On August 19, 2022, the Departments of Health and Human Services, Labor, and the Treasury (“the Departments”) issued their long-awaited Final Rules (“Final Rules”) under the No Surprises Act (“the Act”). The Final Rules significantly changed the previously issued Interim Final Rules in ways that should improve the transparency and fairness of the process for […]
Late Friday a federal court in San Francisco allowed a case against subsidiaries of CVS Health Corporation brought by HIV-positive “John Doe” plaintiffs to proceed, denying CVS’s motion to dismiss the case. This ruling comes on the heels of CVS’s abrupt dismissal late last year of its appeal to the United States Supreme Court of
CVS Health has reported strong second quarter profits and revenues, beating analysts’ expectations. CVS reported second quarter profits of $2.95 billion, up from $2.8 billion for the prior year quarter. This brings its profits for the first half of the year to $5.3 billion. CVS also reported strong revenues of $80.6 billion for the second
CVS HEALTH REPORTS STRONG SECOND QUARTER PROFITS, BEATING ANALYSTS’ EXPECTATIONS Read More »
New York’s Attorney General, Letitia James, has sued CVS Health Corp., alleging that it violated New York’s antitrust laws and abused its market power by illegally requiring safety net hospitals that contract with CVS pharmacies for dispensing 340B outpatient drugs to exclusively use CVS’s subsidiary Wellpartner as their Third Party Administrator (“TPA”) for the 340B
Humana, Inc. has reported strong second quarter profits of $696 million, bringing its profits for the first half of the year to $1.6 billion, an increase of 14.8% from the first half of 2021. Humana also reported strong revenues of $23.7 billion for the second quarter, an increase of 14.6% from the second quarter of
UnitedHealth Group reported strong profits for the second quarter of 2022, with double digit growth at both UnitedHealthcare and Optum. UnitedHealth Group’s strong second quarter profits beat analysts’ expectations. UnitedHealth Group posted profits of $5.1 billion for the second quarter, up from $4.3 billion for the second quarter in 2021. UnitedHealth Group also posted revenues
We congratulate our friend and co-counsel Fred Gray on receiving the Presidential Medal of Freedom. Fred began his distinguished legal career by representing Rosa Parks and Dr. Martin Luther King, Jr. and has continued to handle other important civil rights and other cases through eight decades. Attorneys at WhatleyKallas are proud to have worked with
FRED GRAY AWARDED PRESIDENTIAL MEDAL OF FREEDOM Read More »
In a strongly worded letter in advance of a Congressional hearing on Medicare Advantage plans, the American Hospital Association urged Congress to increase its oversight over these plans, stating: “strong, decisive, and immediate enforcement action is needed to protect sick and elderly patients, the providers who care for them, and American taxpayers….” In support of
AHA URGES CONGRESS TO INCREASE ITS OVERSIGHT OVER MEDICARE ADVANTAGE PLANS Read More »
On June 24, 2022, in Becerra v. Empire Health Foundation, the Supreme Court upheld the Department of Health and Human Services’ interpretation of the Medicare statute governing how disproportionate share adjustments are calculated for hospitals serving low-income patients. The interpretation upheld by the Court generally reduces the payments available to these hospitals. The case involved
In a very strongly worded letter, the American Hospital Association has urged the Department of Justice to establish a task force to conduct False Claims Act investigations into commercial Medicare Advantage insurers that routinely deny patient access to services and deny payments to health care providers. By law, Medicare Advantage plans are prohibited from imposing