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District Court Invalidates Relators’ Pre-Filing Releases on Public Policy Grounds
  • Sidley Austin LLP
  • USA
  • October 15 2018

We have previously discussed (here and here) the enforceability of a relator’s pre-filing release of FCA claimsan issue on which the FCA is silent


Reminder - Medicare Part D Notice due October 15th
  • Nelson Mullins Riley & Scarborough LLP
  • USA
  • October 5 2018

Group health plan sponsors must provide their Medicare Part D Notices by October 15th. This Notice is often handled by your third-party administrator


TCPA Healthcare Companies Seek Ruling on Joint Petition Filed in 2016
  • Klein Moynihan Turco LLP
  • USA
  • August 31 2018

Last week, a group of healthcare companies sent a letter to the Federal Communications Commission (“FCC”) seeking clarification regarding how


Nursing Home Closures: Legal and Practical Issues Under Federal and Illinois Law
  • Dykema Gossett PLLC
  • USA
  • August 27 2018

Nursing homes may close for a variety of business and legal reasons, including but not limited to: The owner decides that the real estate may have


AKS Safe Harbor Defeats FCA Claim in Eleventh Circuit
  • Sidley Austin LLP
  • USA
  • August 20 2018

In Carrel v. AIDS Healthcare Foundation, No. 17-13185 (August 7, 2018) the Eleventh Circuit affirmed summary judgment for the defendant on


Changes Coming to the Michigan Medicaid Nursing Facility Level of Care Determination Process
  • Dykema Gossett PLLC
  • USA
  • August 10 2018

The Michigan Medicaid program is proposing to modify its Nursing Facility Level of Care Determination (LOCD) effective November 1, 2018. See Proposed


CMS Releases Guidance Allowing Step Therapy for Part B Drugs
  • Cooley LLP
  • USA
  • August 7 2018

Today, the Centers for Medicare & Medicaid Services (CMS) released guidance and a Fact Sheet that will provide Medicare Advantage (MA) plans the


The Proposed Medicare OPPS Payment Rule: CMS Gets Tough on Site Neutral Payment
  • Morgan Lewis
  • USA
  • August 3 2018

Topping the list of significant policy changes are efforts by the Centers for Medicare & Medicaid Services (CMS) to expand site neutral reductions in


OIG Releases List of Provider Self-Disclosure Settlements for First Half of 2018
  • Thompson Hine LLP
  • USA
  • July 30 2018

The Department of Health and Human Services Office of Inspector General (OIG) recently published a list of provider self-disclosure settlements under


340B Update: CMS Proposes Changes to OPPS Reimbursement for Nonexcepted PBDs
  • K&L Gates
  • USA
  • July 30 2018

As part of the Calendar Year (“CY”) 2019 Medicare Outpatient Prospective Payment System (“OPPS”) Proposed Rule, the Centers for Medicare and Medicaid