply Limits for Mail and Retail Pharmacy HMO Benefits |
| Jul.28.2001 |
Appeals Court Ruling Permits "Disproportionate Share Payment" Reopenings and Authorizes "Mandamus" Review of Medicare Action |
| Jul.10.2001 |
Partial Delay in New ERISA Claims Review and Appeal Regulations |
| Mar.03.2001 |
Managed Care Litigation |
| Jan.31.2001 |
Phase I Final Stark Rule Issued |
| Dec.28.2000 |
Final Privacy Regulations Are Issued Under HIPAA |