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Mintz’s Health Care Qui Tam Update
March 17, 2015| Blog|
Reported Compliance Problems: The Six Stages of Corporate Grief
March 12, 2015 | Blog
Last week, I had the honor of participating in a panel discussion about how health care entities deal with reported compliance concerns at the ABA’s 16th Annual Conference on Emerging Issues in Healthcare Law.
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Obama Administration Announces “Next Generation ACOs”
March 12, 2015 | Blog
In a highly anticipated announcement on Tuesday, March 10, the Centers for Medicare and Medicaid Services (CMS) released details for a new Accountable Care Organization (ACO) program called the Next Generation ACO (NGACO).
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ML Strategies Posts Weekly Health Care Update on March 9, 2015
March 11, 2015 | Blog
ML Strategies has posted its weekly Health Care Update. This publication provides timely information on implementation of the Affordable Care Act, Congressional initiatives affecting the health care industry, and federal and state health regulatory developments.
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GAO Report Highlights Improper Medicare/Medicaid Payments
March 11, 2015 | Blog | By Samantha Kingsbury
Despite the efforts of the Department of Health and Human Services (HHS) to combat fraud and contain costs in federal healthcare programs, Medicare’s fee-for-service program (Parts A and B) and Medicaid were two of the top three culprits for the billions reported to have been improperly paid by the federal government in fiscal year 2014.
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CMS Call Letter: Medicare Advantage Contracting Considerations
March 6, 2015 | Blog | By Bridgette Keller
As a final addition to our series on the 2016 Draft Call Letter, we highlight some of the MA contracting issues raised by the Centers for Medicaid and Medicare Services (“CMS”).
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MA Risk Adjustment in the 2016 Call Letter and … in Health Care Fraud Charges
March 5, 2015 | Blog | By Tara E. Dwyer
In past Call Letters, CMS has proposed and finalized significant changes to the Medicare Advantage risk adjustment system including, recalibrations, deletions and additions of diagnoses codes, and questioning of the value of in-house health risk assessments.
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Mother Nature Axes 340B Hearing, But Written Testimony Survives
March 5, 2015 | Blog
Mother Nature claimed another victim this week. The U.S. House of Representatives Energy and Commerce Subcommittee on Health was scheduled to hold a hearing on March 5, 2015 – Examining the 340B Drug Pricing Program.
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CMS Call Letter: Pharmacy Network Implications
March 3, 2015 | Blog | By Theresa Carnegie
As part of our continuing series on CMS's 2016 Call Letter, we take a closer look at the provisions in the Call Letter affecting PBM and plan sponsor pharmacy networks. In the Call Letter, CMS raises concerns about preferred pharmacy networks and maximum allowable cost (MAC) pricing, and also provides clarifying guidance on mail order pharmacy auto-ship policies.
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Highlights From the FTC - DOJ Workshop Examining Health Care Competition
March 3, 2015 | Blog | By Theresa Carnegie
Last week, the Federal Trade Commission and the Department of Justice co-hosted the second installment of their public workshop series, “Examining Health Care Competition.”
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In Case You Missed It: Health Care Enforcement in 2015 Webinar
March 2, 2015 | Blog
Earlier this month, Mintz Levin’s Hope Foster and Bridget Rohde hosted a webinar entitled “Health Care Enforcement in 2015: A Look Back on 2014 and Forecasting the Year Ahead.”
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CMS Call Letter: Changes to and Implications of Star Ratings
March 2, 2015 | Blog | By Tara E. Dwyer
In its February 20, 2015 Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter, CMS addressed a variety of issues relating to its Star Ratings system.
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Supreme Court Rejects Antitrust Immunity for North Carolina Dental Board
February 27, 2015 | Blog | By Theresa Carnegie
On February 25, 2015, in a 6-3 decision authored by Justice Kennedy, the Supreme Court upheld the Federal Trade Commission’s decision finding that the North Carolina Board of Dental Examiners, although a state agency, was not exempt from federal antitrust laws when it sent 47 official cease-and-desist letters to non-dentist teeth whitening service providers.
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CMS Releases 2016 Draft Call Letter
February 26, 2015| Blog|
ML Strategies Posts Weekly Health Care Update on February 23, 2015
February 26, 2015 | Blog
ML Strategies has posted its weekly Health Care Update. This publication provides timely information on the Affordable Care Act implementation and other federal regulatory initiatives, and covers other updates affecting the health care industry.
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Telehealth Bill Moving Forward in Florida-But Medicaid Coverage Sacrificed
February 25, 2015| Blog|
FTC-DOJ Workshop on Health Care Competition Enters Second Day
February 25, 2015 | Blog
The U.S.’s pursuit of lower health care costs and higher quality health care services has included the incentivizing of new organizational structures and payment models that trigger long standing concerns about maintaining competition in the health care system.
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CMS Delays 60-Day Rule, But Overpayment Case Law Emerging
February 24, 2015 | Blog | By Brian Dunphy
The Centers for Medicare & Medicaid Services (CMS) recently announced a one-year delay in finalizing the long-awaited and closely watched rule addressing the 60-day deadline to return Medicare and Medicaid overpayments (the “60-day rule”).
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ML Strategies Posts Weekly Health Care Update on February 17, 2015
February 20, 2015 | Blog
ML Strategies has posted its weekly Health Care Update. This publication provides timely information on implementation of the Affordable Care Act, Congressional initiatives affecting the health care industry, and federal and state health regulatory developments.
Read more
Viewpoint Editors
Karen S. Lovitch
Chair, Health Law Practice & Co-Chair, Health Care Enforcement Defense Practice
Joanne S. Hawana
Member
Rachel E. Yount
Of Counsel
Pat G. Ouellette
Associate
Stephnie A. John
Associate
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