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Article

Epstein Becker Green | USA | 17 Mar 2017

States May See Earliest Opportunities to Alter Health Care Landscape

While the titans on Capitol Hill clash over the best answer to the Affordable Care Act (ACA), the Trump administration is promoting action at the

Article

Epstein Becker Green | USA | 9 Dec 2016

What Does It Mean to Be a Recipient of Federal Financial Assistance for Purposes of Section 1557 Compliance?

In May 2016, the U.S. Department of Health and Human Services (“HHS”) published a final rule implementing Section 1557 of the ACA. Section 1557

Article

Epstein Becker Green | USA | 25 Apr 2011

CMS announces state demonstration project initiative for dual eligibles: is your state on the list?

On April 14, 2011, the U.S. Department of Health and Human Services ("HHS") announced several initiatives that will offer states more flexibility to adopt innovative new practices in order to provide better and more coordinated care for Medicare and Medicaid enrollees who are dually eligible under both of these programs.

Article

Epstein Becker Green | USA | 16 Nov 2009

Sweeping changes proposed through the Health Care Fraud Enforcement Act of 2009

Following an October 28, 2009, Senate Judiciary Committee hearing on "Effective Strategies for Preventing Health Care Fraud," Senator Ted Kaufman (D-DE) introduced Senate Bill 1959, "The Health Care Fraud Enforcement Act of 2009" ("S. 1959" or "Act"), aimed at assuring that those who "steal" from the federal government's investment in health care face swift prosecution and substantial punishment.

Article

Epstein Becker Green | USA | 24 Aug 2009

Second Circuit decides in Woods v. Empire Health Choice, Inc. that Medicare Secondary Payer Act is not a qui tam statute plaintiff must show individual injury

The United States Court of Appeals for the Second Circuit recently held that the Medicare Secondary Payer ("MSP") statute, which requires that payment for medical services for Medicare-eligible individuals must first be made from any available health insurance to the full extent of the coverage provided before Medicare funds are used, is not a qui tam statute.

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