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January 8, 2021

Health Law Weekly

Featured Articles

Employment of Physicians: The Affirmative Obligation of § 411.354(d)(4) Under the Stark Law Final Rule

HHS Finalizes Major Regulatory Reform

Hospital Group Urges Enforcement Discretion for Hospital Price Transparency Rule After D.C. Circuit Rejects Appeal

Current Topics

Antitrust

Congress Clears Measure Scrapping Antitrust Exemption for Health Insurers

Coronavirus Pandemic Hub

COVID-19 Updates and Developments

Fraud and Compliance

Diagnostic Testing Lab Agreed to Settle FCA Allegations

DME Provider Agrees to $40 Million False Claims Settlement

FQHC May Offer Gift Card Incentives for Attending Care Appointments, OIG Says

Hospital Agrees to $48 Million Settlement of Stark, AKS Violations

OIG Greenlights Providers’ Remittance to Patients and Payers of Portion of Reimbursement Through Web-Based Platform

OIG OKs Below Fair Market Value Medicaid Enrollment Application Services

OIG Says Pharmaceutical Manufacturer Can Provide Travel, Lodging Assistance to Patients Prescribed Its One-Time Drug Therapy

Pharmacy Chain Settles Allegations of Filling Invalid Prescriptions

Pharmacy Owners Charged in $30 Million COVID-19 Fraud Scheme

Physician Pleads Guilty to Fraud, Performing Unnecessary Surgeries

Providers Agree to $1.72 Million Settlement of False Billing Allegations

Substance Abuse Treatment Center, Owner Agree to $6 Million Fraud Settlement

Government Reimbursement

CMS Finalizes Changes to “Best Price” Rules in Bid to Ease Value-Based Deals with Drug Makers

CMS Issues Guidance for States on Addressing Social Determinants of Health

CMS Proposes 20 New Quality Measures for Value-Based Programs

Courts Enjoins Rule to Tie Medicare Drug Prices to International Benchmarks

HHS Advisory Opinion Clarifies That 340B Discounts Apply to Contract Pharmacies

U.S. Court in DC Rejects Hospitals’ Challenge to Uncompensated Care Estimates

Health Care Delivery Models

Amazon, Berkshire Hathaway, JPMorgan to Shutter Health Care Venture

Health Care Finance and Transactions

AmerisourceBergen to Acquire Walgreens Unit for $6.5 Billion

Centene to Acquire Magellan Health in $2.2 Billion Deal

UnitedHealth Group to Acquire Change Healthcare

Health Information

Georgia Primary Care Practice Settles HIPAA Right of Access Investigation

Labor and Employment

EEOC Issues Proposed Rule on Wellness Program Incentives

Current Issue

Health Law Weekly Issue - January 8, 2021