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Rutledge vs. PCMA: SCOTUS Greenlights State Regulation of Pharmacy Benefit Manager Drug Reimbursement

USA - January 13 2021 On December 10, 2020, the Supreme Court, in a unanimous opinion, held that the Employee Retirement Income Security Act ("ERISA") does not…

Christopher M. Gillis, Harvey D. Cotton, Margaux J. Hall, Thomas N. Bulleit.

Rutledge vs. PCMA: SCOTUS Greenlights State Regulation of Pharmacy Benefit Manager Drug Reimbursement

USA - January 13 2021 On December 10, 2020, the Supreme Court, in a unanimous opinion, held that the Employee Retirement Income Security Act (“ERISA”) does not preempt an…

Christopher M. Gillis, Harvey D. Cotton, Margaux J. Hall, Thomas N. Bulleit.

CMS Proposes New Payment Models for Radiation Oncology and End Stage Renal Disease (ESRD)

USA - July 17 2019 On July 10, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would implement and test two new mandatory payment models…

Elizabeth M. Whitkin, Ivette Sanchez, Michael B. Lampert.

What to Know About the CMS Primary Cares Initiative

USA - May 7 2019 On April 22, 2019, the U.S. Department of Health and Human Services and its Centers for Medicare & Medicaid Services (CMS) announced the “CMS Primary…

Ivette Sanchez, Michael B. Lampert.

The Broad Reach Of Medicare Act’s Preemption Provision

USA - November 28 2017 Civil actions alleging state-law claims premised on violations of Medicare's rules may turn on specific procedures outlined in the Medicare Act…

Jeffrey J. Bushofsky, Jennifer S. Walker, Laura G. Hoey.