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As More Specialty Medications Hit the Market, State Legislatures …

WEBState legislatures are taking steps to limit high copayment or percentage cost sharing for specialty medications that are on the market. These steps are a

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CMS Proposed Revisions to Prescription Drug Benefit Program …

WEBCMS has recently proposed revisions to the Medicare Advantage (MA) Program (Part C) and Prescription Drug Benefit Program (Part D) regulations that will

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HHS Announces $5.1 Million Settlement for HIPAA Breach …

WEBOn January 15, 2021, the Department of Health and Human Services Office for Civil Rights (“OCR”) announced that Excellus Health Plan, Inc. has agreed to pay $5.1 million and to …

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Prohibition of Wholesaling by 503B Outsourcing Facilities

WEBOn June 27, 2023, the FDA issued its long-awaited draft guidance on activities it considers wholesaling and those that it does not in the context of Section 503B’s prohibition on …

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Healthcare Attorney Healthcare Law Firm Frier Levitt

WEBHealthcare Industry Experience. Frier Levitt’s attorneys have decades of experience creating, evaluating, and negotiating arrangements that comply with the …

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Healthcare Orgs. & Entities: What You Need to Know About …

WEBTo qualify for Nonprofit status, the corporation must be formed to benefit (i) the public, (ii) a specific group of individuals, or (iii) the membership of the Non-Profit …

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Management Services Organizations (MSOs)

WEBAn MSO is a company that provides non-clinical services to medical practices, ambulatory care facilities or other healthcare providers. Services provided by an MSO may include …

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New Jersey Updates Employer Poster Display Requirements for …

WEBThe New Jersey Division on Civil Rights (DCR) amended its regulations governing the display of certain employment-related posters in the workplace relating to …

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Healthcare Litigation Attorneys Frier Levitt

WEBHealthcare Litigation. Frier Levitt represents healthcare professionals in prosecuting and defending a wide range of litigation and arbitration matters on both an …

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"Refreshing"

WEBThe closely-watched Kaiser Permanente consolidated False Claims Act (“FCA”) action, involving allegations of substantial Medicare Advantage risk The closely …

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SaveOnSP Program and Other Co-pay Maximizers Costing …

WEBSaveOnSP over-inflated patients’ co-pay amounts to the maximum (in JNJ’s complaint, JNJ referenced a statement provided by a SaveOnSP representative, “if the …

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Qui Tam Case Against Physicians and Hospital Advances on What …

WEBA U.S. District Judge found that two agreements between a set of doctors and a University of Pittsburgh Medical Center-owned hospital ran afoul of the Stark Law …

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Physician Integration Models: CINs. MSOs. & Integrated Group …

WEBArguably the gold standard for physician integration, IGPs are entities (usually LLCs) consisting of multiple physicians (either single or multi-specialty) that …

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Why OON Providers Need a Limited Power of Attorney from Patients

WEBMany OON providers utilize assignment of benefit forms so that a provider can be paid by an insurance company directly or the provider can dispute nonpayment …

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FTC Expands PBM Investigation to PBM-Owned Rebate …

WEBOn May 17 th, the FTC issued additional compulsory orders to Zinc Health Service, LLC (“ Zinc ”) and Ascent Health Services, LLC (“ Ascent ”) as part of its probe …

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Pharmacy Injunction

WEBMain Navigation. Menu. Home; About. About Us; Our Attorneys; Our Staff; What we do. Healthcare. Administrative and Insurance Defense Law

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HHS Proposes Changes Impacting the HIPAA Privacy Rule

WEBOn April 17, 2023, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) published its proposed rules to modify the Health

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What Johnson & Johnson's Lawsuit Against SaveOnSP Means for …

WEBOn January 25, 2023, the Court in Johnson & Johnson v. SaveOnSP dismissed SaveOnSP’s motion to dismiss, allowing Johnson & Johnson’s (“JNJ”) claims to …

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HHS Proposes Significant Modifications to the HIPAA Privacy Rule

WEBOn January 21, 2021, the U.S. Department of Health and Human Services (“HHS”) published proposed rules that would significantly modify existing On January 21, …

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Michigan Imposing Tighter Regulatory Controls on Compounding …

WEBOn April 24, 2014, the Michigan Senate Health Policy Committee held its first hearing on Senate Bills 704 and 904, a pair of proposed legislation which

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Telehealth Alert: Takeaways from DOJ, FTC Investigations into …

WEBOn May 4, 2022, the United States Department of Justice (“DOJ”) probed an investigation into Cerebral due to potential violations of the Controlled Substances Act …

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