Federal District Court Vacates Sections of the ACA’s Nondiscrimination Rule
On October 15, 2019, Judge Reed O’Connor issued a ruling in Franciscan Alliance v. Azar, which has been pending since…
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Medicare Advantage Plan Sanctioned by CMS for Failing to Comply with Medical Loss Ratio
On October 16, 2019, a Medicare Advantage plan administered by UnitedHealthcare was sanctioned by the Centers for Medicare & Medicaid…
Federal Appeals Court Hears Challenge to Medicaid Work Requirements
On Friday, October 11, three judges for the U.S. Court of Appeals for the District of Columbia questioned the implementation…
HHS Releases New Prescribing Guidelines for Opioids to Address Treatment Abandonment
On October 10, 2019, the U.S. Department of Health and Human Services (HHS) issued new opioid prescribing guidelines for patients…
HHS Encourages Value-Based Arrangements with New Exceptions to the Stark Law and Anti-Kickback Statute
On October 9, 2019, the U.S. Department of Health and Human Services (HHS) released two proposed rules that aim to…
Along State Lines: Medicaid Expansion
State borders have become dividing lines that determine whether many Americans have access to Medicaid health insurance coverage. As of…
CMS Issues Guidance Allowing States to Implement Health-Contingent Wellness Programs
On Monday, September 30, the Centers for Medicare and Medicaid Services (CMS) announced that the agency will allow states to…
35 People Indicted for Fraudulently Billing Medicare $2 Billion for Genetic Tests
In response to one of the country’s largest health care fraud schemes, the Department of Justice (DOJ) indicted 35 individuals…
Idaho Submits Waiver for Medicaid Work Requirements
After a failed attempt to implement work requirements for Medicaid recipients, Idaho has resubmitted an amended work requirement waiver to…
Impeachment Hearings Threaten to Derail Drug Price Reform
In a time of great partisan divide, both sides of the aisle seem to agree on one thing: it is…