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Articles by Lotan Helfman
No Surprises Act Webinar Series Part Three: Payor Obligations Under The No Surprises Act - Healthcare - United States
Click here to view the full article. Join Christine Clements, Carmen Jule and Lotan Helfman as they provide an overview of current group health plan and health insurance issuer obligations under the No Surprises Act and implementing regulations (including requirements and obligations for out-of-network services and post-termination continuity of care) as well as the recently proposed regulations that would impose additional requirements on payors.
The Drug Price Negotiation Program Faces Pushback from Private and Public Industry Participants
This month, pharmaceutical manufacturer, Merck & Co., Inc. (“Merck”), as well as four chambers of commerce, have filed suits against the federal government, arguing that the Medicare Drug Price Negotiation Program introduced by the Inflation Reduction Act of 2022 stands in violation of multiple constitutional provisions. What is the Medicare Drug Price Negotiation Program?
CMS Streamlines Stark Law Self-Referral Disclosure Protocol (SRDP)
Effective March 1st, certain providers choosing to self-disclose Stark Law violations must use forms updated by the Centers for Medicare & Medicaid Services (“CMS”). Stark Law – Overview The Stark Law prohibits a physician from referring a Medicare beneficiary for designated health services to an entity with which the physician (or the physician’s immediate family member) has a financial relationship, unless an exception applies. See 42 U.S.C. § 1395nn.
An Update on the Federal and State E-Roe-sion or P-Roe-tection of Abortion Rights
The Jackson v. Dobbs decision catalyzed a shift in the legal landscape of reproductive rights in the United States. The decision held that there is no federal constitutional right to an abortion, leaving the ability to regulate access to abortion services to the states.
The Biden Administration’s and HHS’s Plan to Advance Health Care Equity
President Biden issued Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government (Executive Order) on inauguration day in 2021, signalizing the Administration’s intent to advance health care equity and racial justice in the United States by minimizing the influence of the social determinants of health.
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