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December 18, 2020

Health Law Weekly

Featured Articles

COVID-19 Updates and Developments (Week of December 14)

Crisis Standards of Care Podcast

The Lighter Side of Health Law Podcast—December 2020

The New HIPAA NPRM—The Latest and Greatest in the Evolution of the HIPAA Privacy Rule

Current Topics

Antitrust

DOJ Calls for Divestiture in Harvard Pilgrim-Health Plan Holdings Deal

Ninth Circuit Reverses Dismissal of Monopolization Claim Against Health Plan

Fraud and Compliance

Biogen Agrees to $22 Million Settlement of Allegations It Paid Kickbacks Through Foundation

Consent Order Requires Pharmacy to Stop Dispensing Opioids

Former Indivior Medical Director Sentenced to Home Detention, Community Service

Home Health, Hospice Owner Agrees to $1 Million Settlement of Kickback Allegations

Hospice Company Owner Draws 20 Years in Prison for Fraud Scheme

Physical Therapy Provider Agrees to $500,00 Fraud Settlement

Physician, Wife Handed Lengthy Prison Terms for Unlawful Opioid Distribution

Three Nurse Practitioners Sent to Prison for Pill Mill Scheme

Government Reimbursement

California Medicaid to Lose $200 Million Because of Abortion Insurance Mandate, HHS Says

CMS Unveils New Effort to Improve Care Coordination for Medicare-Medicaid Dually Eligible Population

Proposed Medicare Demo Aimed at Curbing Medicare Fraud for Inpatient Rehab Facility Services

Health Insurance

Final Rule Allows Plans to Increase Cost-Sharing Without Losing ACA “Grandfathered” Status

Medicaid, CHIP Enrollment Grows Amid Pandemic

Ninth Circuit Revives Out-of-Network Provider’s ERISA Claim Against Blue Cross in Anti-Assignment Row

Senate, House Panels Reach Bipartisan Deal on Banning Surprise Medical Bills

Health Policy and Administration

Health Care Spending Growth Holds Steady in 2019, CMS Reports

HHS Finalizes Rule Ensuring Equal Treatment of Faith-Based Providers

Medical Staff, Credentialing, and Peer Review

U.S. Court in California Rules Hospital Must Turn over Peer Review Documents

Patient Care Liability and Litigation

U.S. Court in DC Refuses to Compel Fertility Clinic to Reinstate Dismissed Patient

Current Issue

Health Law Weekly Issue - December 18, 2020