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Supreme Court Clarifies that Subjective (Not Objective) Knowledge of Falsity of Claim Dictates False Claims Act Liability

Healthcare Law Blog

Background The FCA is a qui tam statute that imposes liability upon any person who, inter alia , knowingly submits a false claim to the government. The Court’s ruling was narrow and avoided the more challenging—and common—issues raised during oral argument (which we previously discussed here ). See 31 U.S.C.

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Health Provider News – July 22, 2022

Hall Render

CMS releases Medicare OPPS and ASC proposed rule. Long Beach Memorial avoids losing Medicare funding after serious patient care lapses. Delaware Adds Centene Plan to Medicaid Managed Care Offerings. Key advocates reflect on Hawaii postpartum Medicaid coverage extension. CMS pitches outpatient payment rule. CMS proposes 2.7%

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Hall Render’s Health Provider News – February 25, 2022

Hall Render

The 55 hospitals penalized by Medicare 8 years straight over patient complications. CMS overhauls Direct Contracting model to include new requirements on governance, health equity in 2023. Why some Medicaid providers in Colorado aren’t getting paid. Medicare penalizes 40 hospitals in Florida for patient safety.

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Health Provider News

Hall Render

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

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More Federal Action in the Pharmaceutical Sector as PBM Bill Advances in the Senate

Health Law Advisor

1339) reflects the overarching legislative push by members from both sides of the aisle and chambers of Congress to address drug pricing issues through federal fixes to the PBM framework. Unlike the IRA, which targeted the Medicare program, the provisions of S. 1339, adding several new amendments to create the version of S.

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Health Provider News

Hall Render

Greenwich Hospital Ribbon Cutting Celebrates Opening of New Pediatric Ambulatory Surgery Center Hartford HealthCare names Joanne Berger-Sweeney new board chair What changes did CT make to its Medicaid program in 2023? too much.

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The Gap Between the Trump Administration’s Promise of Reducing Rx Costs for Consumers and What People Really Want

Health Populi

This is what happened to pharma stock prices on Friday after President Trump and Secretary of Health and Human Services Alex Azar outlined their new policies focusing on prescription drug prices. Seniors and government programs over-paying for drugs. The graph is the Nasdaq U.S.