Health Care Law News and Insights

Healthcare in the United States is undergoing significant changes, particularly in the areas of reimbursement and coverage of telehealth, substance use disorders (SUDs), and mental health services. The proposed 2025 Physician Fee Schedule (PFS) by the Centers for Medicare & Medicaid Services (CMS) marks a major shift in these areas,...

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Earlier this year, the Department of Health & Human Services Office of Civil Rights ("HHS") published a final "HIPAA Privacy Rule to Support Reproductive Health Care Privacy" that imposes new restrictions on disclosure of protected health information ("PHI") related to lawfully provided "reproductive health care" services. The new rule is...

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A new litigation trend is emerging regarding fiduciaries of health plans and their duties to prudently evaluate fees being charged by pharmacy benefit managers ("PBM"). Two Fortune 50 employers, Johnson & Johnson and Wells Fargo & Company, and related fiduciaries of the employers' health plans, were sued only months apart...

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