Health Care / Medicine
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Health Care / Medicine
Oak Street Health Stock Drops On DOJ Investigation
In its earnings statement, the company disclosed that it received a civil investigative demand from the Department of Justice. Specifically, the agency was looking for information on Oak Street’s relationships with third-party marketing agents and transportation services. -
Health Care / Medicine
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Is The Future Of Law Distributed? Lessons From The Tech Adoption Curve
The rise of remote work has dramatically reshaped the relationship between Lawyers and Law Firms, see how Scale LLP has taken the steps to get… -
Health Care / Medicine
Legislative Victories Fuel Advocates For Coverage Of Biomarker Testing
Lawmakers have acted to strengthen insurance reimbursement for biomarker testing in California, Illinois, and Louisiana. Patient advocates and testing companies hope more will act in the coming year.
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Health Care / Medicine
Vaccine Requirements Incoming For Healthcare Facilities, Big Businesses
CMS set a deadline for staff at Medicare- or Medicaid-certified facilities to be fully vaccinated against COVID-19 by Jan. 4. Similarly, OSHA is also requiring large companies to vaccinate their workers by that date. -
Health Care / Medicine
UnitedHealth, Change Meet Requirements For DOJ Investigation, Agree Not To Merge Before February
The companies have certified substantial compliance with a request for additional information from the Department of Justice, which opened an investigation of the merger in March. They struck an agreement with the agency not to merge until February of 2022, unless it drops its investigation before then. -
Health Care / Medicine
A New California Law Aims To Strengthen Access To Mental Health Services
A California law signed Oct. 8 by Gov. Gavin Newsom requires that mental health and substance abuse patients be offered return appointments no more than 10 days after a previous session, unless their provider OKs less frequent visits. -
Health Care / Medicine
Clinical Decision Support Guidance Tops FDA’s Agenda For 2022
'The FDA came up with a new draft guidance in September of 2019. We’ve been waiting since then for them to do something,' said Bradley Merrill Thompson, a partner at Epstein Becker & Green. -
Health Care / Medicine
DOJ Accuses Kaiser Permanente Of Medicare Advantage Fraud In New Complaint
The California-based health system and insurer has bilked CMS out of 'hundreds of millions of dollars' by submitting claims that were altered to make patients appear sicker than they were, a new complaint filed by the DOJ alleges. Kaiser denied these allegations saying it is confident in its compliance with Medicare Advantage program requirements. - Sponsored
Navigating Financial Success by Avoiding Common Pitfalls and Maximizing Firm Performance
In this CLE-eligible webinar, we’ll explore the most common accounting pitfalls and how to avoid them for your firm. -
Health Care / Medicine
CMS Chief At HLTH: We Need To Stop Taking It For Granted That People Know They Are Eligible For Coverage
There are about 17 million people eligible for coverage through Medicaid or the Affordable Care Act marketplaces, and one of CMS' priorities is to make them aware of their insurance options, Administrator Chiquita Brooks-LaSure said at this year's HLTH conference. -
Health Care / Medicine
FDA Approves Humira Biosimilar As First-Ever Interchangeable Monoclonal Antibody
Boehringer Ingelheim has shown biosimilar manufacturers the way to win interchangeability with the world’s highest-grossing drug — but the company’s Cyltezo won't come out until July 2023. Will future Humira competitors have better luck winning an earlier launch date? -
Health Care / Medicine
In A First, Colorado Gets CMS Approval To Make Gender-Affirming Care An Essential Health Benefit
All individual and small group health plans in Colorado's Affordable Care Act marketplace must cover a wide range of gender-affirming services, including breast/chest construction and reductions and laser hair removal, starting Jan. 1, 2023. -
Health Care / Medicine
Pharmacists Join Chorus Calling For DOJ To Stop Optum-Change Healthcare Merger
Independent and community pharmacies seek to prevent UHG and Change merging into a 'corporate monster' that will stifle competition. -
Health Care / Medicine
CMS Lowers MA Premiums Amid Insurer Plans To Grow Offerings
CMS is lowering the average premium for MA plans to $19 per month in 2022 from about $21 this year. The news comes as several insurers announce new MA plan offerings for 2022, including Humana, which said it will launch 72 plans.
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Navigating Financial Success by Avoiding Common Pitfalls and Maximizing Firm Performance
In this CLE-eligible webinar, we’ll explore the most common accounting pitfalls and how to avoid them for your firm.
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Is The Future Of Law Distributed? Lessons From The Tech Adoption Curve
The rise of remote work has dramatically reshaped the relationship between Lawyers and Law Firms, see how Scale LLP has taken the steps to get…
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The Business Case For AI At Your Law Firm
ChatGPT ushers in the age of generative AI – even for law firms.
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Legal AI: 3 Steps Law Firms Should Take Now
If 2023 introduced legal professionals to generative AI, then 2024 will be when law firms start adapting to utilize it. Things are moving fast, so…
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Early Adopters Of Legal AI Gaining Competitive Edge In Marketplace
How to best leverage generative AI as an early adopter with ethical use.
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Health Care / Medicine
Google’s DeepMind Faces Suit Over Access To NHS Patient Records
London-based firm Mishcon de Reya said it filed a claim in the U.K.’s High Court, alleging that Google’s access of 1.6 million people’s medical records broke privacy rules. NHS’ Royal Free London had struck an agreement with DeepMind in 2015 to build a system for alerting clinicians. -
Government, Health Care / Medicine
Feds Provide Payment Resolution Process In New Surprise Billing Rule
Per the new interim final rule, parties that cannot agree on out-of-network payment rates must enter into a 30-day open negotiation period. If that fails, an independent entity will be engaged to make the final decision. -
Health Care / Medicine
Provider Groups Back Hackensack Meridian Health, Englewood Health’s Appeal Against Merger Delay
The American Hospital Association and Association of American Medical Colleges have filed an amicus brief in support of the New Jersey health systems that are appealing a court decision to delay their merger following a legal challenge from the FTC. -
Health Care / Medicine
CVS Sues Pharmacy Benefit Startup Capital Rx Over ‘Unenforceable’ Non-Compete Clause
After Capital Rx’s former medical director of pharmacy services got a job offer at CVS, the PBM startup claimed he couldn’t work there because of a non-compete agreement. CVS recently sued the company, saying its non-compete clause was unenforceable. -
Health Care / Medicine
Report: Medtech M&A Jumps As Companies Bounce Back From The Pandemic
Medical technology companies saw 288 deals between June 2020 and June 2021, the highest amount ever since Ernst & Young began tracking it in 2007. VC funding in medtech also reached a high point of $9.1 billion. -
Health Care / Medicine
HHS Rule Bolsters Health Equity, Brooks-LaSure Tells State Rulemakers
New healthcare marketplace policies seek to make the ACA more equitable by investing in low-income and underinsured communities, changing the rules in ways that upset some insurers but delight many state and consumer health advocates. -
Health Care / Medicine
CMS Grants Quality Reporting Exceptions For Facilities Recovering From Hurricane Ida
The agency has granted certain Medicare quality reporting exceptions to healthcare facilities in areas of Louisiana, Mississippi, New York, and New Jersey that were battered by Hurricane Ida. By providing the exceptions, CMS aims to enable facilities to direct their resources toward recovery.