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5 Oct 2023, 9:35 am
And the initial statement on accountable care organizations (ACO) had been designed to permit, and study, a certain novel form of non-merger integration; ACOs had changed in the interim, and both FTC and Centers for Medicare & Medicaid Services (CMS) staff had been following the changes. [read post]
20 Jan 2022, 2:01 pm
” In 2002, the Centers for Medicare & Medicaid Services promulgated a regulation identifying three criteria that “[a]ctuarially sound” payments must satisfy: the payment amounts must “[h]ave been developed in accordance with generally accepted actuarial principles”; those amounts must be “appropriate for the populations to be covered, and the services to be furnished”; and, at issue here, the payment amounts… [read post]
10 May 2024, 2:31 am
All of this is deeply complicated for employers of all types, but in the healthcare world, it can be particularly cumbersome to try to mesh competing agency expectations and demands—from the Centers for Medicare and Medicaid Services (CMS) to the NLRB. [read post]
29 Apr 2019, 7:21 am
A Wisconsin employer did not violate the National Labor Relations Act (“NLRA”) by ceasing to deduct union dues from employees’ paychecks for remittance to their certified union in response to Wisconsin’s enactment of a right-to-work law that curtailed dues checkoff, or communicating with employees about this action according the National Labor Relations Board ruling in Metalcraft of Mayville, Inc. [read post]
8 Apr 2020, 12:36 pm
GA-09 applies to abortion providers (alongside providers of many other medical services), and the District Court issued a temporary restraining order against enforcing it. [read post]
10 Aug 2023, 7:13 am
Introduction Hardly a day goes by when we don’t see some media report of health care providers experimenting with machine learning, and more recently with generative AI, in the context of patient care. [read post]
