Health Care Legislative and Regulatory Update

Trading in Medicare SGR for MIPS: House, Senate committees agree on compromise bill

February 25, 2014
On Feb. 6, the House Ways and Means, the Energy and Commerce, and the Senate Finance committees released the bipartisan, bicameral SGR Repeal and…
Health Care Legislative and Regulatory Update

Ophthalmology singled out in 2014 OIG work plan

February 19, 2014
On Jan. 31, the Office of the Inspector General published its Work Plan for Fiscal Year 2014. Each year the OIG publishes the plan, which advises the…
Health Care Legislative and Regulatory Update

CMS proposal would limit availability of Medicare D antidepressants, immunosuppressants

January 13, 2014
Physicians may soon face more limited choices of antidepressants and immunosuppressants for their Medicare patients. In a recent proposed rule…
Health Care Legislative and Regulatory Update

Successful Medicare physicians: Beware of targeted reviews

January 2, 2014
A report issued by the HHS Office of the Inspector General in December 2013 should put successful physicians with large Medicare practices on notice…
Health Care Legislative and Regulatory Update

Physicians fight back as insurers try to terminate contracts

December 17, 2013
Over the past several months physicians nationwide have been receiving notices from insurers, terminating their participation as panel members…
Health Care Legislative and Regulatory Update

New bill mandates national requirements for drug compounding, distribution

November 21, 2013
On Nov. 18, after more than 1 year of debate sparked by a deadly 2012 meningitis outbreak tied to compounded injectable steroids, the Senate passed…
Health Care Legislative and Regulatory Update

Beware of government’s authority to suspend Medicare payments

November 13, 2013
Early in 2011 CMS published regulations that went virtually unnoticed by the provider community, but could have a profound impact on any provider…
Health Care Legislative and Regulatory Update

BLOG: California governor vetoes ‘biosimilars’ legislation

October 16, 2013
On October 12, California Gov. Jerry Brown vetoed California Senate Bill 598, which had passed the State Assembly and State Senate with strong…
Health Care Legislative and Regulatory Update

Congress should get serious about reforming False Claims Act

October 2, 2013
In the 7 years since its creation, the Medicare Fraud Strike Force (MFSF) has indicted more than 1,500 individuals for Medicare fraud. Based on…
Health Care Legislative and Regulatory Update

What you don’t know can hurt you

September 5, 2013
In a recent decision (Township Pharmacy v. Division of Medical Assistance and Health Services), a New Jersey appellate court upheld the denial of a…