The Daily Scan

June 14, 2018

Last Updated: 9:00 AM EST

Litigation

  • On Monday, a physician pleaded guilty in the ongoing “pill mill prosecution” arising out of a now-closed Montgomery, Alabama medical office. According to court documents, Dr. Willie Chester pleaded guilty to one count of aiding and abetting the fraudulent acquisition of controlled substances. During the plea hearing, Dr. Chester admitting to writing a prescription for clonazepam (commonly known as the brand name drug, Klonopin) despite knowing that the patient receiving the prescription had no legitimate medical need for the drug. Dr. Chester is the ninth defendant to plead guilty in this case. (Justice.gov)

Medicaid

  • Stewart v. Hargan arguments are set to begin in federal court tomorrow. The complaint, filed in January by advocacy groups representing Kentucky Medicaid beneficiaries, accuses the Trump administration of taking away Medicaid coverage from "nearly 100,000 hardworking Kentuckians" through Medicaid work requirements and violation of the Administrative Procedure Act, the Social Security Act, and the United States Constitution. (HealthLaw.org)

Legislation

  • Next week, the Senate Health Committee will vote on a bill aimed at cutting maternal mortality rates in  the U.S. The bill, sponsored by both Sens. Heidi Heitkamp (D-N.D.) and Shelley Moore Capito (R-W.Va.), would support state-level efforts to recreate review committees that use specific knowledge and research to prevent future deaths from occurring. According to a study published in The Lancet, a general medical journal, for every 100,000 live births in America, 26.4 women experience pregnancy-related deaths. (TheHill.com)

 

  • Democratic House leaders sent a letter to HHS Secretary Alex Azar and CMS Administrator Seema Verma yesterday in response to the DOJ's announcement last Friday that it would not defend the Affordable Care Act in the case of Texas v. United States. They claim that the decision "...breaks with the DOJ's longstanding tradition of defending laws enacted by the United States Congress, and constitutes yet another attempt but the Trump Administration to sabotage the ACA at the expense of consumers across the nation." (Democrats-EnergyCommerce.House.gov)

Private Sector

  • In a new report, PwC’s Health Research Institute projects a 6 percent medical cost trend in the employer- based market in 2019, consistent with the 5.5-7 percent range of the previous five years. The report explains that three main factors are tempering the spending increases: flu impact, care advocacy, and high-performance networks. (PWC.com)

 

 

 

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