The National Cancer Institute (NCI), a part of the National Institutes of Health (NIH), selected four academic institutions to award $23 million to establish centers of excellence to research delivery of cancer-related care through telehealth. The... Read More
Articles | Community Oncology Practices & Other Dispensing Physician Practices | Dispensing Physician Practices and Dispensing Physicians | Medical Practice Representation | Physician Dispensing | Physician Dispensing | Telehealth and Telemedicine | Telehealth and Telemedicine | Value Based Care | Value Based Care

As independent pharmacies across the country look for ways to diversify and grow the scope of products available to their patients, many consider expanding into the durable medical equipment (DME) space, such as wheelchairs, walkers, crutches, and... Read More
Articles | Community, Retail Pharmacies | Life Sciences | Long-Term Care Pharmacies | Pharmacy Law | Physician Dispensing | Specialty Pharmacies | Value Based Care

Worldwide there are fewer than 500,000 people with hemophilia, a genetic disease that inhibits a patient’s blood clotting ability. Hemophilia is caused by genetic mutations in a patient and is hereditary, meaning that the condition is often passed... Read More
Articles | Community, Retail Pharmacies | Employment Matters | Life Sciences | National Board of Pharmacy Matters | Pharmacy Law | Pharmacy Transactions | Value Based Care | White Collar Criminal Defense & Government Investigations

In late July 2021, the Department of Justice announced that the federal government had decided to intervene in six pending False Claims Act (“FCA”) actions against Kaiser Permanente (“Kaiser”) for alleged Medicare Advantage risk adjustment... Read More
Articles | Life Sciences | Medicare Advantage Risk Adjustment Litigation | Pharmacy Law | Value Based Care

Physician groups contracting with government-regulated health plans such as Medicare-Advantage Organizations, Medicaid Managed Care Organizations, or ACA Marketplace Individual/Small Group Issuers often enter into capitated payment models with... Read More
Articles | Healthcare | Healthcare Law | Healthcare Litigation | Medicare and Insurance Audits | Medicare, Medicaid, and Other Commercial Payor Audits & Appeals | Recent Results | Recent Successes | Value Based Care | Value Based Care

If there were ever any doubts about the seriousness of CMS’ commitment to transitioning the nation’s healthcare system from one based on volume-based to value-based compensation models, those doubts were squashed by a recent CMS blog post and... Read More
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