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 …
CMS 2025 Physician Fee Schedule Includes 2.9 Percent Pay Cuts …
Dec 23, 2024 · The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Revisions to Payment Policies under the Physician Fee Schedule (MPFS) and …
CVS Subsidiary Reaches $60 Million Settlement Over False Claims …
Nov 11, 2024 · Oak Street Health, a wholly-owned subsidiary of CVS Health since 2023, has agreed to pay $60 million to resolve allegations that it violated the False Claims Act (FCA) by …
The Inflation Reduction Act (IRA) and Its Broader Impact on …
On October 8, 2024, PhRMA held a media briefing to address growing concerns over the Inflation Reduction Act (IRA) and its effects on the biopharmaceutical industry, Medicare Part D …
Biden Administration Rescinds Trump Administration Insulin …
Oct 26, 2021 · One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December 23, 2020, the Trump Administration …
Fifth Circuit Affirms Lower Court’s Decision to Vacate Certain …
Dec 4, 2024 · Appeals Court. In a 3-0 decision, the Fifth Circuit affirmed the district court’s nationwide vacatur of the challenged IDR rules. The appeals court specifically reviewed the …
January 2, 2025 – Policy & Medicine
Jan 2, 2025 · Legal, Regulatory, and Compliance Issues. The Centers for Medicare and Medicaid Services (CMS) found that Accountable Care Organizations (ACOs) and the Medicare Shared…
DOJ Resolves More than $1 Billion in False Claims Act Settlements …
Dec 18, 2024 · Gibson Dunn recently published a mid-year update on the False Claims Act (FCA) collections for the first half of the year, noting that “[t]he first half of 2024 is a reminder that [the …
CMS Makes Changes to the ACO REACH Model for Performance …
Sep 24, 2024 · The United States Centers for Medicare and Medicaid Services (CMS) recently issued changes to the ACO REACH Model, including adjusting the financial methodology and …
Minnesota’s 340B Program Report Sheds Light on Potential …
Dec 2, 2024 · The Minnesota Department of Health recently unveiled a pivotal report on the 340B drug pricing program, which provides insight into how the program’s financial benefits are …