Jaime L.M. Jones

Apr 9, 2024 | lexology.com | Jon Zucker |Jaime L.M. Jones |Francesca R. Ozinal |George Maliha M.D |Taylor Andelman

The U.S. Centers for Medicare and Medicaid Services (CMS) published a final rule on April 4, 2024 that overhauls the regulations governing insurance agent and broker compensation rates and agreements for Medicare Advantage Plans (MAPs) and Medicare Part D Plans (PDPs). The final rule, which adopts the majority of the changes from the proposed rule that we previously discussed here, is intended to establish additional guardrails to protect beneficiaries and support competition within the industry.

Nov 9, 2023 | lexology.com | Meenakshi Datta |Jaime L.M. Jones |Mark Langdon |Catherine Y. Starks

The U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) earlier this week released General Compliance Program Guidance (GCPG) applicable to all individuals and entities involved in the healthcare industry. As discussed in a prior Sidley Update, the GCPG is the first in a series of voluntary, nonbinding compliance program guidances (CPGs) that HHS-OIG intends to publish in response to stakeholder feedback.

Jun 12, 2023 | law360.com | Jaime L.M. Jones |Brenna Jenny |Matthew Guillod

By Jaime Jones, Brenna Jenny and Matthew Guillod (June 12, 2023, 4:32 PM EDT) -- Last month, the U.S. Department of Health and Human Services Office of Inspector General released the results of an audit on psychotherapy services provided during the first year of the COVID-19 pandemic, including those furnished through telehealth.[1]... Stay ahead of the curveIn the legal profession, information is the key to success.

Feb 9, 2023 | lexology.com | Jaime L.M. Jones |Brenna Jenny |Matt Bergs

On February 7, 2023, Principal Deputy Assistant Attorney General, Brian M. Boynton, announced that the Civil Division recovered over $2.2 billion in settlements and judgments under the False Claims Act (“FCA”) for fiscal year 2022. Detailed statistics on FCA recoveries from 1986 through FY 2022 are available here. The report reveals important trends, including:More settlements and judgement, lower dollar values.