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HHS’ two-step recoupment process constituted due process for HHA
By seeking an injunction instead of the statutorily prescribed escalation procedures, the provider could not complain that it was denied due process. The procedure it received was constitutionally...
PRRB disagrees with 8th Circuit decision, finds VDA calculation improper
A PRRB held that a Volume Decrease Adjustment payment methodology based on a comparison of fixed costs to total Diagnosis-Related Group payments was improper.
CMS rolls out new mandatory payment model for ESRD treatment
Who will participate in the ESRD treatment choices (ETC) model, what are the benefits, and how long will it last?
Drug exclusivity did not bar FDA from approving competing, pending application
Although the FDA’s approval of Goprelto® provided the manufacturer with a five-year new drug submissionbar, that bar did not prohibit the FDA from approving a competitor’s already...
OCR enters into five more resolution agreements to protect access rights
The HHS Office for Civil Rights (OCR) settled five new investigations as part of its right to access initiative.