Congress has two weeks to finish up a partial spending deal.

New Hampshire Governor-elect Maggie Hassan said that while the state can no longer establish its own health care exchange, she has an interest in examining the possibility of a statefederal partnership.

Health care providers have known for some time that the government intended to adopt a predictive modeling data analysis system to supplement its Medicare fraud-fighting efforts.

A recent decision by the Seventh Circuit Court of Appeals upholding a physician’s criminal sentence is yet another reminder that health care providers and physicians must carefully structure their financial relationships to avoid running afoul of the Anti-Kickback Statute.

On March 31, 2011, a little over a year after the Patient Protection and Affordable Care Act (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the ACA), became law, the Centers for Medicare & Medicaid Services (CMS) released proposed regulations (the Proposed Rule) addressing the operation and structure of Accountable Care Organizations (ACOs) and creating the Medicare Shared Savings Program (the Program).1 The arrangements that may be necessary or d

The Centers for Medicare & Medicaid Services (CMS) has released proposed regulations establishing Accountable Care Organizations (ACOs) and creating the Medicare Shared Savings Program (the Program).

On March 31, 2011, a little over a year after the Patient Protection and Affordable Care Act (PPACA) became law, the Centers for Medicare & Medicaid Services (CMS) released proposed regulations on the operation and structure of Accountable Care Organizations (ACOs).

On March 31, 2011, the Centers for Medicare & Medicaid Services (CMS) and the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) issued the long-awaited joint notice proposing regulatory waivers to encourage arrangements involving accountable care organizations (ACOs) formed in connection with the Medicare Shared Savings Program authorized by the Patient Protection and Affordable Care Act (ACA).

On April 1, 2011, the U.S. Department of Labor issued a sixth set of Frequently Asked Questions (FAQs) implementing certain features of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act (together, the Act).

On March 31, 2011, the Centers for Medicare & Medicaid Services (CMS) and the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) issued the long-awaited joint notice proposing regulatory waivers to encourage arrangements involving accountable care organizations (ACOs) formed in connection with the Medicare Shared Savings Program authorized by the Patient Protection and Affordable Care Act (ACA).

FTC/DOJ Issue Proposed Statement of Antitrust Enforcement Regarding Accountable Care Organizations

Health care providers will soon be subject to even more scrutiny from State Attorneys General and State Medicaid Fraud Control Units (MFCUs), as demonstrated by two recent announcements made by the Department of Health and Human Services (HHS).

Federal and state agencies will gain more power to fight health care fraud, waste, and abuse under program integrity regulations recently finalized by the Centers for Medicare & Medicaid Services (CMS).

In September 2009, the Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH) established both the 510(k) Working Group and the Task Force on the Utilization of Science in Regulatory Decision Making to address a myriad of concerns over whether the operation of the 510(k) program was in fact predictable for medical device manufacturers, facilitated medical device innovation, and protected public health and safety.

In its 2011 annual Physician Fee Schedule update ("2011 PFS"), posted November 2, 2010 on its website, the Centers for Medicare & Medicaid Services (CMS) finalized disclosure requirements for the in-office ancillary services exception to the prohibition on physician self-referral mandated by the Affordable Care Act (ACA).