10.23.18
Over the last month, the Department of Justice Antitrust Division (DOJ) cleared Cigna Corp.’s $67 billion acquisition of Express Scripts Holding Co. with no conditions and CVS Health Corp.’s $69 billion merger with Aetna Inc. with the divestiture of Aetna’s Part D prescription ...
On October 1, 2018, the U.S. Supreme Court denied a petition for a writ of certiorari asking the Court to weigh in on just how precisely a whistleblower must plead the submission of a false claim.
With mounting evidence demonstrating the influence of nonclinical and social factors—such as unstable housing, food insecurity and interpersonal violence—on health outcomes and healthcare costs, social determinants of health (SDOH) have edged into the mainstream.
09.25.18
Program integrity includes activities to prevent, detect and respond to fraud, waste, abuse and noncompliance with certain contractual or other regulatory requirements that result in improper payments.
It’s no coincidence that some of the most significant ransomware attacks have targeted the healthcare and financial services industries, as well as municipalities and government entities.
A recent Third Circuit decision highlights the potential pitfalls of policy-setting by associations made up of competing entities.
Register Free for “The Medicaid Buy-In Landscape: Goals, Options and Design Considerations.” Join Us October 11 from 1:00 – 2:00 p.m. ET.
Recent Ninth Circuit case law created uncertainty about the requirements for establishing an implied false certification claim following the Supreme Court’s decision in Universal Health Services, Inc. v. United States ex rel. Escobar, 136 S. Ct. 1989 (2016).
Join Manatt Health for the Next Two Webinars in Our Medicaid Managed Care Series.
The Medicare Hospital Value-Based Purchasing (VBP) Program marked one of the first major steps made by the Centers for Medicare & Medicaid Services (CMS) in transitioning from a volume-based payment system to one in which providers are paid based on quality.