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Waller Healthcare Blog
Hurry Up and Wait: Senate Says “Not So Fast” to the Sustainable Growth Rate Bill
By Angela Youngberg | 03-27-2015
After yesterday’s passage by the U.S. House of a bill eliminating the sustainable growth-rate (“SGR”) formula (otherwise known as the “doc fix”), the Senate leaders decided they’d rather think about the bill after Spring Break.

Biosimilars on the Agenda as Life Science Tennessee Visits the State Legislature
By Hunter Rost | 03-19-2015
Members of Life Science Tennessee were in Nashville yesterday for the organization’s annual legislative “Day on the Hill” at the Tennessee General Assembly. A key element of the group’s state policy agenda focuses on “biosimilars".

MedPAC Issues 2015 Report to Congress
By Denise Burke, Angela Youngberg | 03-18-2015
Last week, MedPAC – the Medicare Payment Advisory Commission – issued its annual report to Congress on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage program, and the Medicare prescription drug program (Part D).

An Update from Leadership Health Care’s Delegation to D.C.
By J.D. Thomas, Cory Brown | 03-13-2015
Earlier this week, we attended the Leadership Health Care delegation to Washington, D.C., where we were joined by 100 of our fellow Nashville healthcare industry friends to learn more about the policy and politics shaping our industry this year.

Tufts Health Plan Announces New Hampshire Joint Venture with Granite Healthcare Network
By Brian Browder | 03-13-2015
Earlier this week, Tufts Health Plan announced that it will create a New Hampshire-based insurance company called Tufts Health Freedom Plan in a joint venture with Granite Healthcare Network (GHN).

Has the Supreme Court Opened a Door for New Challenges to State Corporate Practice of Medicine Laws?
By Neil Krugman, Don Moody | 03-13-2015
The Supreme Court’s recent 6-3 decision in North Carolina Board of Dental Examiners v. Federal Trade Commission is noteworthy for its possible effects on the way state boards or agencies license and regulate dental and medical practitioners.

Four Little Words and a Potential “Death Spiral” - Supreme Court Hears Challenge to Affordable Care Act Subsidies in King v. Burwell
By Shannon Goff Kukulka | 03-05-2015
The Supreme Court heard oral arguments in King v. Burwell this week. The subsidies at issue in the case are a critical piece of the ACA's architecture that a ruling for the petitioners would likely be the death knell for the ACA itself.

Alignment Continues for Providers and Insurers
By Brian Browder | 02-23-2015
More providers are partnering with payors to position themselves for population health management. We foresee several potential obstacles, however, to the success of this collaboration among competitors.

A Few Thoughts on Compliance from a Former Assistant U.S. Attorney
By J.D. Thomas | 02-20-2015
The only thing worse than no compliance program is one that’s in place but isn’t followed. Companies need to take internal communications seriously, and the complaints that are received should not be ignored.

Denial of St. Luke's Appeal Shows Importance of Competitive Review of Transactions
By Beth Vessel | 02-16-2015
In a widely anticipated decision, the Ninth Circuit affirmed the decision of the U.S. District Court for the District of Idaho ordering divestiture of St. Luke’s 2012 acquisition of Nampa, Idaho-based Saltzer Medical Group.

Healthcare Fraud Enforcement and the DOJ’s Greatest Hits
By J.D. Thomas | 02-09-2015
In 2014, the department of justice obtained $2.3 billion in healthcare fraud recoveries and 2015 will be another significant year for False Claims Act enforcement - particularly as it relates to hospitals and associated providers.

Data Analytics is (Still) the Next Big Thing
By Steven Blumenthal | 02-06-2015
My not-so-bold prediction for 2015 is that it’ll be a busy year for the healthcare data analytics business. I admit that making 2015 predictions now is a little like placing a bet after the horses have run the first quarter mile...

CMS Flinches on Meaningful Use
By Angela Youngberg | 02-04-2015
Five years after the HITECH Act, the meaningful use incentive program for electronic health records (EHRs) is still confusing providers.

Key Takeaways from the Annual JP Morgan Conference
By Rob Harris | 02-02-2015
At the annual JP Morgan Healthcare Conference, we gained some key insights about the year ahead for the industry and what we can expect from investors and other key players.

EHRs, Data Integrity and the Critical Need for a Data Governance Plan
By Steven Blumenthal | 01-28-2015
The American Health Information Management Association (AHIMA) highlights the importance of data integrity, saying that trust plays a critical role in healthcare delivery and that trust depends on the completeness and correctness of data.

From Here to There: What It Will Take to Achieve the Goals of Population Health
By Andy Norwood | 01-16-2015
The primary goal of population health strategies is getting the different, more or less isolated, parts of healthcare ecosystem to come together into a loosely affiliated group. This is a not controversial idea.

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Attorneys contributing to Waller’s healthcare blog bring together information on a variety of topics, including M&A trends, updates on new regulations, insights on government enforcement and investigations, tax, labor and employment, intellectual property and much more. Amid the uncertainties of healthcare reform and the realities of heightened regulatory enforcement, this blog is meant to serve as a resource to providers, payors, life science companies, healthcare IT firms, investors and others in the healthcare industry.
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