James S. Tam

Jan 1, 2024 | healthlawadvisor.com | Alan Arville |Alexis Boaz |Christopher Smith |James S. Tam

On July 31, the Centers for Medicare and Medicaid Services (“CMS”) published its mammoth proposed rule entitled “Medicare and Medicaid Programs: Calendar Year 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments” (“CY25 PFS Proposed Rule”).

Nov 29, 2023 | jdsupra.com | Alan Arville |David Johnston |James S. Tam

On November 3, 2023, the United States District Court for the District of South Carolina issued its decision in the long-running dispute between Genesis Health Care Inc., a federally qualified health center and 340B-covered entity (“Genesis”), and the Health Resources and Services Administration (HRSA).[1] In its widely anticipated decision, the court ruled that HRSA cannot enforce its restrictive interpretation of the term “patient” under the 340B statute as described in an audit enforcement...