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Healthcare Costs Healthcare

McDermott+

Inpatient Prospective Payment System (IPPS) Data Dashboard

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Updated to include Medicare claims data thru Q4 2024. What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient...more

Fennemore

California’s Bold Experiment with Whole-Person Centered Care: Has it Worked?

Fennemore on

CalAIM is an initiative of the California Department of Health Care Services (the Department) to improve the quality of life and health outcomes of Medi-Cal members by implementing delivery system, program, and payment...more

McDermott+

Inpatient Prospective Payment System (IPPS) Data Dashboard

McDermott+ on

Updated to include Medicare claims data thru Q3 2024. What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient...more

Holland & Knight LLP

Executive Order: Delivering Emergency Price Relief for American Families and Defeating the Cost-of-Living Crisis

Holland & Knight LLP on

Date Issued: Jan. 20, 2025 This executive order directs the heads of all executive departments and agencies to deliver emergency price relief to the American people by pursuing action to reduce the cost of housing,...more

Epstein Becker & Green

A Win for Out-of-Network Providers

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In a major win for healthcare providers, on September 20th a Louisiana state court jury awarded $421 million in favor of an out-of-network provider in its long dispute with Blue Cross Blue Shield of Louisiana (“BCBS of...more

Husch Blackwell LLP

California Private Equity in Healthcare Legislation

Husch Blackwell LLP on

On August 31, the last day of its 2024 Legislative Session, the California Legislature approved Assembly Bill 3129 (Wood), which provides for notification to and review by the Attorney General of health care transactions...more

Cozen O'Connor

The State AG Report – 4.25.2024

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Here are curated AG and federal regulatory news stories highlighting key areas in which state and federal regulators’ decisions are having an impact across the US: •Republican and Democratic AGs Square Up for Emissions...more

Troutman Pepper Locke

General Counsel of the CFPB Delivers Remarks Focusing on Medical Collections and Tenant Screening

Troutman Pepper Locke on

In a recent speech at the National Consumer Law Center/National Association of Consumer Advocates Spring Training, Seth Frotman, General Counsel of the Consumer Financial Protection Bureau (CFPB or Bureau), focused on medical...more

Jones Day

California Health Care Providers to Face Greater Headwinds as State Implements Health Care Cost Targets

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Pursuant to California's Health Care Quality and Affordability Act (the "HCQA"), the newly created Office of Health Care Affordability ("OHCA") recently proposed statewide health care cost targets and standards and goals for...more

Husch Blackwell LLP

California Health Care Transaction Reporting Regulations Update

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On November 28, 2023, the California Office of Health Care Affordability (“OHCA”) submitted proposed emergency regulations (the “Regulations”) on the reporting of certain transactions involving health care entities for review...more

Sheppard Mullin Richter & Hampton LLP

Enhancing Patient Care and Business Strategies: Insights from Connect Healthcare Real Estate Conference

The Healthcare Real Estate team at Sheppard Mullin had the privilege of attending the Connect Healthcare Real Estate Conference in Newport Beach, California, on September 28, 2023. This event provided an invaluable...more

Ankura

Four Lessons for Health Systems From the Private Equity Playbook

Ankura on

The value of private equity (PE) deals in the healthcare sector has grown from <$2B in 2001 to $151 billion in deals in 2021. Barring government intervention, PE in healthcare is here to stay....more

Robinson+Cole Health Law Diagnosis

Connecticut Places Checks on PBM Contracts in Support of 340B Covered Entities

On June 27, 2023, Connecticut Governor Ned Lamont signed into law Public Act 23-171“An Act Protecting Patients and Prohibiting Unnecessary Health Care Costs” (Act), which includes changes to the state’s implementation of the...more

Robinson & Cole LLP

Health Law Diagnosis - July 2023

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Connecticut Governor Signs Health Care Bill Revising Connecticut’s Facility Fee Law - On June 27, 2023, Connecticut Governor Ned Lamont signed into law Public Act 23-171 entitled “An Act Protecting Patients and Prohibiting...more

Robinson+Cole Health Law Diagnosis

Connecticut Health Care Bill Revises Provider-Payor Contracting Requirements to Address Competitive Concerns

On June 7, 2023, the Connecticut Legislature passed HB6669, “An Act Protecting Patients and Prohibiting Unnecessary Health Care Costs” (“the Act”), which includes a prohibition on certain contractual clauses in agreements...more

Polsinelli

New California Legislation and Law May Have Serious Impact on Certain Health Care Deals

Polsinelli on

A 2022 law and a bill recently introduced in the California Senate impose significant notice and review requirements for mergers and acquisitions in the California health care industry beginning in 2024. Both items endeavor...more

Bennett Jones LLP

Investing in Commercial-Stage Healthcare Companies in Canada: A Recap of BBHIC 2023

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The one-and-only Bloom Burton & Co. Healthcare Investor Conference (BBHIC) took place in Toronto last week. Investors and healthcare companies from around the world gathered to discuss the state of the market, meet one-on-one...more

Husch Blackwell LLP

A New Era in Healthcare Cost Regulation in California

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Key takeaways A newly created agency will begin collecting healthcare cost data to set statewide growth targets for healthcare costs by 2025. Healthcare transactions will be subject to new regulatory scrutiny for their...more

Mintz - Health Care Viewpoints

California Attorney General Probes Bias in Health Care Algorithms

A spurt of letters from California Attorney General Rob Bonta to leaders of hospitals and other health care facilities sent on August 31, 2022 signaled the kickoff of a government probe into bias in health care algorithms...more

Weintraub Tobin

California Healthcare Transactions to Undergo Additional Advance Regulatory Scrutiny as New Office of Health Care Affordability...

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Certain healthcare transactions closing on or after April 1, 2024 are subject to an advance notice regulatory review and analysis by a newly created Office of Health Care Affordability (“OHCA”) within the California...more

Robinson+Cole Health Law Diagnosis

Connecticut Expands OHS Authority

As we have previously written on, Connecticut Governor Ned Lamont recently signed into law the state’s budget as Public Act 22-118 (Act), which makes various changes to the Connecticut statutes. Among the changes, the Act...more

Woodruff Sawyer

Medicare Set-Asides and Workers’ Compensation Claims

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Have you ever been in a workers’ compensation (WC) claim review or discussed a settlement when the claims adjuster started talking about an MSA (Medicare Set-Aside)? You may have wondered what Medicare has to do with WC. ...more

Patrick Malone & Associates P.C. | DC Injury...

Biden extends special sign-up period for Obamacare with increased subsidies

The Biden Administration has further expanded a special sign-up season for health insurance plans offered on Obamacare exchanges, giving consumers until Aug. 15 to enroll in coverage that also may be much cheaper....more

Patrick Malone & Associates P.C. | DC Injury...

$1.9-trillion Biden law takes major steps to reshape U.S. health and health care

The Biden Administration’s $1.9 trillion coronavirus pandemic relief law, called the American Rescue Plan, tackles one of the leading concerns expressed by American voters in repeated recent political campaigns: our health...more

Wilson Sonsini Goodrich & Rosati

Forecasting Healthcare Regulatory Developments in a Biden Administration

President Joe Biden was sworn into office on January 20, 2021. As with any incoming administration, new policies will be pursued while those of the previous administration are furthered, abandoned, or undone. The federal...more

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