Searching Content indexed under Food, Drugs, Healthcare, Life Sciences by Rachel Landauer ordered by Published Date Descending.
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In A Unanimous Vote, The Opioid Crisis Response Act Of 2018 Makes It Onto The Legislative Calendar
Providing support to particularly vulnerable populations, such as infants and youth, while also aiding families of those impacted by the opioid crisis.
United States
7 Jun 2018
Lifting The Limits On Physician-Owned Hospitals: Can Regulators Prevail Where Legislators Have Stalled?
We reported, in early 2017, on what was then the latest legislative effort to repeal the Affordable Care Act's amendment to the Stark Law's whole hospital exception...
United States
6 Mar 2018
Temporal Proximity Is Not Enough: Third Circuit Nixes FCA/Anti-Kickback Suit For Failure To Link Alleged Scheme To Claims
On January 19, 2018, the United States Court of Appeals for the Third Circuit affirmed a district court's ruling granting summary judgment to a specialty pharmacy that was accused of violating the Anti-Kickback Statute and the federal False Claims Act (United States ex rel. Greenfield v. Medco Health Solutions, Inc. et al., No. 17-1152.).
United States
12 Feb 2018
‘Twas The Season To Contract? A Year-End Review Of Network Negotiations And Billing Disputes
As 2017 drew to a close, some health plans and healthcare providers across the country were still busy trying to finalize contracts for in-network services for 2018 and beyond.
United States
9 Jan 2018
Finding Common Ground In The Healthcare Debate: Federal, State, And Local Governments Respond To The Opioid Epidemic
As stories and statistics of the opioid crisis become increasingly prevalent in our national discourse, we are seeing a stronger...
United States
6 Oct 2017
The Opportunities And Challenges Of Freestanding Emergency Departments
Following our blog post regarding the retail clinic movement, "Patient Check-Ups Before Checking Out: Partnering to Bring Health Care into the 'One-Stop Shopping' Sector" (April 19, 2017)...
United States
1 Jun 2017
Patient Check-Ups Before Checking Out: Partnering To Bring Health Care Into The "One-Stop Shopping" Sector
Retail clinics—the popular term for walk-in clinics located in pharmacies, supermarkets, and "big-box" stores—are playing an expanding role in the health care market.
United States
3 May 2017
California HMO Timely Access Report Available
California became the first state to set limits on how long HMO patients must wait to see a physician when the California DMHC adopted certain "timely access" regulations in 2010, based upon a 2002 law.
United States
31 Mar 2017
Physician-Owned Hospitals: Back In The Legislative Saddle Again Or "I'm Just A Bill, I Am Only A Bill."
On February 16, 2017, Representative Sam Johnson (R-Texas) introduced a bill to the House of Representatives that brings to the forefront an ongoing and contentious debate regarding the propriety of physician-owned hospitals.
United States
10 Mar 2017
Medicaid Demonstration Waivers: A Shorter Path To Increasing State Control Over Healthcare Policy?
Seema Verma's nomination to head the Centers for Medicare and Medicaid Services (CMS) places Section 1115 Medicaid demonstration waivers into increasing spotlight.
United States
9 Jan 2017
A Stick To Balance The Carrot: ONC Finalizes A New Framework To Address Non-Conformities In Certified Health Information Technology
The Office of the National Coordinator for Health Information Technology (ONC) has released a final rule (Final Rule) introducing a new regulatory framework for certified health information technology (Health IT).
United States
15 Nov 2016
Federal Spotlight Continues To Shine On Physician-Owned Distributorships
A recent Senate Finance Committee hearing investigated the effects of physician-owned distributorships ("PODs") on costs of care and patient safety...
United States
7 Jan 2016
States Take Aim At Health Insurance Providers Fee In New Litigation
Three states—Kansas, Louisiana and Texas—filed a complaint in federal court on October 22, 2015 challenging the constitutionality and legality of the Affordable Care Act's health insurance providers fee.
United States
9 Nov 2015
The Next Rx: New Medicare Part D Initiative Advances Role Of Medication Management In Reform
Medicare Part D's Medication Therapy Management (MTM) program intends to optimize clinical benefits and avoid drug-related problems among eligible beneficiaries.
United States
19 Oct 2015
CMS Proposes To Modify—But Continues To Stand Behind—Its "Two-Midnight" Rule
Last week CMS responded via a proposed rule that seeks to improve the applicability of the policy and simultaneously demonstrates that the agency continues to stand behind it.
United States
16 Jul 2015
The Supreme Court Upholds The Availability Of Subsidies On The Federal Exchange—Where Do We Go From Here?
One of the most highly anticipated decisions of the term—at least among the Sheppard Mullin Healthcare team—was issued today by the Supreme Court: King v. Burwell.
United States
1 Jul 2015
HHS Launches New Payment And Delivery Model To Improve Oncology Care
Cancer care is notoriously complex, intensive and costly. With more than 1.6 million people diagnosed with cancer each year, there is a strong impetus towards reforming service delivery.
United States
3 Mar 2015
New Venture Seeks To Support Independent Physicians In Texas
The Texas Medical Association and Blue Cross Blue Shield of Texas are launching a new services company to facilitate bringing the benefits of value-based reimbursements to the state’s independent physicians.
United States
16 Feb 2015
Effects Of The New Federal Spending Package On The Health Sector
In mid-December, President Obama signed into law a $1.1 trillion spending bill known as the "Consolidated and Further Continuing Appropriations Act, 2015" or "Cromnibus."
United States
12 Jan 2015
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