Newsletters

11.14.23

Proposed Rule Intended to Smooth No Surprises Act Independent Dispute Resolution Operations

On October 27, the Departments of Health and Human Services (HHS), Labor and the Treasury and the Office of Personnel Management (the Departments) released a proposed rule to revamp certain aspects of the No Surprises Act’s (NSA) independent dispute resolution (IDR) process for out-of-network ...


10.02.23

Court Rules Provider’s Prior Authorization Calls with Payor Not a Binding Contract

In a decision important to health care payors and providers alike, a California Court of Appeal, in AToN Center, Inc. v. United Healthcare Insurance Company,et al., 93 Cal.App.5th 1214 (2023), agreed with a lower court decision granting summary judgment in favor of a payor by finding that the payor ...


08.30.23

Wit Redux—Again: Ninth Circuit Again Supersedes Its Prior Opinion in Landmark Mental Health Case

Last week, a Ninth Circuit panel vacated its prior decision in the long-running Wit v. United Behavioral Health litigation and issued a new opinion.


08.21.23

5th Circuit Rejects FDA Actions Expanding Access to Medication Abortion; Supreme Court Review Likely

On Wednesday, August 16, the Fifth Circuit Court of Appeals issued a ruling upholding parts of a Texas district court’s decision that would, if it becomes effective, severely limit access to mifepristone, one of two pills taken in a medication abortion.


08.08.23

NSA Update: IDR Process Suspended After TX District Court Invalidates Batching and Fee Increases

Last week, after several slow news months for the No Surprises Act, a Texas district court issued its most recent decision in a series of cases brought by the Texas Medical Association and other health care providers challenging the implementation of the NSA by the Departments of Health and Human ...


07.25.23

False Claims Act 2023: What Every Health Care Entity Working with the Government Needs to Know

In our July 18, 2023, webinar titled “False Claims Act 2023: What Every Health Care Entity Working with the Government Needs to Know,” Manatt posed the following hypothetical and asked three questions about it in our live poll.


07.05.23

2023–24 California State Budget Finalized—Health Care Highlights

After around-the-clock weekend negotiations between Democratic legislative leaders and Governor Newsom, working against a looming June 30 constitutional deadline, leaders announced a budget agreement late Monday night.


06.15.23

FTC Proposed Health Breach Notification Rule Changes Target the Online Collection of Health Data

The Federal Trade Commission (FTC) continues to expand its regulation of health care data to ensure the data remains protected when shared with consumer-facing applications.


06.06.23

California Assembly Acts to Streamline Physician Credentialing Process

The California Legislature is considering a bill to rationalize the process by which health insurers credential providers.


06.06.23

Schutte-Proctor Aftermath: Tips for the Health Care Industry

In one of the most closely watched False Claims Act cases in years, the Supreme Court unanimously decided on June 1 that when determining intent under the statute, courts must consider the state of mind of the defendant at the time a claim is submitted to the government, and not on some objective ...