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The Future of the Affordable Care Act

The Future of the Affordable Care Act

Since its enactment six years ago, the Patient Protection and Affordable Care Act (the “ACA”) has faced numerous challenges from Republicans attempting to repeal the law. Though previous efforts, through both legislation and litigation, have been unsuccessful, the election of Donald Trump and a Republican-controlled Congress likely portends at least ... Read More »

Finalized Medicare 60-Day Overpayment Rule Goes Into Effect Today – Providers Are You Ready?

Finalized Medicare 60-Day Overpayment Rule Goes Into Effect Today – Providers Are You Ready?

In 2010 the Affordable Care Act (“ACA”) implemented a 60-day reporting and refund requirement for Medicare overpayments.[1] Any provider that has received an overpayment is required to report and return the overpayment within “60 days after the date on which the overpayment was identified.”[2] An overpayment occurs when a provider ... Read More »

Compounded drugs marketed to TRICARE beneficiaries undergoing close examination by federal investigators

Compounded drugs marketed to TRICARE beneficiaries undergoing close examination by federal investigators

Ongoing investigations by both the Department of Defense (DOD) and a major U.S. media organization allege that suspicious marketing and prescribing activities have led to astronomical increases in TRICARE costs for compounded medications. According to the Military Times, TRICARE paid $769 million for compound prescriptions between January and March 2015, ... Read More »

Concussion and traumatic brain injury: A historical perspective

Concussion and traumatic brain injury: A historical perspective

Public awareness of the long-term effect of head injuries sustained in competitive sports, including but certainly not limited to collegiate and professional football, has increased significantly in the past decade. The highly publicized National Football League (NFL) federal court litigation has transitioned from the sports section to page-one treatment in ... Read More »

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