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CMS Issues Final Call Letter for 2015
April 9, 2014 | Blog | By Roy Albert
Earlier this week, CMS announced in its Final Call Letter that Medicare Advantage rates would rise an average of 0.4 percent in 2015, instead of falling 1.9 percent as proposed in February.
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HHS Extends Medicare Coverage to Same-Sex Couples
April 7, 2014 | Blog | By Kimberly Gold
The U.S. Department of Health & Human Services (“HHS”) announced last week that same-sex married couples can now qualify for Medicare Part A and Part B special enrollment periods and reductions in late enrollment penalties.
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Tri-Agency Health IT Report Issued
April 3, 2014 | Blog | By Theresa Carnegie
Today, the three federal agencies charged with regulating components of health information technology (“Health IT”) issued their long-awaited Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework (the “Report”).
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Provisions of Interest to Labs in the Protecting Access to Medicare Act of 2014
April 2, 2014 | Blog | By Karen Lovitch
The Protecting Access to Medicare Act of 2014 (HR 4302), signed by President Obama yesterday, contains a number of provisions that are important to clinical laboratories.
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Compliance is No Joke: OCR Releases Security Risk Assessment Tool
April 1, 2014 | Blog
On March 28, 2014, the Office of Civil Rights (OCR) announced the release of an online and iPad app-based security risk assessment (SRA) tool.
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Supreme Court Declines to Settle False Claims Circuit Split
April 1, 2014 | Blog | By Theresa Carnegie
With its March 31, 2014 denial of certiorari in U.S. ex rel. Nathan v. Takeda, the U.S. Supreme Court declined to wade into the ongoing debate over the degree of particularity with which a false claims relator must plead a violation of the federal Civil False Claims Act.
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Five Key Decisions for ACOs Looking to Participate in the 2015 MSSP
March 28, 2014 | Blog
The Centers for Medicare & Medicaid Services (CMS) has announced the upcoming deadlines for the third round of new applications to the Medicare Shared Savings Program (MSSP).
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ML Strategies Posts Weekly Health Care Update on March 24, 2014
March 27, 2014 | Blog | By Theresa Carnegie
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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After Arkansas Supreme Court Reverses $1.2 Billion Medicaid False Claims Verdict, Will State Attorneys General Rethink the Use of Private Counsel?
March 25, 2014 | Blog | By Theresa Carnegie
On March 20, 2014, the Arkansas Supreme Court reversed a $1.2 billion judgment against Johnson & Johnson and its related companies over alleged Medicaid fraud stemming from the off-label marketing of the drug Risperdal.
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ML Strategies Posts Weekly Health Care Update on March 17, 2014
March 20, 2014 | Blog | By Theresa Carnegie
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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For New Recovery Audit Contracting Cycle, CMS “RAC”s up Changes
March 18, 2014 | Blog
Last month, the Centers for Medicare & Medicaid Services (CMS) announced important changes to the Recovery Audit Program.
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FTC Cautions States Against Overbroad Regulation of Nurse Practitioners
March 13, 2014 | Blog | By Theresa Carnegie, Bruce Sokler, Farrah Short
On March 7, 2014 the Federal Trade Commission (FTC) issued a policy paper as part of its on-going effort to urge state legislators to open health care markets to a broader range of providers.
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Privacy and Security Practice Panel Discusses the NIST Cybersecurity Framework
March 12, 2014 | Blog
Cybersecurity is of increasing importance to health care organizations, given the growing trend of enforcement and increasing penalties. President Obama's Executive Order 13636: Improving Critical Infrastructure Cybersecurity included "the incapacity or destruction of [] systems and assets [that] would have a debilitating impact.
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ML Strategies Posts Weekly Health Care Update on March 10, 2014
March 12, 2014 | Blog | By Theresa Carnegie
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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CMS Abandons Certain Controversial Provisions in its Proposed Medicare Part D Rule
March 10, 2014 | Blog | By Theresa Carnegie
Following an onslaught of criticism, CMS told Congress today that it will not move forward with certain controversial provisions of its proposed rule on the Medicare Advantage and Medicare Part D prescription drug program.
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Avoid the Anti-Corruption “Blacklist:” Chinese Agency Guidance
March 5, 2014 | Blog
On March 1, 2014, Circular No. 50, which the Chinese National Health and Family Planning Commission (NHFPC) recently promulgated to regulate the conduct of pharmaceutical and medical device companies that do business in China, went into effect.
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Unprecedented HIPAA Fine May Mean Increased Scrutiny and Penalties
February 26, 2014 | Blog | By Kimberly Gold
Triple-S Management Corp. (“Triple-S”), a Puerto Rico-based health insurer, has been fined $6.8 million by the Puerto Rico Health Insurance Administration (“PRHIA”) following a Health Insurance Portability and Accountability Act ("HIPAA") breach by its subsidiary, Triple-S Salud Inc. (“TSS”), involving more than 13,000 beneficiaries.
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ML Strategies Posts Weekly Health Care Reform Update on February 24, 2014
February 26, 2014 | Blog | By Theresa Carnegie
ML Strategies has posted its weekly Health Care Reform Update. This publication provides timely information on implementation of the Affordable Care Act, and other state and federal administrative and legislative activities related to health care reform.
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En Español: HHS Agencies Issue Model Notices of Privacy Practices in Spanish
February 24, 2014 | Blog
Last week, the U.S. Department of Health and Human Services Office for Civil Rights (OCR) and Office for the National Coordinator for Health Information Technology (ONC) issued model Notices of Privacy Practices (NPPs) in Spanish.
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A Guide to the FDA's Proposed Social Media Guidance
February 23, 2014 | Blog | By Kimberly Gold
The FDA recently proposed guidance for the submission of materials disseminated through real-time social media promotions ("Interactive Promotional Media") for postmarketing reporting purposes.
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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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