Here's the table of contents from Friday's "Health Lawyers Weekly," a free member benefit from the American Health Lawyers Association (and reprinted here with their permission):September 1, 2006 Vol. 4, Issue 34
Top Stories
- Specialty Hospitals Associated With Increased Utilization, MedPAC Finds
Physician-owned heart hospitals are associated with a significant increase in the rate of cardiac surgeries in the market where the hospital is located, according to a Medicare Payment Advisory Commission (MedPAC) 2006 Report to Congress, Physician Owned Specialty Hospitals Revisited. According to the report, the entrance of a physician-owned cardiac hospital into a market was associated with a 6% increase in the number of cardiac surgeries per 1,000 Medicare beneficiaries. Full Story - Schering-Plough Will Pay $435 Million To Settle Allegations Of Illegal Marketing, Fraud
Schering-Plough Corp. and one of its subsidiaries have agreed to a $435 million global settlement to resolve criminal charges and civil claims that they engaged in illegal sales and marketing schemes and defrauded Medicaid, U.S. Attorney for the District of Massachusetts Michael Sullivan announced August 29.The settlement stems from allegations that the company marketed its drug Temodar and Intron A for so-called "off label" uses that had not been approved by the Food and Drug Administration (FDA). Full Story
Articles & Analyses
- Final Stark Exception And Anti-Kickback Safe Harbor For Electronic Health Records And E-Prescribing, By Jill M. Girardeau, Womble Carlyle Sandridge & Rice, PLLC
Current Topics
- Criminal Law
Fourth Circuit Vacates Physician's Drug Trafficking Conviction Citing Improper Jury Instruction - EMTALA
U.S. Court In Alabama Finds CMS Investigation Report Admissible In EMTALA Action - ERISA
Eleventh Circuit Applies Supreme Court's Sereboff Decision To ERISA Plan Subrogation Claims - Food and Drug Law
FDA Issues Draft Guidance, Schedules Hearing On Emergency Research - Fraud and Abuse
1. BCBSA Says Anti-Fraud Efforts Saved $249 Million In 2005
2. Update
3. OIG Approves Charitable Organization's Proposed Subsidization Of Medicare Part D Premiums For Certain Patients With Kidney Disease
4. Michigan Appeals Court Finds Sufficient Evidence Of Wrongful Intent To Sustain Medicaid Fraud Charges
5. U.S. Court In Illinois Dismisses Second Amended Qui Tam Complaint Against Pharmacy Benefit Services Company - Healthcare Access
California Governor Announces New Initiative To Reduce Drug Costs - Hospitals and Health Systems
JCAHO Issues Revised Medical Staff Standard For Comment - Insurance
Census Bureau Finds Number Of Uninsured Grew Between 2004 And 2005 - Long Term Care
North Dakota Supreme Court Finds Wife May Be Liable For Nursing Home Bills Of Institutionalized Spouse If She Had A Valid Contract With Home - Managed Care
Pennsylvania Supreme Court Finds HMO Is Exempt From Complying With Anti-Subrogation Provision Of State Automobile Insurance Law - Medicaid
CMS Issues Interim Final Rule On Medicaid, SCHIP Improper Error Rate Estimation - Medical Malpractice
Minnesota Appeals Court Finds Lower Court Erred In Directing Verdict For Radiation Therapy Center In Negligence Action - Medicare
1. Public Interest Group Sues CMS Alleging Part D Marketing Guidelines Violate Free Speech
2. OIG Finds Oncology Demonstration Data Unreliable
3. Lieberman Says Senate Must Address Impending Medicare Physician Payment Cuts
4. CMS Plans To Review Its Medicare Payment Codes For Inhalation Drugs
5. CMS Proposes Prohibition On Midyear Benefit Enhancements By MA Plans
6. CMS Announces FY 2007 Update To Hospice Wage Index
(c) 2006, AHLA. Reprinted with permission.
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