Health Care / Medicine
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Health Care / Medicine
CMS Ups Medicare Payment For At-Home Vaccinations To About $75 Per Dose
CMS is increasing the payment for administering at-home COVID-19 vaccinations from around $40 to $75 per dose. The move comes amid the Biden administration's push to boost vaccinations nationwide, including among older adults who may not be able to access vaccine sites. -
Health Care / Medicine
Emergency Physicians Oppose New UnitedHealth Policy Enabling Retroactive ED Claims Denial
UnitedHealthcare is instituting a new policy beginning July 1 that changes how the payer assesses emergency department claims, allowing it to retroactively deny ones it deems "non-emergent" or not an emergency. The American College of Emergency Physicians has made its opposition clear, stating the policy may violate federal law. - Sponsored
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Lexis Create provides simple access to internal and external knowledge — directly within Microsoft Word. -
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.
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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. -
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. - Sponsored
Profit Powerhouse: Elevating Law Firm Financial Performance
In this CLE-eligible webinar on April 10th, we’ll explore the most common accounting pitfalls and how to avoid them for your firm. -
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? -
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, 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.
Sponsored
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This AI-Powered Document Tool Will Meet You Where You Are
Lexis Create provides simple access to internal and external knowledge — directly within Microsoft Word.
Sponsored
Profit Powerhouse: Elevating Law Firm Financial Performance
In this CLE-eligible webinar on April 10th, we’ll explore the most common accounting pitfalls and how to avoid them for your firm.
Sponsored
How Generative AI Will Improve Legal Service Delivery
Learn how emerging tools will likely change and enhance the work of lawyers for years to come in this new report.
Sponsored
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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
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.