By Crowell & Moring on Posted in Events,LitigationCrowell & Moring has issued its “Litigation Forecast 2018: What Corporate Counsel Need to Know for the Coming Year.” The health care section of the Forecast, “FCA Enforcement: Different, But Still Here,” outlines how health care companies should expect continued enforcement of the False Claims Act, but with perhaps different emphasis on key areas such… Continue Reading
By Crowell & Moring on Posted in Fraud, Waste & Abuse,Health Care Reform & ACA,Medicaid,MedicareYesterday, our colleague Troy A. Barsky testified before the U.S. Senate Finance Committee led by Chairman Orrin Hatch (R-Utah) and provided recommendations for modernizing the Stark Law to regulate self-referrals without impeding the care coordination and value-based payment models promoted by health care reform legislation. Other witnesses before the Committee included Dr. Ronald A. Paulus,… Continue Reading
By Crowell & Moring on Posted in Health ITAccenture and Crowell & Moring LLP are excited to host the “Fostering Innovative Digital Health Strategies” conference on June 23, 2016 at the Crowell & Moring Washington, DC office. This event will bridge the intersection of business, legal, and policy issues that innovative companies face in developing and integrating successful digital health tools and platforms.… Continue Reading
By Crowell & Moring on Posted in Fraud, Waste & Abuse,Medicaid,Medical Loss RatiosOn May 6, 2016, CMS published the Medicaid managed care final rule in the Federal Register. The Final Rule overhauls Medicaid managed care for the first time in 14 years and tracks many of the industry-wide developments that followed enactment of the ACA. Given the breadth of the rule, Crowell & Moring is covering it… Continue Reading
By Crowell & Moring on Posted in Litigation,Managed Care Lawsuit WatchManaged Care Lawsuit Watch is Crowell & Moring’s summary of key litigation affecting managed care. If you have questions or need assistance on managed care law matters, please contact any member of the Health Care Group. Cases in this issue include: Helfrich v. Blue Cross & Blue Shield Ass’n King v. CompPartners, Inc. Unilab Corp.… Continue Reading
By Crowell & Moring on Posted in Fraud, Waste & Abuse,Health IT,Medicaid,MedicareLast week, Democrats and Republicans from both chambers introduced the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act (S. 2484, H.R. 4442), which would improve health care quality and realize cost savings by eliminating current restrictions on telehealth and remote patient monitoring. Click here to read our detailed analysis of… Continue Reading
By Crowell & Moring on Posted in HIPAA & PrivacyOn January 7, 2016, the HHS Office for Civil Rights released guidance on individuals’ right to access health information under the HIPAA Privacy Rule. The guidance clarifies areas of confusion and non-compliance by covered entities and business associates, particularly in light of the proliferation of electronic health records and electronic health information. Areas of emphasis… Continue Reading
By Crowell & Moring on Posted in Health Care Reform & ACA,Medicaid,MedicareThe recent appropriations law, which will fund the federal government through 2016, suspends three health care taxes enacted under the Affordable Care Act, continues to limit how the Centers for Medicare & Medicaid Services can fund the temporary risk corridors program for the exchanges, and refines Medicare and Medicaid payments and funding. Click here for… Continue Reading
By Crowell & Moring on Posted in Health IT,HIPAA & PrivacyOur colleagues at Data Law Insights have written about the HHS Office of Civil Rights’ $750,000 settlement with the University of Washington Medicine (“UWM”) announced this week. This third settlement in as many weeks confirms that the security risk analysis continues to be a linchpin of OCR enforcement under the HIPAA Security Rule. Indeed, the… Continue Reading
By Crowell & Moring on Posted in Health Care Reform & ACAThe Department of Health and Human Services’ (HHS) proposed rulemaking for Section 1557 of the Affordable Care Act may vastly expand the reach of federal anti-discrimination laws into uncharted—and potentially unsupported—territory. Published on September 8, 2015, the proposed rule inspired thousands of comments from health insurers, advocacy groups, and individuals alike. Click here to read… Continue Reading
By Crowell & Moring on Posted in EventsPlease join Crowell & Moring for the fourth in a series of webinars focused on key issues of importance to the health care industry on September 29, 2015 at 2 PM ET. With the size, severity, and complexity of cyber threats continuing to increase, health care companies are high risk targets due to the large… Continue Reading
By Crowell & Moring on Posted in Health Care Reform & ACAOn September 8, 2015, the Department of Health and Human Services Office for Civil Rights promulgated proposed regulations implementing Affordable Care Act Section 1557’s anti-discrimination provisions. Section 1557 applies federal anti-discrimination laws that prohibit discrimination based on race, color and national origin, sex, disability, and age to health care programs that receive federal funds, such… Continue Reading
By Crowell & Moring on Posted in FDAThe Food and Drug Administration’s (FDA) March 2015 approval of Zarxio, the first biosimilar product licensed under the Biologics Price Competition and Innovation Act of 2009 (BPIA) is expected to usher in a new wave of faster approvals, greater choice, and lower costs for the biologics market. Along with these exciting opportunities, however, come a… Continue Reading
By Crowell & Moring on Posted in Litigation,Managed Care Lawsuit WatchManaged Care Lawsuit Watch is Crowell & Moring’s summary of key litigation affecting managed care. If you have questions or need assistance on managed care law matters, please contact any member of the Health Care Group. Cases in this issue include: Armstrong v. Exceptional Child Ctr, Inc Golden v. Cal. Emergency Physicians Med. Grp. Johnson… Continue Reading
By Crowell & Moring on Posted in UncategorizedOver 40 percent of money recovered by the Department of Justice from False Claims Act (FCA) suits involve fraud against federal health care programs. More importantly, nearly 89 percent of all new FCA matters in 2014 originated qui tam lawsuits brought by whistleblowers. Developments in FCA jurisprudence have innumerable consequences for the health care industry,… Continue Reading
