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District Court Vacates 2014 Medicare Advantage Overpayment Final Rule Citing Failure to Satisfy Actuarial Equivalence Requirement
  • Drinker Biddle & Reath LLP
  • USA
  • October 4 2018

The United States District Court for the District of Columbia issued an order vacating the Centers for Medicare and Medicaid Services’ (CMS) 2014

District Court Vacates 2014 Medicare Advantage Overpayment Rule and Curtails Potential Avenues for DOJ to Pursue False Claims Act Damages
  • Sidley Austin LLP
  • USA
  • September 7 2018

On September 7, 2018, the United States District Court for the District of Columbia vacated CMS’s 2014 Final Overpayment Rule, applicable to the

The Bubbler - April 2018
  • Mintz
  • USA
  • April 11 2018

Lots to talk about in the Labor & Employment world! The Massachusetts Pregnant Workers Fairness Act went into effect on April 1, 2018, imposing

Health care sharing ministries as an alternative to exchange coverage
  • Greensfelder, Hemker & Gale, P.C.
  • USA
  • January 26 2018

As previously noted, the individual mandate under the Patient Protection and Affordable Care Act (also known as the ACA, or more informally as

HR Tech and People Analytics: An Interview with Howard Gerver, President and Founder HR Best Practices
  • Epstein Becker Green
  • USA
  • June 19 2017

Howard Gerver is a self-proclaimed human capital data geek. His "day job" specializes in finding innovative and practical ways to save money by

Washington Healthcare Update - June 12, 2017
  • McGuireWoods LLP
  • USA
  • June 12 2017

On June 7, the House Energy and Commerce Committee reported out a bill reauthorizing FDA user fee programs for drugs and medical devices in a

Strategic Perspectives: Government Rekindles Concerns about CMS' MAO Overpayments
  • Pietragallo Gordon Alfano Bosick & Raspanti LLP
  • USA
  • May 22 2017

CMS estimated improper payments to Medicare Advantage Organizations (MAOs) to be 9.5 percent or $14.1 billion based on a national audit that reviewed

GAO Encourages More CMS Collaboration with States on Medicaid Program Integrity Efforts
  • Reed Smith LLP
  • USA
  • May 12 2017

The Government Accounting Office (GAO) has had ongoing concerns about the integrity of the Medicaid program due to its size, diversity, and recent

Washington Healthcare Update - May 8, 2017
  • McGuireWoods LLP
  • USA
  • May 8 2017

Last week, the House and Senate passed a $1 trillion omnibus spending bill that would keep the government running until September. The bill passed the

CMS now auditing Section 5503 slot awards
  • Dentons
  • USA
  • April 6 2017

Section 5503 of the Affordable Care Act (ACA) required CMS to redistribute 65 percent of each teaching hospital's unused direct graduate medical