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HTMLWith SGR Repealed, Replacement Policy Creates New Priorities
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 20, 2015
On April 16, 2015, President Obama signed into law, the “Medicare Access and CHIP Reauthorization Act of 2015” (MACRA), ending annual temporary patches and massive lobbying efforts since the late 1990s to prevent significant reimbursement cuts for physicians serving Medicare...

 

HTMLGAO Report Highlights Improper Medicare/Medicaid Payments
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on March 11, 2015
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...

 

HTMLAMA Ethical Guidelines on Telemedicine Tabled for Further Review
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on June 10, 2015
On Monday, during the annual meeting of the American Medical Association (AMA) House of Delegates, the delegates voted to table a proposed measure to adopt ethical guidelines for physicians who provide telemedicine services. The proposed guidelines, which were based on recommendations by the...

 

HTMLNew York's Surprise Medical Bill Law Goes into Effect
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 2, 2015
New York’s Emergency Medical Services and Surprise Bills law went into effect yesterday, which means consumers who receive out of network (OON) emergency services will no longer have to pay more than their usual in-network obligations, regardless of the network status of the treating...

 

HTMLCMS Takes Initial Steps to Address Medicare & Medicaid Coverage for Biosimilars
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 9, 2015
On March 30, 2015, CMS released guidance addressing Medicare and Medicaid coverage for biosimilar drug products. The Medicare/Medicaid coverage guidance comes on the heels of the FDA’s landmark approval of a biosimilar version of the reference cancer drug Neupogen. Our colleague Tom Wintner...

 

HTMLBritish Patients Also Suffering From Dangerous Metal Hip Device
Waters Kraus LLP;
Legal Alert/Article
June 18, 2015, previously published on April 17, 2015
Patients in the United Kingdom are experiencing the same problems with metal-on-metal hip replacements that those here in the United States are suffering. The manufacturers of one defective metal hip device called the ‘Birmingham Hip Modular Head total hip replacement’ (BHMH) have...

 

HTMLSupreme Court Decides Qui Tam First-to-File Issues
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on June 3, 2015
Whether you are on the defense side or the relator side of the qui tam world, you can count the Supreme Court’s opinion in Kellogg, Brown & Root Services, Inc. v. United States ex. Rel. Carter as a win and a loss. Since January’s oral arguments, the False Claims Act bar has eagerly...

 

HTMLDOJ and HHS Annual Report Highlights $3.3 Billion in Settlements and Judgments in FY 2014
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 6, 2015
On March 19, 2015, the Department of Justice (DOJ) and Department of Health and Human Services (HHS) issued their annual Health Care Fraud and Abuse Control (HCFAC) Program report highlighting that the HCFAC Program obtained $3.3 billion in health care fraud judgments and settlements in FY 2014. Of...

 

HTMLCMS Issues Proposed Rule on Stage 3 of Meaningful Use
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 3, 2015
On March 20, 2015, the Center for Medicare and Medicaid Services (“CMS“) and the Office of the National Coordinator for Health Information Technology (“ONC“) each released their much-anticipated proposed rules for Stage 3 of the Meaningful Use program and the 2015...

 

HTMLDivided Supreme Court Restricts Provider Challenges to State Medicaid Rates
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
June 18, 2015, previously published on April 2, 2015
A divided Supreme Court ruled by a 5-4 margin on March 31st that providers may not sue in federal court over the adequacy of state Medicaid rates. The decision in Armstrong v. Exceptional Child Ctr., Inc. has important implications well beyond the narrow group of providers of...

 


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