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Regulatory Oversight › Prior Authorization

Katten Muchin Rosenman LLP

CMS Unveils New Prior Authorization “WISeR Model” for Electrical Nerve Stimulators, Skin and Tissue Substitutes and Knee...

Katten Muchin Rosenman LLP on

CMS recently announced a new model it will be using to pilot the use of artificial intelligence and machine learning in reviewing prior authorizations submitted for certain services CMS has identified as being at greater risk...more

DLA Piper

GAO Report Gives MA Organizations and Behavioral Health Providers Food for Thought on Prior Authorization

DLA Piper on

The US Government Accountability Office (GAO) recently released a report on the Centers for Medicare and Medicaid Services (CMS)’s oversight of prior authorization criteria for behavioral health services (BHS) by Medicare...more

King & Spalding

GAO Publishes Findings Regarding Prior Authorization of Behavioral Health Services

King & Spalding on

Last week, the Government Accountability Office (GAO) published a report determining that there is a nontrivial risk that prior authorization requirements, together with internal coverage criteria, may undermine the Medicare...more

Holland & Knight LLP

Regulation of AI in Healthcare Utilization Management and Prior Authorization Increases

Holland & Knight LLP on

Over the past two years, federal and state government agencies have moved to regulate the deployment of artificial intelligence (AI) in the healthcare setting, including in the utilization management (UM) and prior...more

Stinson - Government Contracting Matters

New Changes to the ITAR Focus on Unclassified Technical Data And the release of “Access Information”

Stinson - Government Contracting Matters on

As part of its years-long project to update and revise the International Traffic in Arms Regulations (ITAR) and better align them with the Export Control Regulations, the Department of State (DoS) recently amended the ITAR...more

Robinson+Cole Data Privacy + Security Insider

FAA’s LAANC Expands to Western North United States

Robinson+Cole Data Privacy + Security Insider on

As planned, the Federal Aviation Administration (FAA) has launched its next wave of its beta Low Altitude Authorization and Notification Capability (LAANC) system, in the western north region of the United States. LAANC helps...more

Hogan Lovells

ED proposes two-year delay of state authorization rule

Hogan Lovells on

The U.S. Department of Education (ED) now has published its proposed rule to delay by two years the state authorization final regulations that were set to become effective July 1, 2018.? In this alert, we summarize what this...more

Hogan Lovells

Foreign location authorization rule appears on schedule for July 1 effective date

Hogan Lovells on

In the waning days of the Obama Administration, the U.S. Department of Education (ED) released final regulations regarding state authorization for distance education and foreign country authorization for certain locations...more

Hogan Lovells

Draft EU List of Authorised Novel Foods Published

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The European Commission has published a draft implementing Regulation setting out the proposed official EU list of authorised novel foods. A ‘novel food’ is a food or ingredient that has not been consumed to a significant...more

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