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Adobe PDFEmerging Issues Regarding Provider-Based Status
Joel M. Hamme, Barbara Straub Williams, William H. von Oehsen; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
December 23, 2015, previously published on November 19, 2015
This memorandum reports on several recent developments pertaining to Medicare provider - based status and their implications for providers and certain covered entities participating in the 340B drug discount program.

 

Adobe PDFCMS and OIG Issue Final Rule on ACO Waivers
Mark R. Fitzgerald, Christina A. Hughes; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
November 6, 2015, previously published on October 29, 2015
As part of the Patient Protection and Affordable Care Act’s establishment of the Medicare Shared Savings Program (MSSP), the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services Office of the Inspector General (OIG), developed waivers of the federal...

 

HTMLU.S. House Approves “Native American Energy Act”, Sending Legislation to Senate
Brian Gunn, Paul G. Moorehead; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
October 23, 2015, previously published on October 12, 2015
On October 8, 2015, the U.S. House of Representatives approved (254 to 173) the "Native American Energy Act" (H.R. 538), a bill to remove legal and regulatory barriers to energy resource development on American Indian lands.

 

Adobe PDFSummary of 340B Drug Pricing Program Proposed Omnibus Guidance
Joel M. Hamme, Jason B. Reddish, Barbara Straub Williams, William H. von Oehsen; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
September 7, 2015, previously published on September 4, 2015
The following summarizes the provisions of the 340B drug pricing program (340B Program) omnibus guidance (Proposed Guidance) released by the Health Resources and Services Administration (HRSA) on August 28, 2015. The Proposed Guidance is attached to this summary. The Proposed Guidance touches on...

 

Adobe PDFSupreme Court Decision in King v. Burwell on Eligibility for Tax Credits in the Health Insurance Exchanges
Joel M. Hamme, Caitlyn Yana; Powers Pyles Sutter & Verville, PC;
Legal Alert/Article
July 30, 2015, previously published on June 25, 2015
In a 6-3 decision issued today, the Supreme Court of the United States held that Section 36B of the Internal Revenue Code authorizes tax credits for all financially eligible individuals who enroll in insurance plans through the health insurance exchanges created by the Affordable Care Act (ACA).