Health Law & Managed Care

Healthcare is an area of law that is constantly evolving, with the Affordable Care Act provisions still rippling through the industry, and privacy and data protection concerns requiring constant vigilance, the National Law Review covers the latest developments in the Health Care Industry. The National Law Review offers analysis of news coming out of Congress related to health care legislation, as well as covering state and local laws related to health care.

Readers will also find an extensive list of cases, news, and up-to-date information on various topics in the healthcare and managed care sector. Litigation, regulatory actions being taken against doctors or pharmacies, mediation and arbitration, and coverage of the latest in drug pricing, the opioid epidemic,  employer-healthcare coverage options, and legal news about health and hospital systems and physician groups.

The National Law Review covers news related to Medicare and Medicaid, to CMS funding, changes to IPAs, PHO, HMO, MSO, and other entities. Readers will find information related to managed care, assisted living facilities, at-home care, and news/legislation from the Office of the Inspector General (OIG) and the Office of the Federal Contract Compliance Programs (OFCCP). Additionally, regulations and updates released by the FDA are covered, as well as changing state and federal regulations related to telehealth and telemedicine are also on the site. 

Cybersecurity in health care and compliance with HIPAA are major concerns for the industry.  Additionally, Ransomware developments and other data security breaches have required a greater emphasis on safeguarding patient-records and information. More compliance and restrictions are in place for doctors/hospitals sharing patient records, HIPPA regulations have become more stringent, and e-health records, have seen a number of changes in how hospitals and doctors’ offices, deal with patient-record management internally. The National Law Review offers expert legal analysis on changing regulations related to healthcare.

For hourly updates in the latest news about Healthcare & Health Management law, regulations, and legislation, be sure to follow our Health Law Twitter feed and sign up for daily complimentary e-news bulletins.

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Oct
5
2018
Medicare Advantage Downstream Provider Settles Risk Adjustment False Claims Allegations Epstein Becker & Green, P.C.
Feb
7
2017
Medicare Advantage Draft Call Letter Addresses Encounter Data, Star Ratings McDermott Will & Emery
Aug
2
2022
Medicare Advantage False Claims Act Developments [PODCAST] K&L Gates
Mar
5
2015
Medicare Advantage Insurers May See Positive Growth in 2016 Sheppard, Mullin, Richter & Hampton LLP
Jun
26
2018
Medicare Advantage Organizations Provided New Opportunities to Offer Telehealth Benefits Covington & Burling LLP
May
25
2017
Medicare Advantage Plans Under Fire: The Department of Justice Files Complaints-in-Intervention Sheppard, Mullin, Richter & Hampton LLP
Mar
12
2020
Medicare Advantage Plans, Medicare Prescription Drug Plans and FEHBP Carriers Take Note: CMS and OPM Announce Actions to Address the Threat of Coronavirus Sheppard, Mullin, Richter & Hampton LLP
Nov
21
2022
Medicare Advantage Programs’ Increasing Popularity Invites Heightened FCA and Regulatory Scrutiny Bradley Arant Boult Cummings LLP
Sep
28
2023
Medicare Advantage RADV Audit Final Rule Challenged in Court Sheppard, Mullin, Richter & Hampton LLP
Feb
10
2023
Medicare Advantage Remains a Top Enforcement Priority Mintz
Mar
5
2015
Medicare Advantage Risk Adjustment in the 2016 Call Letter and … in Health Care Fraud Charges Mintz
Apr
19
2018
Medicare Advantage to Address Social Determinants of Health: An Important Step for Value-Based Care Sheppard, Mullin, Richter & Hampton LLP
Sep
2
2015
Medicare Advantage Value-Based Insurance Design Model Foley & Lardner LLP
May
25
2022
Medicare Advantage: OIG Report Finds Improper Denials Foley & Lardner LLP
Mar
10
2017
Medicare Advisors Debate Part B Drug Payment Reforms Mintz
Nov
6
2021
Medicare and Medicaid Providers, Take Note: New CMS Rules Require Health Care Workers to Be Fully Vaccinated by January 4, 2022 Epstein Becker & Green, P.C.
Aug
27
2018
Medicare and Medicaid Providers: Choose Your Vendors Wisely—But Be Sure to Pay Them at Fair Market Value and for Bona Fide Services Cadwalader, Wickersham & Taft LLP
Nov
7
2012
Medicare and Medicaid Reforms Coming in a Second Obama Administration McDermott Will & Emery
Apr
17
2020
Medicare and the 2020 Election Giordano, Halleran & Ciesla, P.C.
Sep
26
2017
Medicare Appeals Backlog: A Setback and New Opportunities for Providers McDermott Will & Emery
Sep
22
2012
Medicare Audit Challenges to Paying Nursing and Allied Health Program Pass-Through Costs McDermott Will & Emery
Dec
5
2019
Medicare Beneficiary Cards of 220,000 Individuals Compromised Robinson & Cole LLP
Jul
7
2016
Medicare Board of Trustees Releases 2016 Annual Report: Hospital Trust Fund Insolvency Projected by 2028 Sheppard, Mullin, Richter & Hampton LLP
Apr
27
2012
Medicare Board of Trustees Report Trust Exhaustion in 2024 von Briesen & Roper, s.c.
Aug
4
2022
Medicare CERT Audits and How to Prepare for Them Oberheiden P.C.
Mar
20
2024
Medicare Changes to Make Drug Coverage More Manageable in 2025 Polsinelli PC
Aug
16
2017
Medicare Claims Appeals: D.C. Circuit Reverses and Remands in Case Seeking Relief From Processing Delays Foley & Lardner LLP
Feb
16
2023
Medicare Compliance Basics: “Incident to” Billing Foley & Lardner LLP
Dec
18
2023
Medicare Continues its Updates to Provider Enrollment Policies as Part of Efforts to Enhance Program Integrity and Transparency Polsinelli PC
Jun
11
2021
Medicare Coverage of Innovative Technology Program Breakthrough Devices Delayed Dinsmore & Shohl LLP
Sep
16
2012
Medicare Cracking the Codes: How Doctors and Hospitals Have Collected Billions in Questionable Medicare Fees Center for Public Integrity
Apr
11
2018
Medicare Enrollment for Providers No Longer Required Under Medicare Parts C and D Foley & Lardner LLP
Feb
12
2015
Medicare Fraud Plea in Detroit Pill Mill Case Mahany Law
May
7
2012
Medicare Fraud Strike Force Bust Involves Highest Amount of False Billings in a Single Takedown Mintz
Feb
22
2011
Medicare Fraud Strike Force Charges 111 in Fraud Schemes Totaling $225 Million and Expands to Chicago and Dallas von Briesen & Roper, s.c.
 

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