BCBS Reaches $2.8 Billion Settlement to Resolve Antitrust …
Dec 17, 2024 · Blue Cross Blue Shield (BCBS) – with 33 of its member companies – recently reached a proposed settlement, agreeing to pay $2.8 billion to settle allegations that BCBS plans violated antitrust laws by suppressing competition and underpaying providers for reimbursements from July 2008 to October 2024.This class action proposed settlement represents the largest antitrust payout to be awarded ...
What a Trump Presidency Could Mean for the Life Sciences Industry
Nov 8, 2024 · Trump’s priorities to fix the Affordable Care Act (ACA) mark a significant shift in the healthcare landscape. His return to office may bring renewed efforts to modify or repeal certain ACA provisions, including allowing states greater flexibilities in defining essential health benefits, limiting the individual and employer mandates, and reducing spending on Medicaid block grants.
Navigating Change: SAMHSA’s New Federal Guidelines for Opioid …
Dec 6, 2024 · The Substance Abuse and Mental Health Services Administration (SAMHSA) has recently released a comprehensive updates to the Federal Guidelines for Opioid Treatment Programs (OTPs), reflecting the significant changes to the regulations published in February 2024. These new guidelines, which supersede those from 2015, offer detailed recommendations, guidance, and best practices for the ...
Bipartisan Legislation Introduced to Avoid Decreased Medicare ...
Dec 3, 2024 · Congressman Greg Murphy, MD, recently introduced the Medicare Patient Access and Practice Stabilization Act, which aims to support physicians and Medicare beneficiaries, in response to the CMS Proposed Rule that would decrease Medicare reimbursement for physician services by 2.8%, starting January 1, 2025.. Congressman Murphy and other sponsors of the legislation cite statistics from the AMA ...
December 3, 2024 – Policy & Medicine
Dec 3, 2024 · Legal, Regulatory, and Compliance Issues. Congressman Greg Murphy, MD, recently introduced the Medicare Patient Access and Practice Stabilization Act, which aims to support…
DEA and HHS Extend Telehealth Flexibilities for Controlled …
Jan 10, 2024 · The rule’s publication drew significant opposition from the provider stakeholder community, with the DEA receiving more than 38,000 comments in response, most of which scrutinized DEA’s perceived shortsightedness and burdensome requirements for typical prescribing relationships.
December 30, 2024 – Policy & Medicine
Dec 30, 2024 · Legal, Regulatory, and Compliance Issues. Under recent data released by the Centers for Medicare and Medicaid Services (CMS), roughly 405 of Medicare Advantage (MA) plans…
January 4, 2025 – Policy & Medicine
5 days ago · Legal, Regulatory, and Compliance Issues. We have provided the latest information on Continuing Medical Education and Continuing Professional Development (CME/CPD)…
This Week in Policy and Medicine, December 14, 2024
Dec 15, 2024 · This week on the Policy and Medicine Podcast, we unpack a range of timely and impactful stories that highlight critical changes and discussions in healthcare policy and regulation.Available on Spotify and other podcast platforms, tune in to hear our expert analysis and insights. Here’s a snapshot of the stories covered in this episode:
DaVita Reaches $34 Million False Claims Act Settlement
Sep 12, 2024 · DaVita has agreed to pay more than $34 million to resolve allegations that it violated the False Claims Act by paying kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis patients, and by paying kickbacks to nephrologists and vascular access physicians to induce …