Health Care / Medicine
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Courts, Health Care / Medicine
The Kraft Heinz Lawsuit Against Aetna Is The ‘Tip Of The Iceberg’
Kraft Heinz recently sued Aetna, claiming that the insurer is not providing all of Kraft Heinz's medical claims data. More lawsuits of this sort are likely to come, experts warned. -
Health Care / Medicine
‘This Is Almost Biblical In Its Impact’: Providers Push Back Against CMS’ New Proposed Rules
CMS recently revealed its proposals to raise reimbursement rates for hospital outpatient departments and cut payments for physicians. Next year, the agency is planning to decrease physicians’ pay by 1.25% and increase outpatient payment rates by 2.8%. Provider groups are unhappy with the news. - Sponsored
Survey Results: A Perspective On The Private Markets
Ontra surveyed over 400 private markets professionals about what to expect this year and their legal process pain points. -
Government, Health Care / Medicine
Nearly 2,000 Organizations Urge Congress To Pass PBM Reform
A coalition of nearly 2,000 employers, patient advocates, pharmacies, providers and businesses sent a letter to Congress urging the passage of legislation that would reform PBM practices.
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Health Care / Medicine
Europe Imposes Maximum Fine On Illumina For Early Grail Acquisition
Illumina must pay a €432 million fine for closing its Grail acquisition before the European Commission finished its inquiry into the tie-up. The penalty is the maximum amount the regulator can impose on a company for breaching European merger rules. -
Health Care / Medicine
Health Connect America Gets Fined $4.6M For Wrongful Billing of Medicaid
Health Connect America, a mental health company, improperly billed Virginia Medicaid for three different behavioral health services for children, according to the U.S. Attorney’s Office of Western District of Virginia. -
Health Care / Medicine
Hospitals Have Concerns About CMS’ Proposed $9B Lump Sum Payment For Illegal 340B Cuts
In general, hospital groups have reacted positively to the fact that 340B providers will receive lump sum payments but have expressed concern about CMS’ methods for maintaining budget neutrality with this plan. -
Finance, Health Care / Medicine
Digital Health’s H1 Funding Landscape: Slimmer Checks, Fewer Deals & A Smaller Investor Pool
If things continue at the pace the sector has maintained throughout the first half of the year, 2023 will mark the field's lowest yearly fundraising total since 2019, according to a new report. -
Government, Health Care / Medicine
Biden Administration Takes Action Against Junk Insurance, Surprise Bills
The Biden Administration is proposing that short-term health plans are limited to three months, or a maximum of four months if they’re extended. It comes after the Trump Administration allowed members to stay on the plans for 12 months and renew them for three years. The plans are often limited in coverage and leave consumers with high medical costs. - Sponsored
Clio Users: New Ways To Add Value To Your Practice!
Want to quickly and easily identify the products that work well with Clio? Read on. -
Health Care / Medicine
Have Insurtechs Truly Disrupted The Mainstream Health Insurance Industry?
Insurtechs like Bright Health Group, Clover Health and Oscar Health set out to disrupt health insurance — but have they actually done so? Not in a positive way, several experts say. -
Health Care / Medicine
Medical Expenses Will Rise By 7% Next Year, Report Predicts
The estimate is higher than the projected medical cost trends in 2022 and 2023 -- which were 5.5% and 6.0%, respectively. -
Health Care / Medicine, Technology
Providers Should Beware Of Ransomware Gang Clop & The Latest Software Vulnerability It’s Targeting
Clop, a Russian ransomware gang known for going after healthcare providers, has been recently exploiting a software vulnerability called MOVEit. Johns Hopkins University and its health system were recently victims of a data breach caused by hackers targeting this vulnerability, as was Texas-based Harris Health System. -
Health Care / Medicine
How Can Providers Respond To The Wave Of Laws Banning Gender-Affirming Care For Minors?
Providers must educate themselves about the laws in their state and nearby states, fight misinformation, and collaborate with nonprofits to deliver care to kids in states where their access is under attack. -
Courts, Health Care / Medicine
Lawsuits Against Medicare Drug Negotiations Are Mounting, But They Probably Won’t Be Able To Stop The Plan
However, these lawsuits still could delay when the government's ability to negotiate price goes into effect.
Sponsored
Sponsored
LawPay Pro Offers Upgraded Time And Billing Essentials
AffiniPay’s latest product for the legal community, introduced earlier this year, presents a simple web-based solution for attorneys seeking seamless firm cash flow.
Sponsored
Survey Results: A Perspective On The Private Markets
Ontra surveyed over 400 private markets professionals about what to expect this year and their legal process pain points.
Sponsored
Documenting Secured Transactions: A New Guide For Practitioners
A newly updated PLI treatise provides both the legal framework and practical guidance on documenting secured transactions, including important details about 2022 amendments to the UCC.
Sponsored
Sponsored
Clio Users: New Ways To Add Value To Your Practice!
Want to quickly and easily identify the products that work well with Clio? Read on.
Sponsored
The Digital Transformation Imperative
Private funds’ in-house and external legal teams are stretched thin by growing legal demands. Firms need digital transformation to thrive.
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Government, Health Care / Medicine
New York Signs Law To Protect State Providers Providing Abortion Drug Telemed Services To Out-Of-State Patients
New York Governor Kathy Hochul signed new legislation that will protect the state's doctors, medical providers, and facilitators who prescribe abortion care telehealth services to patients outside of New York from litigation in states where abortion services are banned or restricted. -
Finance, Health Care / Medicine
PwC: Healthcare Deals Remained Strong In 2023 Despite Headwinds
In the 12 months leading up to May 15, health services deal volumes decreased just 4% from the year prior, a new report from PwC found. There was a 15% decrease in deal values. -
Health Care / Medicine
Deloitte: Employers Could Have A Significant Impact On Employees’ Lifespans
A new Deloitte report shows that if changes are made, Americans’ average lifespan could reach 90 years by 2040, with 85 of those years being in good health. -
Health Care / Medicine
How Planned Parenthood’s CEO Wants Insurers To Support Reproductive Health
Health insurers can support the fight for reproductive health rights by improving their benefits and using their power to enact change with lawmakers, said Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America and the Planned Parenthood Action Fund. She made these comments at the AHIP 2023 conference in Portland. -
Government, Health Care / Medicine
How California’s New Legislation Could Affect Healthcare M&A Activity
This is a legislative trend other states are beginning to participate in too — such as New York, Massachusetts, and Connecticut. -
Courts, Health Care / Medicine
Why One Healthcare Lawyer Thinks Merck’s Drug Pricing Lawsuit Defense ‘Makes No Sense’
The company's lawsuit argues that the government’s Medicare drug price negotiation program violates the Constitution’s First and Fifth Amendments, but healthcare law expert Robin Feldman said the defense doesn't have any legs. -
Courts, Health Care / Medicine
Courts Allowed to Ban Mife Today, Viagra Tomorrow?
If a drug’s FDA approval could be overturned by any judge, anywhere, anytime, the pharmaceutical industry would be severely impacted.