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September 25, 2020

Health Law Weekly

Featured Articles

Board Oversight of the Organized Medical Staff: Greater Rigor Is Needed

COVID-19 Updates and Developments (Week of September 21)

The Lighter Side of Health Law—September 2020

Current Topics

Antitrust

Former Florida Cancer Center President Indicted for Antitrust Conspiracy

House Approves Measure Scrapping Antitrust Exemption for Health Insurers

Fraud and Compliance

Doctor, Former Insys Sales Rep Charged in Kickback Scheme

Gilead Reaches $97 Million Settlement of FCA Allegations Involving Patient Assistance Fund

Neurosurgery Practice to Pay over $1 Million to Resolve Alleged False Claims Act Violations

OIG Rejects Drug Company’s Proposed Cost-Assistance Program for Pricey Drug

Physician Agrees to $1.2 Million Settlement of Fraudulent Billing Allegations

Government Reimbursement

2021 Medicare Advantage Premiums Drop to 14-Year Low, CMS Announces

CMS Announces $165 Million for Medicaid Community Care Demos

CMS Should Improve Monitoring of ACO Quality Data Reporting, OIG Finds

CMS to Expand Non-Emergent Ambulance Transport Payment Model Nationwide

HRSA Expands Reimbursable Expenses for Living Organ Donation

New York Medicaid Audit Flags More Than $700 Million in Questionable Payments

Health Information

Business Associate Breach Leads to $2.3 Million HIPAA Settlement

Georgia Orthopedic Clinic Will Pay $1.5 Million to Settle Alleged HIPAA Violations

ONC Awards $2.7 Million for Data Sharing to Support Clinical Care, Research

Health Policy and Administration

President Trump Issues Health Care Executive Order Addressing Pre-Existing Conditions, Surprise Billing

Life Sciences

FDA Issues Final Rule on Importing Drugs from Canada

HRSA Proposes Rule Aimed at Expanding Access to Insulin, Epinephrine

Medical Staff, Credentialing, and Peer Review

Third Circuit Boots Physician’s Antitrust, Race Discrimination Claims After Denial of Privileges

Patient Care Liability and Litigation

Michigan Appeals Court Dismisses Medical Malpractice Claim Against Pharmacy

Current Issue

Health Law Weekly Issue - September 25, 2020