HHS Physicians Petition HHS to Reduce Step Therapy Requirements Thomas Sullivan Nov 2, 2021 0 Earlier this year, physician groups petitioned the Department of Health and Human Services to reduce requirements that patients go…
Anti Kickback Former CEO of Medical Testing Lab Settles False Claims Act Civil Case Thomas Sullivan Nov 1, 2021 0 On October 18, 2021, the Department of Justice announced a settlement with Jae Lee, former Chief Executive Officer of Northwest…
False Claims Act Lex Machina Releases 2021 False Claims Litigation Report Thomas Sullivan Oct 29, 2021 0 Yesterday, Lex Machina released its 2021 False Claims Act Litigation Report. The report outlines false claims act litigation…
BioSimilar FDA Updates Final Guidance on Biosimilar Development Thomas Sullivan Oct 28, 2021 0 Recently, the United States Food and Drug Administration (FDA) finalized additional questions and answers related to biosimilar…
CMS CMS Proposes to Extend Telehealth Flexibilities Through 2023 Thomas Sullivan Oct 27, 2021 0 The Centers for Medicare & Medicaid Services (CMS) proposed in the 2022 Physician Fee Schedule to extend telehealth…
Drug Prices Biden Administration Rescinds Trump Administration Insulin Pricing Rule Thomas Sullivan Oct 26, 2021 1 One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December…
Congress Senate Introduces Bipartisan Prior Authorization Legislation: Timely Access… Thomas Sullivan Oct 25, 2021 0 On October 20, 2021, a group of bipartisan United States Senators (Roger Marshall, MD (R-KS); Krysten Sinema (D-AZ); and John…
Medicare Higher MIPS Quality Scores Rarely Associated with Lower Complication Rates Thomas Sullivan Oct 22, 2021 0 Better Merit-based Incentive Payment System (MIPS) quality scores were rarely associated with lower rates of hospital…
CMS CMS Wants to Repeal MCIT Final Rule Thomas Sullivan Oct 21, 2021 0 In September 2021, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would withdraw a Trump-era…
False Claims Act Centene to Pay $72 Million to Resolve Allegations by Illinois and Arkansas Thomas Sullivan Oct 20, 2021 0 Recently, Centene Corporation reached multimillion dollar settlements with the states of Illinois and Arkansas for allegedly…