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HTMLA (Second) Lawsuit Seeks to Compel Statutory Timeframe for Administrative Law Judge Review of Medicare Claims Appeals
Lynsey Mitchel; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 17, 2014, previously published on September 11, 2014
On August 26th, the Center for Medicare Advocacy filed a nationwide class action lawsuit against the Secretary of Health and Human Services. The complaint alleges that, as implemented, the Medicare administrative review process is in violation of Medicare statutory obligations and the Fifth...

 

HTMLFinal Meaningful Use Rule: CMS Loosens its Grip
Vinay Bhupathy, Aytan Dahukey; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 17, 2014, previously published on September 15, 2014
The Centers for Medicare & Medicaid Services (“CMS”) finalized a rule on August 29th which should give providers some breathing room in complying with meaningful use requirements for the Electronic Health Record (“EHR”) Incentive Program (the “Final Rule”)....

 

HTMLIs Apple Leading a Health Management Revolution?
Eric L. Altman, Vinay Bhupathy; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 17, 2014, previously published on September 10, 2014
Yesterday was a significant day for Apple and its legions of loyal fans, but was it also the “beginning of a health revolution” as Apple alludes to? On September 9th, Apple announced its new iteration of the iPhone, the iPhone 6 running a new iOS 8 operating system, and also debuted its...

 

HTMLPennsylvania Gets a Green Light to Pursue Medicaid Expansion under an Alternative Model
Eric A. Klein, Rachel Landauer; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 5, 2014
The Centers for Medicare and Medicaid Services (CMS) has approved Pennsylvania’s demonstration proposal to expand Medicaid to adults with incomes through 133 percent of the federal poverty line. The state is the 28th (including D.C.) to pursue Medicaid expansion, and one of a growing number...

 

HTMLNonprofit Hospital Revenue Growth Slows
Eric A. Klein; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 3, 2014
For the second straight year in a row, nonprofit hospital expenses have increased more than revenue, according to a study of 383 hospital systems by Moody’s Investors Service released on August 27, 2014. In an article published the same day by the New York Times, nonprofit hospital financial...

 

HTMLFiduciary Duties in the Context of Dent v. Ramtron Int’l Corp.
Amanda S. Ackerman, Ariel Yehezkel; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 2, 2014
The Delaware Court of Chancery recently addressed a number of claims commonly made in the “ubiquitous” stockholder litigation that follows announcement of a public merger or acquisition transaction. In Dent v. Ramtron Int’l Corp., C.A. No. 7950-VCP (Del. Ch. June 30, 2014), a...

 

HTML$95 Billion Savings for Medicare - A New Forecast?
Eric A. Klein; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 9, 2014
The New York Times in an August 27, 2014 article noted big changes to estimated Medicare spending in the latest Congressional Budget Office (CBO) report published last week. The estimated Medicare budget for 2019 in this year’s report has declined by approximately $95 billion from the 2019...

 

HTMLAnother Pioneer Leaves The West
Eric A. Klein; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 2, 2014
Another withdrawal from the Medicare Pioneer Accountable Care Organization (ACO) program has occurred. Sharp Healthcare ACO, an affiliate of the Sharp integrated delivery system in San Diego, California, notified the Center for Medicare & Medicaid Innovation (CMMI) at the Centers for Medicare...

 

HTMLThe True Meaning of “Save Money. Live Better” - Walmart Enters the Primary Care Market
Eric A. Klein; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 8, 2014
As reported in the New York Times, Walmart has taken the plunge into the retail primary care healthcare delivery market. Walmart has opened six primary care locations in South Carolina and Texas and plans to open another six by year end. These primary care clinics are intended to offer a broader...

 

HTMLSecond Circuit Defines “Customer” for Mandatory FINRA Arbitration
Manuel F. Gomez, Jeff Kern; Sheppard, Mullin, Richter & Hampton LLP;
Legal Alert/Article
September 10, 2014, previously published on September 4, 2014
In a case of first impression, the United States Court of Appeals for the Second Circuit in Citigroup Global Markets, Inc. v. Abbar, No. 13-2172, 2014 WL 3765867 (2d Cir. Aug. 1, 2014), established a bright-line definition of “customer” under FINRA’s mandatory arbitration...

 


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