Biden Administration Rescinds Trump ... - Policy & Medicine
Oct 26, 2021 · One of the final healthcare actions made by the Trump Administration has been rescinded by the Biden Administration. On December 23, 2020, the Trump Administration finalized a rule that directed the Department of Health and Human Services (HHS) to take action to require that federally qualified health centers (FQHCs) make insulin and injectable epinephrine available to certain patients at 340B ...
DEA and HHS Extend Telehealth Flexibilities for Controlled …
Jan 10, 2024 · The Drug Enforcement Administration (DEA) and the HHS announced they will extend pandemic-era telehealth prescribing flexibilities for controlled substances through 2024. The temporary extension marks the second time regulators have prolonged the relaxed prescribing rules for drugs like opioid use disorder medications or stimulants for ADHD ...
How Are Insurers Treating the $2M Drug, Zolgensma?
Oct 9, 2019 · Zolgensma is meant to be a one-time curative treatment for spinal muscular atrophy (SMA), a rare neuromuscular condition that can lead to death before the age of two. We are now starting to see how insurers will treat such an expensive therapy, priced at $2.125 million per individual. While Zolgensma isn’t the first gene therapy approved by ...
Biden Nominates Former CMS Official as CMS Administrator
On February 19, 2021, President Joe Biden nominated Chiquita Brooks-LaSure to serve as the Administrator for the Centers for Medicare and Medicaid Services (CMS). If confirmed by the Senate, Brooks-LaSure would be the first Black woman to lead the agency. In this article we look a little more into her background and experience.
DOJ Announces $345 Million Settlement with Community Health …
Jan 25, 2024 · The United States Department of Justice (DOJ) recently reached a $345 million settlement with Community Health Network, Inc., a health care network headquartered in Indianapolis, Indiana, over allegations that the company violated the False Claims Act by knowingly submitting claims to Medicare for services that were Stark Law referral violations.. The claim was initially brought in 2014 by a ...
Summary of Section 1557 of the Affordable Care Act ... - Policy
Jun 13, 2024 · The United States Department of Health and Human Services (HHS) has issued a final rule under Section 1557 of the Affordable Care Act (ACA) to strengthen nondiscrimination protections and advance civil rights in healthcare. The new rule is effective July 5, 2024 and applies to all healthcare providers who bill Medicare, Medicaid or see patients who are insured through a ACA exchange plan.
November 5, 2024 – Policy & Medicine
Thomas Sullivan Nov 5, 2024 0. On October 31, 2024, the European Commission issued a fine of €462.6 million to Teva Pharmaceuticals, citing abuse of its market….
DaVita Reaches $34 Million False Claims Act Settlement
Sep 12, 2024 · DaVita has agreed to pay more than $34 million to resolve allegations that it violated the False Claims Act by paying kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis patients, and by paying kickbacks to nephrologists and vascular access physicians to induce …
Physician Payments Sunshine Act Final Rule: Quick Reference Guide
Feb 13, 2013 · The total amount of civil money penalties will not exceed $150,000. Knowingly failing to submit payment information will result in a civil money penalty of not less than $10,000, but not more than $100,000, for each payment. The penalty will not exceed $1,000,000. Combined, penalties may not exceed $1,150,000.
CMS Issues CY 2025 Medicare Advantage and Part D Final Rule
Jun 25, 2024 · On April 4, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued the contract year 2025 Medicare Advantage and Part D final rule. In addition to finalizing its CY 2025 proposed rule, CMS also addressed several key provisions that remained from the CY 2024 proposed rule. Additionally, on April 1, 2024, CMS released the ...