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NASHP Model Act to Limit Out-of-Network Provider Rates

NASHP

This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area. 1) Definitions.

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CMS Releases Guidance on Implementation of Rebate Programs for Certain Medicare Part B and Part D Drugs

Sheppard Health Law

The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]

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The End of Public Health? It’s Not Dead Yet

Bill Of Health

OSHA , which limited federal authority to regulate worker safety with COVID-19 vaccination requirements. The “major questions doctrine” popped up throughout recent public health decisions and became formally recognized in Chief Justice Roberts’ majority opinion in West Virginia v. Wade and Planned Parenthood v.

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Healthcare Reforms Under the IRA: Expanding Access to Care

Sheppard Health Law

The expansive legislation includes key health care provisions, including drug pricing reforms, inflationary rebates, Medicare Part D benefit redesign, as well as myriad other updates. Medicare Drug Price Negotiation Program. The Inflation Reduction Act (“IRA”) was signed into law by President Biden on August 16, 2022.