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Health Care Reform – New Claims and Appeals Requirements (Franczek Radelet P.C.)
  • As mentioned in a previous alert, group health plans will be subject to new claims and appeals requirements under the Patient Protection and Affordable Care Act (PPACA), signed into law on March 23, 2010, as modified by the Health Care and Education Affordability Act of 2010 ("Reconciliation Bill" and combined, "Health Care Act").
  • The Patient Protection and Affordable Care Act—Improving the Health Care Workforce: (Larkin Hoffman Daly & Lindgren)
  • In addition to extending health care coverage to millions, the Patient Protection and Affordable Care Act (PPACA) is also focused on improving the national health care workforce.
  • Texas Case Raises Concerns Regarding Enforceability of Non-Compete Covenants Against Physicians (Bradley Arant Boult Cummings LLP)
  • On July 9, 2010, the Court of Appeals of Texas issued a noteworthy opinion that may jeopardize the enforceability of certain "covenants not to compete" in the State of Texas, as applied specifically to physicians.
  • Countdown to Release of the Self-Referral Disclosure Protocol (Foley & Lardner)
  • Health care providers have long struggled with the issue of how to deal with the discovery that they have been involved in violations of the Stark law.
  • Good Intentions Gone Wrong: CMS Proposes New Rule to Clarify Home Health Agency 36 Month Rule (Waller Lansden Dortch & Davis)
  • The 36 Month Rule again has taken center stage as the Centers for Medicare and Medicaid Services (CMS) recently proposed new regulations governing ownership changes in the home health industry.
  • Pharmacapsules @ Gowlings - August 26, 2010 (Gowling Lafleur Henderson LLP )
  • As of August 9, 2010, the NHPD will no longer accept a product licence application (PLA) referring to ingredients that are not listed in the Natural Health Products Ingredient Database (NHPID) or are listed but the use and/or source of the ingredient is different from that listed in the NHPI.
  • HHS Proposes New Financial Conflicts Of Interest Rules (Shook Hardy & Bacon LLP)
  • Citing the growing complexities of collaborations between investigators and the private sector, the Department of Health and Human Services (HHS) has proposed new rules for Financial Conflicts of Interest (FCOI).
  • An Unclear Future for Stem Cell Research: District Court Orders Federal Government to Halt Embryonic Stem Cell Research Funding (Foley & Lardner)
  • On August 23, 2010, Chief Judge Royce C. Lamberth of U.S. District Court for the District of Columbia granted a preliminary injunction in a lawsuit challenging the new Guidelines for Human Stem Cell Research, which provided for federal funding of human embryonic stem cell (hESC) research.
  • Centers for Medicare and Medicaid Services Issues Proposed Changes to Medicare Graduate Medical Education Payments (McDermott Will & Emery)
  • On July 2, 2010, the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) released the proposed changes to the Medicare Outpatient Hospital Prospective Payment System (OPPS) for Calendar Year (CY) 2011.
  • New Merger Guidelines Underscore Importance of Internal Planning Documents (McDermott Will & Emery)
  • New Horizontal Merger Guidelines recently released by the Federal Trade Commission and U.S. Department of Justice emphasize the competitive effects of potential alignment transactions and place a premium on internal planning materials.