Health Care / Medicine
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Health Care / Medicine
Coverage Parity For Mental Health, Substance Abuse, A Key Focus For Insurance Regulators
Health insurers are prohibited from placing unfavorable limits on mental health and substance abuse benefits, and yet, many do. Federal and state regulators are taking aim at these practices and making the enforcement of the Mental Health Parity and Addiction Equity Act of 2008 a key focus. -
Health Care / Medicine
What Does A Former Seema Verma Advisor Think Of Brooks-LaSure, The Incoming CMS Administrator?
To know how Chiquita Brooks-LaSure will lead the Centers for Medicare and Medicaid Services, we sat down with Matthew Hittle, a former senior adviser to Seema Verma, who led the agency under the former president. - Sponsored
Early Adopters Of Legal AI Gaining Competitive Edge In Marketplace
How to best leverage generative AI as an early adopter with ethical use. -
Health Care / Medicine
100+ Workers Sue Houston Methodist Over Mandatory COVID-19 Vaccination Policy
The lawsuit alleges that the policy is akin to forcing employees to participate in a medical experiment as none of the vaccines available have received full FDA approval. But Houston Methodist rebutted these claims saying the vaccines are safe and effective, and requiring employees to get vaccinated is in the best interest of the patient.
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Health Care / Medicine
FDA Faces Big Questions As It Takes A Closer Look At AI Regulations
An action plan shared by the FDA earlier this year showed how the regulator is thinking about future regulations for AI and machine learning in healthcare. But the agency still has several big questions to address as it prepares to roll out new guidance. -
Health Care / Medicine
Saving Private Practice? Navigating The Legal And Ethical Minefield Of Physician-Private Equity Deals
While physicians face incredible pressures to consolidate or receive investment to survive, there are ethical, legal, and practical considerations doctors must seriously consider before deciding to take private equity. -
Health Care / Medicine
7 Insurers Sue CVS For Allegedly Inflating Drug Prices
For the second time in the span of one year, a group of insurers has filed a lawsuit against CVS alleging it overcharged them for generic drugs. CVS refuted the claims, calling them 'baseless.' -
Health Care / Medicine
CMS’ Next Generation ACO Model To End This Year
In a move that ACOs found 'disappointing,' CMS has declined to extend the Next Generation ACO Model beyond 2021. Though evaluations have found that the model did not generate net savings for Medicare, proponents argue that the program was successful. -
Health Care / Medicine
Expanding Health Equity Through COVID-Driven State Medicaid Legislation
COVID has pushed state health agencies to use Medicaid in ways that would never have been imagined before. With one in five Americans saying they are unable to afford healthcare, how are state governments using this historic moment to expand equitable access to care? - Sponsored
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… -
Health Care / Medicine
Texas Lawsuit: Biden Administration Threatening Funding To Force Medicaid Expansion
Filed by the Texas attorney general, a new lawsuit seeks to prevent the Biden administration from revoking the Trump-era approval of a Medicaid waiver extension that could cost the state billions in funds. The revocation was a political move intended to force the state to expand Medicaid under the ACA, the lawsuit claims. -
Health Care / Medicine
32 Hospitals In Non-Medicaid Expansion States Sue HHS Over Payments For Low-Income Patients
The hospitals are pushing HHS to recognize patients eligible for Medicaid under the ACA as 'low-income' when calculating Medicare disproportionate share hospital payments in states that did not expand Medicaid. The agency's refusal to do so resulted in the hospitals receiving lower reimbursements for three years, the lawsuit claims. -
Health Care / Medicine, In-House Counsel
In-House Q&A: Bryan Huffman Of Prime Therapeutics
The pharmacy benefits company's Senior Legal Counsel discusses how his efforts in public service ultimately allowed him to meet a career goal with an in-house position. -
Health Care / Medicine
Hospitals Caught In Crossfire Of Battle Between Rhode Island AG, PE-Owned Operator
Amid a heated battle over an ownership change, Prospect Medical Holdings has threatened to close two of its hospitals in Rhode Island in response to conditions the state's attorney general proposed. The hospital chain's private equity owner is looking to sell its majority stake but requires state approval to move forward. -
Health Care / Medicine, Intellectual Property
Pfizer, BioNTech Seek Full FDA Approval Of COVID-19 Vaccine
The messenger RNA vaccine developed by Pfizer and BioNTech has been formally submitted for FDA approval. The application comes amid calls for all vaccine companies to waive patent protections on these products so that others will be able to manufacture them.
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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.
Sponsored
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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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…
Sponsored
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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Health Care / Medicine
Cigna Won’t Get $1.85B From Anthem Breakup, Delaware Supreme Court Rules
The Delaware Supreme Court ruled on Monday that Cigna can’t seek a $1.85 billion breakup fee after its failed merger with Anthem, upholding a judge’s decision last year. -
Health Care / Medicine
CMS Finalizes New Rules For ACA Exchanges In 2022: 5 Key Provisions
CMS has adopted several new rules that will change how the Affordable Care Act exchanges operate next year. These include rules that will lower out-of-pocket consumer spending by $400 and widen eligibility for gaining health coverage outside of the designated ACA open enrollment period. -
Health Care / Medicine
Report: Providers Cut Mental Health Staff, Even As Demand Increased During The Pandemic
As demand for behavioral health services increased during the pandemic, many organizations providing these services cancelled or rescheduled appointments, or laid off staff, according to a report by the U.S. Government Accountability Office. -
Health Care / Medicine
CMS Proposes Putting $2.5B Into Hospitals’ Coffers, Eliminating Part Of Price Transparency Rule
CMS has released its proposed inpatient payment rule for fiscal year 2022, which includes a payment bump that could increase reimbursement for hospitals by $2.5 billion. -
Health Care / Medicine
Some Proposed HIPAA Changes Could Inadvertently Expose The Data It’s Supposed To Protect
The government's proposed changes to HIPAA aim to provide guardrails against data breaches and misuse, but some of the modifications may not work as intended. Three healthcare experts delved into the ways in which certain proposals could provide inappropriate access to health data during a recent panel discussion. -
Health Care / Medicine
Kaiser Permanente To Shell Out Nearly $19M To Settle Discrimination Lawsuits
The California-based health system agreed to settle two lawsuits alleging unfair practices that resulted in Black and Hispanic workers being paid less and receiving fewer promotions than their white counterparts. In total, Kaiser Permanente agreed to pay $18.9 million as part of the settlements. -
Health Care / Medicine
AliveCor Seeks Ban On Import Of Apple Watches
The digital health company filed a complaint with the Federal Trade Commission last week, seeking a ban on the import of the Apple Watch. AliveCor cited copyright violations related to Apple’s ECG feature as the reason for seeking the ban.