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On March 10, 2020, the Centers for Medicare & Medicaid Services ("CMS") supplemented the guidance that we previously discussed in our March 6, 2020 blog post in order...

New York's Certificate of Need (CON) process continues to evolve, with significant regulatory, operational, and policy developments anticipated through late 2025.

On June 6th, the Centers for Medicare & Medicaid Services (CMS) released a final rule shifting how Medicare pays Accountable Care Organizations (ACO) in the Medicare Shared Savings Program.

The New York State Office of the Medicaid Inspector General (OMIG) recently published comprehensive guidance related to provider compliance programs...

Brian Daucher and Claudia Reingruber presented "Medicare Post Payment Audits" to the AHLA Annual Meeting for Long Term Care and the Law Conference.

In Part VII of our blog series, Very Opaque to Slightly Transparent: Shedding Light on the Future of Healthcare, we described the Better Care Reconciliation Act of 2017 ("BCRA"), the Senate GOP's...

Healthcare transactions demand more than strong financials. They require a strategy that aligns with investor priorities and industry trends. In this webinar, our advisors will share practical steps...

It has been three months since the U.S. Supreme Court's decision in Prometheus and, with the recent grant-vacate-remand of Ultramercial to the Federal Circuit, the patent bar is left to speculate on the application of this holding both within and outside of medical diagnostics.

In the PE Hub article "Sheppard Mullin: Regulatory Scrutiny of PE Healthcare Investments is Here to Stay," Bevin Newman, a partner in the firm's Antitrust & Competition

In a June 23, 2020 decision, Judge Nichol of the United States District Court for the District of Columbia ruled in favor of the Center for Medicare and Medicaid Services ("CMS") and against the...

Telehealth services and providers have been in high demand as the world copes with the COVID-19 public health emergency. Federal and state agencies have amended, and often loosened, regulations in...

The Defense Health Agency (DHA), which manages the TRICARE health care benefits, has issued a Request for Information (RFI) regarding inpatient-clinic administered pharmaceuticals formulary management.

California's AB 3219, which would require private equity firms and hedge funds to obtain prior approval to consummate certain healthcare-related transactions....

Please join us on November 9th at 2:00 pm ET / 11:00 am PT for a virtual fireside chat to discuss the impact of Dobbs and state anti-abortion laws on health equity.

In less than two months, Donald Trump will be sworn in as the 47th President of the United States.

The Department of Defense intends to issue a proposed rule to ensure that substantial future independent research and development ("IR&D" or "IRAD") expenses, which can be used as a means to reduce bid prices in competitive source selections, are evaluated in a uniform way during the competitive process.

We previously reported on the viability of the "implied certification" theory of FCA liability based on oral argument before the Supreme Court in Universal Health Services, Inc. v. U.S. ex rel. Escobar.