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June 21, 2019
Health Law Weekly

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Cardiology Group Agrees to $2.5 Million Settlement of False Claims Allegations

CMS Announces IRF Appeal Settlement Option

CMS Proposes Update to Medicare Part D Prior Authorization Process

Drug Makers Sue to Block Rule Requiring List Prices in Drug Ads

FDA Adds Data on Patent Certifications to Help Spur Generic Drug Competition

FDA to Consider Public Health Risk in Evaluating Opioid Drug Applications Under Draft Framework

FTC Requires Divestiture for UnitedHealth-DaVita Merger

Google, Sanofi Announced Health IT Collaboration

Government Intervenes in FCA Suits Against Florida Compounders

IBM Agrees to $15 Million Settlement of Alleged Misrepresentations Involving Maryland Insurance Exchange

Jury Convicts Cardiologist of Health Care Fraud

MACPAC Report Addresses Medicaid Drug Policy, DSH Third-Party Payments

MedPAC Recommends Eliminating “Incident to” Billing for APRNs and PAs

New CMS Guidance Spells out Requirements for States to Ensure Medicaid Expansion Eligibility

North Carolina Appeals Court Allows Hospital Lien Despite Failure to Bill Patient’s Insurance

Pain Clinic Owner Gets Six and a Half Years in Prison for $2 Million Medicare Fraud Scheme

Pfizer Announces $11.4 Billion Acquisition to Beef Up Roster of Cancer Meds

SCOTUS Refuses to Wade into Contraceptive Mandate Dispute

Senate Measure Relies on Median In-Network Rates for Surprise Medical Bills

Third Circuit Nixes Whistleblower Action Against PBM

U.S. Court in California Enters $560 Million Default Judgment Against Hospital Operator

U.S. Court in California Finds Alleged Noncompliance with LCDs Not Material to Government's Payment Decision

U.S. Court in Massachusetts Allows Whistleblower Action Alleging Teaching Hospital’s Concurrent Surgeries Violated Medicare Billing Rules
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Health Law Weekly Issue - June 21, 2019