Tag: Legal

The Centers for Medicare and Medicaid Services (CMS) released the final 2025 Medicare Fee Schedule, which included a reduction in the average payment for providers and modifications to the telehealth services covered by Medicare.  Pay Changes The rule, which went into effect January 1, 2025, will result in a net 2.8% decrease in Medicare payments…Read More

In August of 2024, a trial court in California dismissed a price-fixing claim in Verity Health System of California, Inc. v. MultiPlan Corporation. MultiPlan, a provider of health care data analytics, allegedly used its algorithmic repricing tool to set and to lower reimbursement rates health plans paid to out-of-network hospitals.   The Facts A bankruptcy…Read More

In the past decade, employers who sponsor pension plans have been subject to class actions brought by their employees, alleging the employers breached their fiduciary duty to pension plan participants by failing to rein in excessive fees.   Now, that scrutiny has expanded to include employers who sponsor health plans, and who allegedly have not…Read More

With each passing year, many Maryland physicians are faced with a pressing question:What happens to my license when I retire?  If a physician is approaching retirement, there are three options to consider: Inactive Status, Emeritus Status, and Voluntary Non-renewal.   Inactive Status  One option for physicians retiring in Maryland is to change the status of…Read More

In an effort to support reproductive health care privacy, as of December 23, 2024, providers must comply with a Final Rule promulgated by the Department of Health and Human Services (HHS).  The Final Rule was issued in response to state abortion bans and other restrictions on reproductive freedom across the country following the U.S. Supreme…Read More

On October 7, 2024, Jennifer Abruzzo, General Counsel of the National Labor Relations Board (NLRB), issued a memorandum expressing her opinion on several topics, including her conclusion that “stay or pay” provisions in employment agreements violate the National Labor Relations Act (NLRA). Stay or pay provisions require employees to pay something or pay back something to…Read More

This article is an updated version of the Corporate Transparency Act Requires Reporting Companies to File with FinCEN. Updated 10/8/2024: On January 7, 2021, Congress passed the National Defense Authorization Act, which includes the Corporate Transparency Act (“Act”).  The Act, which takes effect on January 1, 2024, requires “reporting companies” to file information on beneficial owners, key…Read More

In SEC v. Jarkesy, the Securities and Exchange  Commission (SEC) sought $300,000 in civil penalties from George Jarkesy for securities fraud. In June of 2024, the United States Supreme Court ruled that when the SEC seeks civil penalties for securities fraud, the defendant has the right to a trial by jury pursuant to the Seventh Amendment…Read More

In March 2024, the Medicare Payment Advisory Commission (MedPAC) released its report to Congress (Report) that addressed, among other topics, the increasing cost of Medicare Managed Care (MA).  The Report acknowledges that aggregate Medicare payments to MA plans have always been higher than Medicare estimates of the amount Medicare would have paid for the same…Read More