Lex Machina Releases 2021 False Claims Litigation Report
Yesterday, Lex Machina released its 2021 False Claims Act Litigation Report. The report outlines false claims act litigation…
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October 2021
FDA Updates Final Guidance on Biosimilar Development
Recently, the United States Food and Drug Administration (FDA) finalized additional questions and answers related to biosimilar…
CMS Proposes to Extend Telehealth Flexibilities Through 2023
The Centers for Medicare & Medicaid Services (CMS) proposed in the 2022 Physician Fee Schedule to extend telehealth…
Biden Administration Rescinds Trump Administration Insulin Pricing Rule
One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December…
Senate Introduces Bipartisan Prior Authorization Legislation: Timely Access…
On October 20, 2021, a group of bipartisan United States Senators (Roger Marshall, MD (R-KS); Krysten Sinema (D-AZ); and John…
Higher MIPS Quality Scores Rarely Associated with Lower Complication Rates
Better Merit-based Incentive Payment System (MIPS) quality scores were rarely associated with lower rates of hospital…
CMS Wants to Repeal MCIT Final Rule
In September 2021, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would withdraw a Trump-era…
Centene to Pay $72 Million to Resolve Allegations by Illinois and Arkansas
Recently, Centene Corporation reached multimillion dollar settlements with the states of Illinois and Arkansas for allegedly…
CMS Releases Second Interim Final Rule on Surprise Billing
On September 30, 2021, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule (IFR) to address large…
Sutter Health Reaches Largest FCA Settlement Against Hospital System for…
Major California hospital system Sutter Health is settling whistleblower allegations of risk adjustment fraud for $90 million, the…