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September 13, 2021 | New York Law Journal

Aetna Accused of Denying Coverage of Fertility Treatments for LGBTQ+ Policyholders

"At worst, these exorbitant [fertility treatment] costs are prohibitive and entirely prevent people who are unable to shoulder them—disproportionately LGBTQ people of color—from becoming pregnant and starting a family," the complaint says.
4 minute read
November 04, 2020 | New Jersey Law Journal

DOJ and HHS-OIG's 2020 Health Care Fraud Takedown: Focus on 'Telefraud'

This year alone, many providers and patients transitioned to using telehealth platforms out of necessity. as with all areas of health care, expansion means increased risk for enforcement.
9 minute read
August 31, 2020 | The Legal Intelligencer

D.C. Court of Appeals Sides With HHS on Hospital Site-Neutral Payments

On July 17, the U.S. Court of Appeals for the District of Columbia reversed a lower court's decision and held that the Department of Health and Human Services (HHS) has the authority to cut Medicare payments to hospital off-campus facilities to bring them in line with independent physician practices and other outpatient payments.
6 minute read
April 17, 2020 | New York Law Journal

When COVID Comes, Fraud Will Follow

The federal government has begun unleashing $2 trillion in economic stimulus in response to COVID-19. We can all hope that this money will be used to help bring this monumental crisis to a close. But history tell us that when the government coffers open, fraud, waste, and abuse quickly follow.
9 minute read
April 10, 2020 | Corporate Counsel

Leading Through the COVID-19 Pandemic: A Q&A With CVS Health General Counsel Thomas Moriarty

Thomas Moriarty, the Woonsocket, Rhode Island, company's top lawyer, is guiding CVS through the thicket of complex legal and regulatory issues the company now faces from the coronavirus pandemic. A recent proxy statement shows he earned more than $23 million last year.
9 minute read
Law Journal Press | Digital Book Health Care Fraud: Enforcement and Compliance Authors: James F. Barger, Jr., J. Elliott Walthall, Elise May Frohsin, Benjamin P. Bucy View this Book

View more book results for the query "US Department of Health and Human Services"

January 13, 2020 | National Law Journal

The DC Circuit Sounds Ready to Block a Trump Administration Drug Pricing Rule

Two of the judges said they don't believe the administration has the authority to enact a rule requiring drug manufacturers to include prescription drug prices in TV ads.
3 minute read
December 10, 2019 | National Law Journal

'What Kind of a Statute Is That?' DOJ Faces Skeptical Supreme Court in $12B Obamacare Dispute

"Why doesn't the government have to pay its contracts like everyone else?" Justice Stephen Breyer asked at one point during Tuesday's arguments.
4 minute read
September 25, 2018 | New York Law Journal

NY Financial Regulator May Redistribute Federal Health Subsidy, US Judge Rules

The decision means the insurance company will likely have to pay $65 million to the state in the coming weeks unless the Second Circuit decides differently.
5 minute read
July 20, 2018 | The Legal Intelligencer

The Internet of Things: Are Government Regulation Efforts Too Little, Too Late?

The Internet of Things consists of physical items that collect information through sensors or chips and then share that information with other devices through the Internet or other networks.
1 minute read
June 22, 2018 | New York Law Journal

Regulator Issues Warnings to Insurers on HIV Prep Medications, Short-Term Health Plans

The NY Department of Financial Services has issued a circular letter warning insurers against discriminating against New Yorkers who use HIV prevention medications. It also issued a letter reminding health insurers that selling short-term, limited duration policies remains illegal in the state, despite a proposed federal rule by the Trump administration.
3 minute read

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