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Medicare

Sep 19, 2019

Nancy Pelosi unveils an ambitious plan to lower drug prices

Putting her stamp on the health care issue that worries consumers the most, House Speaker Nancy Pelosi this week unveiled an ambitious plan to lower drug prices for seniors on Medicare and younger people with private insurance. Pelosi, D-Calif., would empower Medicare to negotiate prices for the 250 costliest drugs, including insulin. Pharmaceutical companies that […]

Aug 29, 2019

Administrative: Medicare-Denial of Application-Legal Standard

Where a medical center sought judicial review of the denial of its application to participate in the Medicare program, the departmental appeals board of the U.S. Department of Health and Human Services failed to adequately explain the legal standard that it applied in resolving the center’s administrative appeal, so the decision is reversed and remanded […]

Jul 11, 2019

White House yanks drug ‘rebate’ plan to ease costs for some

President Donald Trump is withdrawing a plan to ease the financial bite of costly medications for people on Medicare by letting them receive rebates that drugmakers now pay to insurers and middlemen, the White House said Thursday. The once-highly promoted plan from Health and Human Services Secretary Alex Azar ran into opposition within the White […]

Jul 11, 2019

White House yanks drug ‘rebate’ plan to ease costs for some

President Donald Trump is withdrawing a plan to ease the financial bite of costly medications for people on Medicare by letting them receive rebates that drugmakers now pay to insurers and middlemen, the White House said Thursday. The once-highly promoted plan from Health and Human Services Secretary Alex Azar ran into opposition within the White […]

Jul 8, 2019

Congress has ambitious agenda tackling health care costs

Lawmakers are trying to set aside their irreconcilable differences over the Obama-era Affordable Care Act and work to reach bipartisan agreement on a more immediate health care issue, lowering costs for people who already have coverage. Returning from their Fourth of July recess, the Senate and House are pushing to end surprise medical bills, curb […]

Jul 8, 2019

Congress has ambitious agenda tackling health care costs

Lawmakers are trying to set aside their irreconcilable differences over the Obama-era Affordable Care Act and work to reach bipartisan agreement on a more immediate health care issue, lowering costs for people who already have coverage. Returning from their Fourth of July recess, the Senate and House are pushing to end surprise medical bills, curb […]

Jun 15, 2018

ERISA : Medicare –  Preemption –  Arkansas Law

Pharmaceutical Care Management Association v. Rutledge (MLW No. 71737/Case No. 17-1609 – 9 pages) (U.S. Court of Appeals, 8th Circuit, Beam, J.)

Mar 10, 2016

Constitutional Law : Taking – Medicare – Reimbursement Cap

Southeast Arkansas Hospices, Inc. v. Burwell (MLW No. 68887/Case No. 15-1946 – 3 pages) (U.S. Court of Appeals, 8th Circuit, Benton, J.)

Apr 10, 2014

Medicare millionaires emerge in data on physician payments

Medicare paid almost 4,000 doctors and medical providers more than $1 million apiece in 2012, including seven who received more than $10 million.

Jan 22, 2014

Federal government to shed light on doctor reimbursement data

A notice published Tuesday in the Federal Register said that the Centers for Medicaid and Medicare will begin to respond to Freedom of Information Act requests for physician payment data.

Sep 12, 2013

Tort : False Claims Act – Medicare – Public Disclosure

Ketroser v. Mayo Foundation (MLW No. 65503/Case No. 12-3206 – 11 pages) (U.S. Court of Appeals, 8th Circuit, Loken, J.)

Apr 19, 2011

KC hospital sues to keep Medicare certification

An embattled psychiatric hospital in Kansas City has filed a lawsuit to prevent the federal government from shutting it down.

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