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U.S. Agencies Issue Regulations on No Surprises Act’s Independent Dispute Resolution Process and Good Faith Estimate Requirements

USA - October 11 2021 On October 7, 2021, the U.S. Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury (collectively, the…

Jaime L.M. Jones, Joseph R. LoCascio.

CMS Proposes to Repeal Device Coverage Pathway and “Reasonable and Necessary” Regulations

USA - September 24 2021 On September 15, 2021, the Centers for Medicare & Medicaid Services (CMS) published a proposal (Proposed Rule) in the Federal Register that would…

Meenakshi Datta, Stephanie P. Hales, Elizabeth Hardcastle, Donielle McCutcheon, William A. Sarraille.

District Court Rejects Anti-Kickback Statute Claim Due to “Conclusory” Assertions of Unlawful Intent

USA - September 16 2021 A court in the District of Maryland recently dismissed a declined qui tam action in which the relator, a bariatric surgeon, alleged that two medical…

Megan Coggeshall, Jaime L.M. Jones.

HHS Releases Proposed Rule Implementing Enforcement Provisions of the No Surprises Act

USA - September 13 2021 On September 10, 2021, several departments issued a joint notice of proposed rulemaking implementing provisions of the No Surprises Act (NSA). This…

Jaime L.M. Jones.

Split Seventh Circuit Panel Spars Over Escobar Interpretation

USA - September 2 2021 The United States Court of Appeals for the Seventh Circuit recently allowed a previously dismissed qui tam case to proceed against Molina Healthcare…

Jennifer Haney, Jaime L.M. Jones.