CMS Makes Changes to the ACO REACH Model for Performance Year 2025
The United States Centers for Medicare and Medicaid Services (CMS) recently issued changes to the ACO REACH Model, including…
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HHS OIG Issues Favorable Advisory Opinion Regarding Patient Assistance…
The Department of Health and Human Services Office of Inspector General (HHS OIG) issued Advisory Opinion 24-04, regarding two…
Fifth Circuit Preserves Preventive Service Mandate in ACA
A federal appeals court recently preserved the Affordable Care Act’s popular mandate that private insurance cover preventive…
HHS Finalizes Information Blocking Rule
The Department of Health and Human Services (HHS) finalized a rule that sets penalties, including cuts to Medicare payments, for…
Protecting Patients from Deceptive Drug Ads Online Act Introduced
Senators Dick Durbin of Illinois and Mike Braun of Indiana recently introduced bipartisan legislation aimed at closing regulatory…
Guardant Health Reaches False Claims Act Settlement Over Hiring Physician’s…
Guardant Health, Inc., a precision oncology company in California, reached a settlement with the United States Department of…
DaVita Reaches $34 Million False Claims Act Settlement
DaVita has agreed to pay more than $34 million to resolve allegations that it violated the False Claims Act by paying kickbacks to…
Congress Sends Letter to FDA Regarding Clinical Trials in China
A bipartisan group of Representatives in the United States House of Representatives sent a letter to Robert Califf, MD,…
HHS OIG Issues Report on Two Midnight Rule in Medicare
CMS estimates that between 2017 and 2021, Medicare Part A improperly paid $23.9 billion for inpatient hospital stays, with $7.8…
CMS Issues 2025 OPPS and ASC Proposed Rule
The United States Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) recently…