August 18th, 2022
Maria Nutile was recently selected by her peers for inclusion in the 2023 edition of The Best Lawyers in America® for her work in Health Care Law.
The Joint Commission to add health equity standards to accreditations
August 12, 2022
KARA HARTNETT
The Joint Commission has established new accreditation standards to accelerate equity efforts within healthcare organizations.
As of Jan. 1, accreditation programs for primary care clinics, behavioral health centers, critical access facilities and hospitals will include new mandates for their leaders.
Centene sued over Ambetter networks, benefits
August 08, 2022
NONA TEPPER
A new lawsuit alleges Centene took advantage of enrollee churn between Medicaid and health insurance exchange policies to defraud the federal government and dupe consumers.
What’s at stake in the UnitedHealth-Change Healthcare antitrust trial
August 01, 2022
NONA TEPPER
The Justice Department lawsuit seeking to block UnitedHealth Group’s $13 billion acquisition of data broker Change Healthcare begins in federal court Monday.
CMS proposes major changes to Shared Savings Program
July 07, 2022
MAYA GOLDMAN
The Medicare Shared Savings Program could see big changes soon if the Centers for Medicare and Medicaid Services enacts a set of policies unveiled Thursday.
Government watchdogs attack Medicare Advantage for denying care and overcharging
June 29, 2022
Fred Schulte, Kaiser Health News
Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday.
DaVita loses employer health plan case at Supreme Court
June 21, 2022
MAYA GOLDMAN
An employer health plan didn’t violate federal law by limiting outpatient dialysis benefits for policyholders, the Supreme Court ruled Tuesday.
Hospitals win 340B lawsuit at Supreme Court
June 15, 2022
MAYA GOLDMAN
The Health and Human Services Department does not have the discretion to change 340B reimbursement rates without gathering data on what hospitals pay for outpatient drugs, the Supreme Court ruled Wednesday.
FTC takes aim at PBM business practices in new inquiry
June 07, 2022
MAYA GOLDMAN
The Federal Trade Commission will intensify its scrutiny of pharmacy benefit manager business practices, the agency announced Tuesday.
2 million affected in Shields Health Care Group cyberattack
June 07, 2022
MAX ABRAMS
Two million people who sought care at more than 50 Shields Health Care Group partners across the New England region may have had their personal data exposed after the company’s network server was breached in March.