On June 17, CMS and the Office of the National Coordinator for Health Information Technology (ONC) issued a final rule implementing new standards for e-prescribing under Medicare Part D. ...more
7/2/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Electronic Prescribing ,
Final Rules ,
Health Insurance ,
Healthcare ,
Life Sciences ,
Medicare Part D ,
ONC ,
Patient Access ,
Pharmaceutical Industry ,
Prescription Drugs
Editor’s Note: In a new white paper, summarized below, Manatt Health discusses emerging reimbursement models for cell and gene therapies. The paper provides an overview of current Medicaid, Medicare and commercial coverage,...more
7/26/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
DNA ,
Food and Drug Administration (FDA) ,
Genetic Materials ,
Health Insurance ,
Healthcare ,
Life Sciences ,
Medicaid ,
Medicare ,
Pharmaceutical Industry ,
Value-Based Payments
Over the past five years, cell and gene therapies have increasingly moved from the R&D pipeline to the health care setting, putting lifesaving treatments for certain cancers and genetic diseases within patients’ reach. Over...more
7/20/2023
/ Clinical Trials ,
Food and Drug Administration (FDA) ,
Health Insurance ,
Healthcare ,
Human Genes ,
Life Sciences ,
Medicaid ,
Medical Devices ,
Medical Reimbursement ,
Medical Research ,
Medicare ,
Pharmaceutical Industry
Medicare Advantage (MA) plans now cover about half of Medicare beneficiaries, and with that enrollment growth has come increased scrutiny from federal and state regulators. As federal regulators complete a busy season of...more
3/28/2023
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Continuing Legal Education ,
Enforcement ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Medical Necessity ,
Medicare ,
Medicare Advantage ,
Medicare Advantage Organizations (MAOs) ,
Medicare Beneficiaries ,
New Rules ,
Risk Adjustment Formula ,
Webinars
After a six-month delay due to the COVID-19 pandemic, the first provisions of the interoperability rule issued by the Centers for Medicare & Medicaid Services (CMS) took effect on July 1. The new requirements are the first of...more
7/19/2021
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Data Management ,
Data Protection ,
Data-Sharing ,
Health Care Providers ,
Health Insurance ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Healthcare Reform ,
Medicare Advantage Organizations (MAOs) ,
Price Transparency ,
Qualified Health Plans ,
Regulatory Requirements
What New Obligations Do Health Plans and States Face Under the Latest Interoperability Requirements—and What’s the Best Path to Compliance? Learn the Answer at a New Manatt Webinar.
Historically, privacy rules have focused...more
3/1/2021
/ Best Practices ,
Centers for Medicare & Medicaid Services (CMS) ,
Continuing Legal Education ,
Data Privacy ,
Data-Sharing ,
Health Care Providers ,
Health Insurance ,
Health Plan Sponsors ,
Medicaid ,
New Rules ,
Physicians ,
Prior Authorization ,
State Health Plans ,
Webinars
Latest Healthcare False Claims Act Roundup and Top 3 Best Practices to Reduce Exposure -
As the legal landscape in healthcare becomes increasingly complex, healthcare companies that receive federal program funds face...more
9/25/2015
/ Affordable Care Act ,
Amarin ,
Anti-Bribery ,
Anti-Competitive ,
Anti-Corruption ,
Audit Policies ,
Bribery ,
Centers for Medicare & Medicaid Services (CMS) ,
Class Action ,
Clinical Laboratories ,
Clinical Trials ,
Compensation Standards ,
Compliance ,
Corporate Integrity Agreement ,
Cost-Sharing ,
Damages ,
Department of Justice (DOJ) ,
Dodd-Frank ,
False Claims Act (FCA) ,
FERA ,
Food and Drug Administration (FDA) ,
Foreign Corrupt Practices Act (FCPA) ,
Fraud Abuse and Waste ,
Government Investigations ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
HEAT ,
Hiring & Firing ,
Hospitals ,
KBR v ex rel Carter ,
Kickbacks ,
Medicaid ,
Medicaid Expansion ,
Medicaid Reimbursements ,
Medicare ,
Medicare Advantage ,
Non-Compete Agreements ,
Nurses ,
Off-Label Promotion ,
OMIG ,
Penalties ,
Physician Compensation Arrangements ,
Public Health Insurance Marketplace ,
Qui Tam ,
Recordkeeping Requirements ,
Recruitment Policies ,
Relators ,
Required Documentation ,
SCOTUS ,
Self-Reporting ,
Tuomey ,
Value-Based Purchasing ,
Wage and Hour ,
Whistleblowers