The $906 million wound care fraud the federal government caught
Commercial plans were explicitly in scope This is not a Medicare-only problem. The Apex Medical case – in which Alexandra…
Tag: Federal
Federal Agencies Finalize Overhaul of No Surprises Act Dispute Resolution Process | ArentFox Schiff
The US Departments of Treasury, Labor, and Health and Human Services have issued a sweeping final rule (CMS-9897-F) implementing significant…
Health Care Week in Review | Tri-Agencies Release Federal Independent Dispute Resolution (IDR) Operations Final Rule; CMS Updates Increasing Organ Transplant Access Model | Alston & Bird
Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health…
NCUA places federal credit union into conservatorship | Orrick, Herrington & Sutcliffe LLP
On May 6, the NCUA placed a federally chartered credit union in Jackson, Mississippi, into conservatorship, citing “unsafe and unsound…
Federal Scrutiny of State Medicaid Programs and Medicaid Providers Intensifies | Polsinelli
Key Takeaways CMS and congressional leaders are increasing oversight of state Medicaid programs through off-cycle revalidation demands, fraud investigations and…
Rising Scrutiny of Employer Health Plan Administration: ERISA Fiduciary Litigation, Federal Transparency Initiatives, State Enforcement, and Compliance Considerations | Jones Day
As federal and state governments continue to prioritize drug pricing reform, employers across the nation face a rapidly evolving landscape…
Ohio Federal Court Says Human Trafficking Claims Can Be Covered “Occurrences” Under CGL Policy | Carlton Fields
Hotels across the country in the past decade have experienced a wave of litigation under the Trafficking Victims Protection Reauthorization…
Federal Court Orders Broad Discovery Against UHC in AI Coverage Denial Lawsuit | ArentFox Schiff
In a recent ruling out of the District of Minnesota, a federal magistrate judge directed UnitedHealthcare (UHC) to turn over…
Federal Legislative Update: Momentum Builds Around Medicare Site-Neutral Payment Policies | Nelson Mullins Riley & Scarborough LLP
Washington policymakers are increasingly aligned around expanding Medicare “site-neutral” payment policies in 2026, a shift that would pay hospital outpatient…
Federal insurer faces suit over alleged refusal to pay appraisal
The appraisal provision, set out in a policy endorsement, applies when the parties cannot agree on the amount of loss…