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Article

Dentons | USA | 20 Dec 2016

HHS-OIG reports on impact and vulnerabilities of Medicare's Two-Midnight Rule

On December 19, 2016, the US Department of Health and Human Services, Office of Inspector General (HHS-OIG) issued a report, "Vulnerabilities Remain

Article

Dentons | USA | 7 Dec 2016

HHS-OIG increases beneficiary inducement CMP nominal gift amounts from $10 to $15 per gift and $50 to $75 per year

The beneficiary inducement civil monetary penalty law generally prohibits health care providers from providing gifts to a Medicare or Medicaid

Article

Dentons | USA | 6 Dec 2016

HHS-OIG issues final rules on anti-kickback and civil monetary penalty statutes

Earlier today, the US Department of Health & Human Services, Office of Inspector General (HHS-OIG) issued two final rules. The first final rule

Article

Dentons | USA | 14 Jul 2016

DC Circuit strikes down HHS regulation regarding fixed indemnity plans

On July 1, 2016, in the case of Central United Life Insurance Company v. Burwell (No. 15-5310), the US Court of Appeals for the District of Columbia

Article

Dentons | USA | 11 Jul 2016

New evaluation of Medicaid incentive programs shows need for improvement

Policymakers at both the federal and state levels have, in recent years, supported incentive programs designed to influence Medicaid beneficiary

Article

Dentons | USA | 28 Jun 2016

Once again, retained rights in federally funded, patented drugs will not be asserted to control price

In a previous alert, "What you need to know about retained rights in federally funded patented drugs" (March 24, 2016), we provided background on the

Article

Dentons | USA | 20 May 2016

Judge rules HHS can't pay cost-sharing subsidies to QHPs, but allows funding to continue

More than six years after the Affordable Care Act (ACA) was enacted, legal challenges continue to thread their way through the judicial system. In a

Article

Dentons | USA | 12 May 2016

IREG Update - Key changes for ACA CO-OP boards: a look at new regulations taking effect this week

On May 6, 2016, the US Department of Health and Human Services (HHS) released an interim final rule with comment (IFC) to bolster the viability of

Article

Dentons | USA | 1 Apr 2016

Department of Health and Human Services and the Centers for Medicare and Medicaid Services take action to change the risk adjustment methodology

In February, we wrote about the controversial effect of the federal risk adjustment factor on carriers, particularly in light of the recent failures

Article

Dentons | USA | 24 Mar 2016

What you need to know about retained rights in federally funded patented drugs

More than 50 members of Congress, led by Rep. Lloyd Doggett (D-TX), sent a letter to Secretary of Health and Human Services Sylvia Matthews Burwell

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