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CMS Publishes Proposed Rule Regarding Provider Tax Indirect Hold Harmless Threshold Restrictions Included in the One Big Beautiful Bill Act

By Charles Luband, Claire Bornstein, Callan Smith, and Sarah Winston
  • Compliance
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DOJ Data Analytics Putting Health Care Under the Microscope

By Michael Montgomery
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DOJ’S FOCUS Initiative Gives Data Miners a New Seat at the FCA Table

By Sean Cenawood and Jacob Margolies
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CMS Proposes to Tighten Provider-Based Location Criteria

By Holley Lutz and Sarah Winston
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New HHS-OIG Advisory Opinion Approves Multi-Party Discount Arrangement, But Raises Questions in the Process

By Christopher Janney, Samantha Groden, and Margo Smith
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HHS-OIG Issues Special Advisory Bulletin on Manufacturer Direct-to-Consumer Programs for Prescription Drugs

By Sean Cenawood, Samantha Groden, Christopher Janney, and Gadi Weinreich
  • Compliance
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HHS-OIG Releases Long-Awaited Medicare Advantage Compliance Program Guidance

By Janice Ziegler, Christopher Janney, and Margo Smith
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CMS Issues Proposed Changes to MA Risk Adjustment Process and RADV Audit Update

By Janice Ziegler and Margo Smith
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CMMI Launches Application Process for ACCESS Model: A New, Outcome-Focused Value-Based Payment Model

By Joanna Borman and Kate Sullivan Morgan
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340B Rebate Model Pilot Program Heads to Court

By Sarah Winston
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340B at an Inflection Point: Senate Hearing Continues Spotlight on the Program

By Sarah Winston, Joanna Borman, and Callan Smith
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HHS-OIG’s New RPM Report: Same Risks, Sharper Focus

By Ramy Fayed and Danika Rothwell

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