NICE to Fast-track More Medicine Approvals but Wider Changes Do Not Impress Industry

By | Health Law Pulse | March 23, 2017
The National Institute for Health and Care Excellence (NICE) produces guidance in a number of forms including technology appraisals. Technology appraisals are recommendations on the use of medicines and treatments within NHS England. The recommendations are based on a review of clinical and economic evidence. View Full Post
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Healthcare & Life Sciences Private Equity Deal Tracker: Webster Capital Completes Sale of Epic Health Services to Bain Capital

By | The Healthcare Investor | March 22, 2017
Webster Capital announced it has completed the sale of Epic Health Services to Bain Capital. Plans for the acquisition were announced late last year. Financial terms were not disclosed. Epic Health Services, headquartered in Dallas, is a provider of pediatric skilled nursing, therapy, developmental services and home medical solutions. View Full Post
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Percentage-Based Billing Contracts Violate Medicaid Regulations and May Constitute Improper Fee-Splitting

By | New York Health Law | March 22, 2017
The Medicaid Fraud Control Unit (MCFU) of the New York State Office of the Attorney General has recently issued restitution demand letters to providers for allegedly entering into percentage-based contracts with their billing agents. The MCFU letters cite the Medicaid Update March 2001, titled “A Message for Providers Using Service Agents as follows: Billing agents are prohibited from charging Medicaid providers a percentage of the amount claimed or collected. View Full Post
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OIG Applies the Access to Care Exception in Favorable Advisory Opinion for Hospital Meal and Lodging Assistance Program

The Office of the Inspector General (OIG) recently issued Advisory Opinion 17-01 to a health system (Requestor) for an arrangement to provide free and reduced-cost lodging and meals to financially disadvantaged patients (Proposed Arrangement). In issuing this positive opinion, the OIG applied the Access to Care exception to the prohibition on beneficiary inducements under the Civil Monetary Penalties (Beneficiary Inducement CMP). View Full Post
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