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Monthly Round-Up of What to Read on Pharma Law and Policy

Bill of Health

Market dynamics of authorized generics in Medicaid from 2014 to 2020. Insulin products and patents in the USA in 2004, 2014, and 2020: a cross-sectional study. Assessment of FDA-Approved Drugs Not Recommended for Use or Reimbursement in Other Countries, 2017-2020. JAMA Intern Med. 2023 Feb 13:e226787. Epub ahead of print. 2023 Feb 23.

Medicare 144
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Healthcare & Life Sciences Private Equity Deal Tracker: Linden to Acquire Aspirion

McGuire Wood

Founded in 2006, the company specializes in motor vehicle accident, third-party liability, workers’ compensation, Veterans Administration, out-of-state Medicaid, and Medicaid eligibility and enrollment claims. Linden , based in Chicago, is a private equity firm focused exclusively on the healthcare industry.

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Supreme Court Ruling Narrows Reach of Identity Theft Law

HIPAA Journal

Prior to the Supreme Court ruling, there was no distinction between an identity thief stealing an individual’s identity and running up huge debts, a lawyer rounding up bills and only charging full hours, a waitress overcharging customers, and a doctor overbilling Medicaid. The Supreme Court decision related to the latter.

Fraud 95
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Healthcare & Life Sciences Private Equity Deal Tracker: Linden Acquires Aspiron From Aquiline

McGuire Wood

Founded in 2006, the company specializes in motor vehicle accident, third-party liability, workers’ compensation, Veterans Administration, out-of-state Medicaid, and Medicaid eligibility and enrollment claims. Linden , based in Chicago, is a private equity firm focused exclusively on the healthcare industry.

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Everything You Need To Know About NPI Numbers

Verisys

The NPI improves the Medicare and Medicaid programs, other federal and private health programs, and the overall effectiveness and efficiency of the healthcare industry by simplifying administration and enabling the efficient electronic transmission of health information. Learn More About NPIs When Did NPI Numbers Begin?

Fraud 97
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Weekly Health Care Real Estate Briefing: Health Care Bankruptcies on the Rise | United Healthcare Group’s Q4 2022 Earnings Increase

Hall Render

The Kaiser Family Foundation released a summary of all of the Medicaid Waivers (section 1115) that are pending or that have been approved by each state. Each waiver provides states with an avenue to test new approaches in Medicaid funding that differ from what is required by federal statute.

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Supreme Court Decision Bodes Well for Hospitals Appealing DSH SSI Issue

Hall Render

Before 2004, CMS only counted Medicare “covered” days. But in 2004, CMS reversed course, eliminated the word “covered” from its regulation, and shared its intent to include all Medicare patients in the Medicare Fraction—even if Part A did not cover their hospital stay.