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First steps taken to challenge 2-midnight rule
The AHA, several hospital associations (Greater New York, New York State, New Jersey and Pennsylvania) and four hospital systems today took the first steps to bring a federal court challenge to the Centers for Medicare & Medicaid Services’ two-midnight inpatient admissions criteria and related policies.
AHA and four state hospital associations urge appeals court to affirm dismissal of FCA claims against hospital
The 6th Circuit Court of Appeals should affirm a district court’s decision to dismiss a meritless lawsuit that “sought to turn one doctor’s disappointment in not being hired by a hospital as an employed physician into an [False Claims Act] suit for Medicare fraud,” AHA and the four state hospital associations in the circuit said in a friend-of-the-court brief filed yesterday.
AHA, Hospital Associations Urge Appeals Court to Affirm Dismissal of FCA Claims Against Hospital
The 6th Circuit Court of Appeals should affirm a district court’s decision to dismiss a meritless lawsuit that “sought to turn one doctor’s disappointment in not being hired by a hospital as an employed physician into an [False Claims Act] suit for Medicare fraud,” AHA and the four state hospital associations in the circuit said in this friend-of-the-court brief.
AHA, others file brief in Supreme Court False Claims Act case
The U.S. Supreme Court should affirm the government’s authority to dismiss a False Claims Act lawsuit after declining to intervene in the case, the AHA, U.S. Chamber of Commerce and American Health Care Association said in a friend-of-the-court brief filed today.
Amicus Brief: AHA, Others File Brief in Supreme Court False Claims Act Case
The U.S. Supreme Court should affirm the government’s authority to dismiss a False Claims Act lawsuit after declining to intervene in the case, the AHA, U.S. Chamber of Commerce and American Health Care Association.
Amicus Brief: AHA, AMA Brief Supports No Surprises Act Dispute Resolution Challenge
The AHA and American Medical Association friend-of-the-court brief in support of a Texas Medical Association lawsuit claiming the revised independent dispute resolution process for determining payment for out-of-network services under the No Surprises Act skews the arbitration results in commercial insurers’ favor in ways that violate the compromise Congress reached in the Act.
Judge Rules that HHS Must Immediately Halt Unlawful Reimbursement Cuts to Certain 340B Hospitals for Rest of 2022
The United States District Court for the District of Columbia today ruled in favor of the AHA, holding that the Department of Health and Human Services must immediately halt the departments’ unlawful cuts to outpatient reimbursement rates for the remainder of 2022 for certain hospitals that participate in the 340B Drug Pricing Program.
Amicus Brief: AHA, Hospital Groups Urge Appeals Courts to Uphold 340B Requirements Re: Novartis-United Therapeutics Corp. v. Johnson
The AHA, 340B Health, America’s Essential Hospitals, Association of American Medical Colleges, and Children’s Hospital Association yesterday urged the U.S. Courts of Appeals for the 3rd and District of Columbia Circuits to require drug companies to fulfill their legal obligations to provide 340B discounted drugs to eligible hospitals and health systems, regardless of whether the drugs are dispensed on site or through contract pharmacies.
Judge Orders HHS to Immediately Halt Unlawful Reimbursement Cuts for Remainder of 2022
Judge orders HHS to immediately halt unlawful reimbursement cuts for remainder of 2022 re: 340B.
Plaintiffs’ Opposition to Defendant’s Motion to Modify This Court’s Mandamus Order Re Medicare Appeals
AHA urges the U.S. District Court for the District of Columbia to deny the Department of Health and Human Services’ request to modify a court order requiring it to completely eliminate the remaining 19,802 Medicare appeals backlogged at the Administration Law Judge level. HHS now contends that it cannot fully comply with the order, stating that “it is unlikely that the backlog could be reduced completely to zero by the end of the fiscal year.”