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AHLA Health Law Weekly

Health Law Weekly Issue - January 10, 2020

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  • AHLA Health Law Weekly

Health Law Weekly Issue - January 10, 2020

Articles

ACA Enrollment Remains Steady at Close of 2020 Open Enrollment Period

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Administration Appealing Decision Striking Down Conscience Rule

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Careful with Those Audit Results: DOJ Steps in and Signals Its Expectations Under the 60-day Repayment Rule

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CMS Approves Utah’s Medicaid Expansion with Work Requirement

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CMS Extends Comment Period on Medicaid Fiscal Accountability Proposed Rule

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CMS Extends Comment Period on Transparency in Coverage Proposed Rule

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CMS Proposes Changes to MA Risk Adjustment Model for 2021

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CMS Reports Strong Performance in Second Year of Quality Payment Program

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D.C. Circuit Holds Medicare Prescription Drug Plans Don’t Have to Pay FQHCs on Par with Non-FQHCs for Pharmacy Services

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Department of Justice Announces More Than $3 Billion in 2019 False Claims Act Recoveries

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DOJ Files FCA Action Alleging Community Health Network Violated Stark Law

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Federal Court Declines to Block California Ban on Pay-for-Delay Drug Settlements

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Former Physician Sentenced to Two Years in Prison for Medicare Fraud, Illegal Prescribing

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Husband and Wife Land in Prison for Vast Health Care Fraud Scheme

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Neuromonitoring Services Provider Agrees to $2 Million Settlement

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Ophthalmologists Agree to $950,000 Resolution of False Billing Allegations

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States, House of Representatives Ask Supreme Court for Swift Action on ACA Decision

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Sutter Health to Pay $575 Million to Resolve California Antitrust Lawsuit

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Tenth Circuit Upholds Method for Setting ACA Risk Adjustment Payments

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The Risk Oversight Obligations of Health Care Boards

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U.S. Court in California Blocks State Law Regulating Premium Assistance for Dialysis Patients

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U.S. Court in Michigan Refuses to Enjoin Medicare Recoupment from Provider for Failure to Show Irreparable Harm

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