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HTMLNew York DOH Proposes Updated Provider Contract Guidelines
Bethany Hills; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
July 20, 2016, previously published on June 17, 2016
The NYS Department of Health (DOH) has proposed new guidelines for the provider contract submission and review process to reflect Value Based Payment arrangements pursuant to the New York State Value Based Payment (VBP) Roadmap (Roadmap) and the Regulatory Impact Subcommittee.

 

HTMLIntroduction to Ontario’s Community Hubs Strategic Framework and Action Plan
Brennan M. Carroll, Webnesh Haile, Nick G. Pasquino; Borden Ladner Gervais LLP;
Legal Alert/Article
May 26, 2016, previously published on April 22, 2016
The concept of multiple organizations sharing space and resources is not a new one. Since 2015, however, the Ontario government has expressed a new dedication to fostering these collaborations as a key element of the cost-efficient and effective delivery of services to Ontario's diverse...

 

HTMLSenate HELP Committee Convenes Third and Final Cures Markup
Eli Greenspan; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
April 27, 2016, previously published on April 6, 2016
This morning the Senate Committee on Health, Education, Labor, and Pensions (HELP) will hold its third and final markup for its biomedical innovations package. This package is a compliment to the House-passed 21st Century Cures Act, which the House passed in July of 2015. The previous two hearings...

 

HTMLDOJ Recovers $3.5 Billion in False Claims Act Cases in FY2015 and Pays Record Amount to Qui Tam Relators
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
December 29, 2015, previously published on December 8, 2015
Late last week, the Department of Justice (DOJ) announced that in FY2015 it obtained more than $3.5 billion in settlements and judgments from civil cases involving allegations of false claims against the government. Once again, health care fraud recoveries led the pack, driven by qui tam...

 

HTMLThe End of the Implied Certification Theory?: The U.S. Supreme Court Grants Certiorari in Case That Could Substantially Limit the False Claims Act
Jonathan Bailyn, Keith M. Gerver, Adam S. Lurie, Brian T. McGovern, Anne M. Tompkins; Cadwalader, Wickersham & Taft LLP;
Legal Alert/Article
December 28, 2015, previously published on December 11, 2015
On December 4, 2015, the United States Supreme Court granted certiorari in Universal Health Services, Inc. v. United States ex rel. Escobar. In Universal Health Services, Inc., the Supreme Court will decide the legal validity of the “implied certification” theory of False Claims Act...

 

HTMLNicholas Nanovic Program Expert at Wills for Heroes
Harold N. Iselin, Joshua L. Oppenheimer, Francis J. Serbaroli; Greenberg Traurig, LLP;
Legal Alert/Article
December 16, 2015, previously published on December 1, 2015
On Nov. 13, 2015, the Albany County Supreme Court upheld New York Governor Cuomo’s Executive Order regarding executive compensation and administrative expenses of certain service providers (EO 38), as well as several aspects of the EO 38 regulations promulgated by the New York State...

 

HTMLAmarin and Off-Label Drug Use: What it Means for the Pharmaceutical Industry
Stephen G. (Steve) Sozio; Jones Day;
Legal Alert/Article
September 14, 2015, previously published on September 2015
The U.S. District Court for the Southern District of New York recently issued a significant decision in Amarin Pharma, Inc. et al v. United States Food & Drug Administration. Amarin sought and won a preliminary injunction against the FDA to stop it from pursuing a misbranding case against the...

 

HTMLCON Laws, COPAs and the FTC: 7 Antitrust Points for the Healthcare Sector
Steven Levitsky, Lesli C. sposito; DLA Piper (Canada) LLP;
Legal Alert/Article
September 10, 2015, previously published on August 6, 2015
The Federal Trade Commission is on a roll in its attack on what it considers anti-competitive effects in the healthcare industry. And that roll has consistently involved challenging activity that once appeared to be protected by state laws.

 

HTMLU.S. District Court Issues Ruling on Preliminary Motion to Dismiss Interpreting 60-Day Overpayment Rule: Holds Identification Occurs when Providers Are "Put on Notice" of Potential Overpayment
Lindsey Lonergan, Rebekah N. Plowman; Jones Day;
Legal Alert/Article
September 10, 2015, previously published on September 2015
Compliance with the labyrinth of health care rules and regulations has always been a burdensome challenge for health care providers, and particularly for compliance officers who are frequently presented with potential overpayments that after months of investigation fail to reveal an actual...

 

HTMLHouse Conservatives Eye Medicare Reform
McDonald Hopkins LLC;
Legal Alert/Article
August 14, 2015, previously published on August 14, 2015
Republicans have long dreamed of reforming Medicare in a way that relies more on the private sector and less on the federal government. While the theory is popular among conservatives - particularly in think tank land - the dream has always been that - just a dream - as the political realities of a...

 


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