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April 9, 2021

Health Law Weekly

Featured Articles

Market Data After COVID-19 and the 2021 MPFS: Will There Be a New Normal?

Top Ten 2021: Opportunities and Risks with Increased Interoperability in Health Care

Current Topics

Antitrust

Tenth Circuit Rejects New Jersey Medical Practice’s Monopolization Claim, Finds No Evidence of Refusal to Deal

Coronavirus Pandemic Hub

Biden Sets April 19 Target to Open Eligibility for COVID-19 Vaccines

Dispute Resolution

Fourth Circuit Dismisses Medical Practice’s Challenge to Arbitration Award Citing Waiver of Appellate Review

Fraud and Compliance

Behavioral Health Provider Pays $273,000 to Settle Allegations of Improper Medicaid Billing

Bristol-Myers Squibb Will Pay $75 Million to Resolve Alleged Medicaid Drug Rebate Underpayments

Counseling Center Owner, Provider Convicted of Medicaid Fraud

Health Care Company Owners, Former Employee Charged for Alleged Kickback Scheme

Ninth Circuit Boots Upcoding FCA Claims for Relator’s Failure to Rule Out Alternative Explanation

Ninth Circuit Narrows Claims in Spinal Fusion Device Fraud Action

Urgent Care Provider to Pay $22.5 Million to Resolve Allegations of Improper Billing

Government Reimbursement

CMS Begins Recoupment of Accelerated and Advance Payments

CMS Proposes $444 Million Increase in SNF Medicare Payments for FY 2022

CMS Proposes Medicare Payment Bump for IRFs in FY 2022

HHS Withdraws Approvals of Medicaid Work Requirements in Michigan, Wisconsin

Medicare Payments to Psychiatric Facilities to Increase by $90 Million in FY 2022 Under Proposed Rule

Proposed Rule Would Increase Medicare Payments to Hospices by $530 Million in FY 2022

Health Information

U.S. Court in California Tosses Hospitals’ Action Against State Medicaid Officials over EHR Payments

Health Insurance

ACA Sign Ups Top 500,000 During Special Enrollment Period, CMS Says

Health Policy and Administration

White House Outlines Drug Policy Priorities

Current Issue

Health Law Weekly Issue - April 9, 2021