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McDermott Will & Emery | USA | 30 May 2023

CMS Releases Proposed Rule: Medicaid Program; Ensuring Access to Medicaid Services

On May 3, 2023, the Centers for Medicare & Medicaid Services (CMS) published the proposed rule Medicaid Program; Ensuring Access to Medicaid Services…
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Kramer Levin Naftalis & Frankel LLP | USA | 30 May 2023

Drafting Effective RWI Coverage Exclusions

Coverage exclusions are a key risk management tool for transactional liability insurers. But they can also be traps for the unwary. In the event of a…
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Constantine Cannon LLP | USA | 26 May 2023

Catch of the Week: Vascular Surgeon Pays Over $60 Million for Defrauding Health Care Programs

This week's Department of Justice "Catch of the Week" goes to Michigan vascular surgeon Vasso Godiali. Yesterday, DOJ announced he was sentenced to…
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Sidley Austin LLP | USA | 26 May 2023

CMS Now Needs to Approve Medicare Ads That Mention Plan Benefits

The U.S. government has expressed concern over misleading marketing by some Medicare Advantage and Part D plans. Now, a much wider range of marketing…
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Holland & Knight LLP | USA | 26 May 2023

Breaching the Federal Debt Ceiling: Healthcare Implications

As congressional Republicans and President Joe Biden continue to haggle over a budget agreement that would include an increase in the debt…
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Hogan Lovells | USA | 25 May 2023

CMS Proposes Significant Changes to Medicaid Drug Rebate Program

On May 23, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule entitled Misclassification of Drugs, Program…
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Thompson Coburn LLP | USA | 25 May 2023

New OIG toolkit: Analyzing Telehealth Claims for Program Integrity Risks

On April 20, 2023, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) published a new toolkit titled “Analyzing…
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Reed Smith LLP | USA | 24 May 2023

Federal legislation seeks to remove financial barriers to breast imaging services

Legislation introduced in the U.S. Congress, The Find it Early Act, would require all private payers - along with traditional Medicare and Medicare…
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McDermott Will & Emery | USA | 24 May 2023

HHS Releases Ownership Data of Medicare-Certified Hospices and Home Health Agencies

On April 20, 2023, the US Department of Health and Human Services (HHS) made ownership data of all Medicare-certified hospices and home health…
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Riker Danzig LLP | USA | 23 May 2023

Successful CMS Models, Physician-Owned Hospitals, and Price Caps

Centers for Medicare and Medicaid Services (“CMS”) recently announced proposed rulemaking regarding changes to the 2024 Inpatient Prospective Payment…
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