Whitney Magee Phelps

Aug 7, 2024 | mondaq.com | Matthew Westbrook |Whitney Magee Phelps

In the context of Medicare Advantage ("MA") reform initiatives, we previously addressed the Centers for Medicare & Medicaid Services' ("CMS") December 27, 2022 proposal to amend its regulations set forth at 42 C.F.R. § 401.305(a) regarding the standard for an "identified overpayment" under Medicare Parts A–D, to align such regulations with section 1128J(d)(4)(A) of the Social Security Act, which incorporates by reference the "knowledge" standard from the Federal False Claims Act ("FCA") (the...

Aug 5, 2024 | lexology.com | Matthew Westbrook |Whitney Magee Phelps

In the context of Medicare Advantage (“MA”) reform initiatives, we previously addressed the Centers for Medicare & Medicaid Services’ (“CMS”) December 27, 2022 proposal to amend its regulations set forth at 42 C.F.R. § 401.305(a) regarding the standard for an “identified overpayment” under Medicare Parts A–D, to align such regulations with section 1128J(d)(4)(A) of the Social Security Act, which incorporates by reference the “knowledge” standard from the Federal False Claims Act (“FCA”) (the...

Jun 21, 2024 | natlawreview.com | Whitney Magee Phelps

On April 22, 2024, the Office for Civil Rights (OCR) for the United States Department of Health and Human Services issued a Final Rule amending the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). The Final Rule, which goes into effect on June 25, 2024, promulgates additional HIPAA privacy protections with respect to protected health information (PHI) related to reproductive health care[i].

May 24, 2024 | mondaq.com | John R Ingrassia |Timothy Burroughs |Whitney Magee Phelps |Precious Penny

The U.S. Department of Justice ("DOJ") recently announced the creation of the Health Care Monopolies and Collusion Task Force (the "HCMC Task Force") aimed at resolving antitrust issues in the health care industry. Specifically, the HCMC Task Force will focus on investigating issues related to the quality of patient care, consolidations between health care entities, labor and employment, and access and misuse of data.

May 22, 2024 | natlawreview.com | Whitney Magee Phelps

The U.S. Department of Justice (“DOJ”) recently announced the creation of the Health Care Monopolies and Collusion Task Force (the “HCMC Task Force”) aimed at resolving antitrust issues in the health care industry. Specifically, the HCMC Task Force will focus on investigating issues related to the quality of patient care, consolidations between health care entities, labor and employment, and access and misuse of data.