Healthcare Law Blog
DECEMBER 27, 2022
The Centers for Medicare and Medicaid Services (“CMS”) has issued a proposed rule which would amend the existing regulations for reporting and returning identified overpayments (the “Proposed Rule”). UnitedHealthcare challenged the current Overpayment Rule in litigation. [1] UnitedHealthcare Litigation. The Proposed Rule.
Fierce Healthcare
SEPTEMBER 30, 2021
Centene to pay more than $71M to settle Medicaid overpayment cases in Illinois, Arkansas. Thu, 09/30/2021 - 16:43.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Health Care Law Brief
JUNE 26, 2022
With this denial, the Overpayment Rule remains in full force and effect, and UnitedHealthcare, among other MA plans, must comply or potentially face False Claims Act (FCA) liability. The Overpayment Rule. The Overpayment Rule, set forth at 42 U.S.C. 29844, 29921 (May 23, 2014). See UnitedHealthcare Insurance Co. 3d 173 (Sep.
Health Populi
JUNE 5, 2022
” Two of the researchers behind the paper previously wrote a letter in JAMA published in October 2021 (with several additional colleagues) comparing spending on generic drugs by Medicare Part D compared to Costco members, The USC Schaeffer white paper speaks to those findings. is that 9 in 10 medicines prescribed are generics.
HIT Consultant
JUNE 15, 2023
Across the healthcare industry, outdated technology, inadequate infrastructure and intractable data silos make it difficult to prevent these misapplied discounts, resulting in drug manufacturer overpayment. “We urge all stakeholders in drug discount programs to work together on building cooperation and trust.
Health Law Advisor
AUGUST 25, 2023
These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. The regulations were finalized in December 2022, with an effective date of March 28, 2023, and an enforcement moratorium that has just ended.
Health Care Law Brief
APRIL 3, 2023
13, 2021, reissued Nov. 1, 2021), cert. In the Advance Notice, CMS predicted that the changes to the risk scores and HCC updates will help prevent overpayments by improving the accuracy of payments made to MAOs. We note that the MA Risk Score is also subject to the Phase In. See UnitedHealthcare Ins. Becerra , 16 F.4th
Expert insights. Personalized for you.
98 
Let's personalize your content