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August 7, 2020

Health Law Weekly

Featured Articles

COVID-19 Updates and Developments (Week of August 3)

FTC and DOJ Issue Final Vertical Merger Guidelines

HHS Issues Guidance Regarding Relief Fund Reporting and Auditing Requirements

Current Topics

Antitrust

DOJ Sues to Block Geisinger Health’s Bid to Partially Acquire Rival

Fraud and Compliance

Abbvie Pays $24 Million to Resolve California Lawsuit over Humira Marketing

Chiropractor Charged with Fraudulently Obtaining COVID Funds, Health Care Fraud

Federal Prosecutors Charge Home Health Company Owners, Physician with Health Care Fraud

Florida Physician Charged in Massive Fraud Scheme Involving Substance Abuse Treatments

Physician Indicted in Kickback Scheme Involving Compounded Drugs

Government Reimbursement

CMS Final Rule Boosts Medicare Payments to SNFs by 2.2% in FY 2021

CMS Finalizes 2.4% Increase in FY 2021 Medicare Payments to Hospices

CMS Issues Medicare Physician Fee Schedule Proposed Rule for 2021

CMS Proposes Retroactive Rulemaking to Account for Part C Days in Medicare DSH Calculation

D.C. Circuit Upholds 340B Drug Reimbursement Cuts

Fifth Circuit Says Physician Certification for Nonemergency Ambulance Transport Doesn’t Guarantee Medicare Payment

Final Rule Boosts Medicare Payments to IRFs by $260 Million in FY 2021

Medicare Payments to Psychiatric Facilities to Increase by $95 Million in FY 2021

Missouri Voters Approve Medicaid Expansion

Proposed OPPS Rule Would Phase Out Inpatient-Only List, Further Reduce 340B Payments

Health Information

Executive Order Aims to Improve Rural Health Care, Expand Telehealth

Health Insurance

CMS Approves New Hampshire’s ACA Waiver for Reinsurance Program

Long Term Care

CMS Should Step up Oversight of Nursing Home Staffing Levels, Improve Transparency for Consumers

Tax and Nonprofit

Fifth Circuit Rejects States’ Challenge to ACA Insurer Fees

Current Issue

Health Law Weekly Issue - August 7, 2020