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CMS Proposes Key Changes to the Medicare Advantage Program

USA - November 27 2017 On November 16, 2017, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would revise regulations and clarify...

Melissa K. Bianchi, Ken Choe, Margaux J. Hall, Jessica Robinson Hanna, Laura McDonald, Shereen R. Kanner, Helen R. Trilling.

Republicans release much anticipated ACA "repeal and replace" bill, but will it fly under the Byrd rule?

USA - March 7 2017 On 6 March 2017, House Republicans in the Committee on Ways and Means and the Committee on Energy and Commerce introduced the American Health Care...

Aaron S. Cutler, Melissa K. Bianchi, Ken Choe, Therese Goldsmith, Sheree R. Kanner, Jessica Robinson Hanna, Beth L. Roberts, Andrew S. Furlow, Elizabeth (Beth) Halpern, James Huang.

Secretary of Health and Human Services Ordered to Eliminate Medicare Appeals Backlog by December 31, 2020

USA - December 12 2016 On December 5, 2016, the United States District Court for the District of Columbia ordered the Secretary of Health and Human Services (HHS) to...

Shereen R. Kanner, Brooke Bumpers, James Huang.

HHS-OIG Finalizes Wide-Ranging Amendments to Civil Monetary Penalties Regulations and AntiKickback Statute Safe Harbors

USA - December 9 2016 The HHS-Office of Inspector General (OIG) released two long-awaited final rules on December 7, 2016,1 relating to its enforcement of the Anti-Kickback...

David E. Thiess, Sheree R. Kanner, Ronald L. Wisor, JR., Jonathan Diesenhaus, Andrew S. Furlow, Eliza L. Andonova, Helen R. Trilling, Thomas Kendra.

Implied Certification under the FCA: Unanimous Supreme Court Raises the Bar

USA - June 17 2016 In the most closely watched False Claims Act case in recent memory, the Supreme Court issued a unanimous opinion yesterday upholding the concept of...

Therese Goldsmith, Thomas Beimers, Jonathan Diesenhaus, Jessica L. Ellsworth, Shereen R. Kanner.