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Payers, Plans, and Managed Care
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March 21, 2025
Health Law Weekly
Featured Articles
DEA, HHS Extend Delay of New Rules on Remote Prescribing of Controlled Substances
Public Health Dangers of Disappearing Data
Top Ten 2025: Gender Affirming Care—Outlook
Current Topics
Antitrust
U.S. Court in Pennsylvania Dismisses Hospital’s Antitrust Action Against CVS over Drug Discounts
Fraud and Compliance
Billing Company Owner Charged with Orchestrating $22 Million Health Care Fraud, Kickback Scheme
DME Company Inspector Pleads Guilty to Taking Bribes in CMS Certification Scheme
DME Company Owner Sentenced to over a Year in Prison for Fraud Conspiracy
Doctor Agrees to Settle False Claims Allegations Related to Unnecessary Chelation Therapy
Doctor Handed 2.5 Years in Prison for Fraud Scheme
Man Sentenced to over Nine Years in Prison for Medicaid Fraud Scheme
Ninth Circuit Says Federal Government Not Required to Plead AKS Safe Harbor Inapplicability in Kickback Indictment
Nurse Pleads Guilty to Drug Diversion
Nurse Practitioner Pleads Guilty to Medicaid Fraud
Government Reimbursement
HHS Asks Court to Toss Drug Makers' Challenge over 340B Rebate Model Denials
Pharmaceutical Companies Agree to Participate in Second Round of Medicare Drug Price Negotiations
Seventh Circuit Rejects Safety Net Hospital’s Lawsuit Against Illinois over Late Managed Care Medicaid Payments
Health Care Finance and Transactions
Health Care Service Corporation Completes Purchase of Cigna Medicare Advantage Business
Health Insurance
Utah Federal Court Finds Plan’s Mental Health Coverage Denials Violated ERISA
Health Law Policy and Administration Hub
Fifth Circuit Dismisses Appeal of Nationwide Injunction Blocking Section 1557 Final Rule on Nondiscrimination Protections for Gender Identity
Trump Rescinds Biden-Era Executive Order on COVID-Related Data
Two Democratic FTC Commissioners Fired by Trump Administration
U.S. Court in Washington Declines to Hold Administration in Contempt After NIH Pulls Hospital’s Research Grant
Labor and Employment
DOJ, EEOC Issue Two Technical Assistance Documents on DEI-Related Discrimination
Patient Care Liability and Litigation
U.S. Court in Utah Says Hospital Must Face EMTALA Claim Following Patient's Suicide Attempt During Transfer
Reproductive Health Law Hub
Three Arrested in Texas for Performing Illegal Abortions
Tax and Nonprofit
Mayo Clinic to Revamp Charity Care Policies Under Settlement with Minnesota AG
Current Issue