In this week’s episode, Mary Beth Johnston, Carolyn Merritt and Leah Richardson discuss the ways in which the Centers for Medicare and Medicaid Services’ (CMS) response to the ongoing COVID-19 outbreak is easing certain...more
4/2/2020
/ Accelerated Payments ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Coronavirus/COVID-19 ,
Financial Distress ,
Health Care Providers ,
Medicaid ,
Medicare ,
Physicians ,
Secretary of HHS ,
Self-Referral Disclosure Protocol ,
Stark Law ,
Waivers
In 2018, the False Claims Act (“FCA”) continued to be one of the federal government’s (“Government”) preferred civil fraud enforcement tools across a variety of industries. The healthcare industry, however, remained the...more
Originally published in Haig, Business and Commercial Litigation in Federal Courts, Fourth Edition §§ 87:1 et seq. © 2016 American Bar Association.
This chapter discusses federal court litigation relating to health care...more
12/30/2016
/ Administrative Law Judge (ALJ) ,
Anti-Kickback Statute ,
Breach of Duty ,
Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
Data Protection ,
Department of Health and Human Services (HHS) ,
Employee Retirement Income Security Act (ERISA) ,
EMTALA ,
False Claims Act (FCA) ,
Fiduciary Duty ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Medicaid ,
Medicare ,
OIG ,
Preemption ,
Price-Fixing ,
Recovery Audit Contractors (RACs) ,
Reimbursements ,
Stark Law
On June 25, 2015, the U.S. Supreme Court ended the latest legal challenge to the Affordable Care Act (“ACA”) with its 6–3 ruling in King v. Burwell. With Chief Justice Roberts writing for the majority, the Supreme Court held...more
9/4/2015
/ Affordable Care Act ,
Cadillac Tax ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
IRS ,
King v Burwell ,
Medicaid ,
Medical Device Tax ,
Medicare ,
Popular ,
Public Health Insurance Marketplace ,
SCOTUS ,
Tax Credits
On July 15, 2015, the Centers for Medicare and Medicaid Services (“CMS”) published proposed regulations governing policies and payments made under the Physician Fee Schedule (“PFS”) for calendar year 2016 (the “Proposed...more
7/27/2015
/ CDS ,
Centers for Medicare & Medicaid Services (CMS) ,
Healthcare ,
Medicaid ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Medicare Part B ,
Opt-Outs ,
Physician Fee Schedule ,
Physicians ,
Stark Law ,
Telemedicine