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Riker Danzig Scherer Hyland & Perretti LLP | USA | 13 May 2022

Federal Regulatory Update

Centers for Medicare and Medicaid Services ("CMS") issued a proposed rule, 87 FR 19442, to…
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Barnes & Thornburg LLP | USA | 13 May 2022

SCOTUS Cert Recap: Spending Clause Statute Enforcement, Overtime Pay Exemptions, and the Bankruptcy Fraud Exception

On May 2, the U.S. Supreme Court added three more cases to its docket for next term. The first raises the question whether Spending Clause…
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Buchalter | USA | 12 May 2022

Non-contracted Providers Must Exhaust Administrative Remedies for Medicare Advantage Claims

Health plans routinely assert that contracted providers must appeal underpayments or claim denials according to the health plans' internal dispute…
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McDermott Will & Emery | USA | 12 May 2022

“No Poach” Agreement, No Crime: DaVita and Former CEO Win at Jury Trial in Seminal Sherman Act Decision

More than a century after the US Congress first passed the Sherman Antitrust Act, the Antitrust Division of the Department of Justice (DOJ) announced…
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Reed Smith LLP | USA | 11 May 2022

CMS takes additional steps to boost lung cancer screenings using low dose CT studies

In February 2022, the Centers for Medicare and Medicaid Services (CMS) finalized significant modifications to its National Coverage Determination…
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Mintz | USA | 10 May 2022

CMS Moves Forward with its D-SNP Proposals in its CY 2023 Medicare Advantage and Part D Final Rule

Continuing our series discussing the CY 2023 Medicare Advantage and Part D Final Rule (Final Rule), this post focuses on the D-SNP related provisions…
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Hogan Lovells | USA | 10 May 2022

Demy-Colton panel explains importance of U.S. market access planning ahead of Phase III trials

Hogan Lovells has teamed up with Demy-Colton to host a special three-part webinar series focused on U.S. market access for life sciences firms…
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Ropes & Gray LLP | USA | 10 May 2022

CMS Issues Final Rule Redefining Medicare Part D “Negotiated Price” As Pharmacy’s Lowest Possible Reimbursement

On April 29, 2022, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule revising the way Medicare determines the “negotiated…
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Chip Law Group | USA | 10 May 2022

Does America’s Patent System Need to Be Saved?

The New York Times recently ran an editorial with the headline “Save America’s Patent System.” But why does the Times think that the patent system…
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Crowell & Moring LLP | USA | 10 May 2022

Changing hands, not washing them: CMS’ first report on Nursing home M&A data

Last week, the Centers for Medicare & Medicaid Services (CMS) released data—for the first time—reporting on mergers, acquisitions, consolidations…
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