Anti Kickback Doctor and Wife Indicted for Genetic Test Kickback Scheme Thomas Sullivan Jan 17, 2024 0 Recently, a Pennsylvania doctor and his wife were indicted and pled guilty for participating in schemes to solicit and receive…
Medicare Does Practice Acquisition by Private Equity Impact MIPS Scores? Thomas Sullivan Jan 16, 2024 0 Urology Practice recently published a study that found that urologists in practices that have been acquired by private equity…
Congress Congress Investigating Prior Authorization Denials from MCOs Thomas Sullivan Jan 15, 2024 0 Recently, House Energy and Commerce Committee Ranking Member Frank Pallone and Senate Finance Committee Chair Ron Wyden sent…
HIPAA American Hospital Association Sues Over Updated HIPAA Guidance Thomas Sullivan Jan 12, 2024 0 The American Hospital Association (AHA) filed a lawsuit against the federal government, alleging that the Department of Health and…
CMS CMS Must Withdraw Copay Assistance Rule Thomas Sullivan Jan 11, 2024 0 CMS must withdraw a Trump-era rule on copay assistance programs under a federal judge’s order following claims that the policy has…
DEA DEA and HHS Extend Telehealth Flexibilities for Controlled Substances Thomas Sullivan Jan 10, 2024 0 The Drug Enforcement Administration (DEA) and the HHS announced they will extend pandemic-era telehealth prescribing flexibilities…
Healthcare Reform Biden Administration Proposes Mental Health Parity Rules Thomas Sullivan Jan 9, 2024 0 In August 2023, the Biden administration proposed new rules to strengthen enforcement of a 2008 law that requires insurers to…
HHS-OIG HHS OIG Releases Data Brief with Updated Information on the Opioid Epidemic Thomas Sullivan Jan 8, 2024 0 Recently, the United States Department of Health and Human Services Office of Inspector General (HHS OIG) released a data brief…
State Policy PBMs No Longer Able to Discriminate Against 340B Program Covered Entities… Thomas Sullivan Jan 5, 2024 0 California Governor Gavin Newsom recently signed Senate Bill 786 (SB 786) into law, which will prohibit pharmacy benefit managers…
FDA FDA Releases Final Rule for Direct-to-Consumer Prescription Drug… Thomas Sullivan Jan 4, 2024 0 Recently, the United States Food and Drug Administration (FDA) released the final rule for Direct-to-Consumer Prescription Drug…