All Ankura Insights

5/23/2025 7:12:03 PM

Most-Favored-Nation, Executive Order 14297|Forward Looking Perspectives for Drug Manufacturers, Pharmacy Benefit Managers, Health Plans, and Pharmacies

By Jeffrey Low Jed Smith Katherine Norris +1 more...

On May 12, 2025, U.S. President Donald Trump signed an executive order (EO) titled “Delivering Most-Favored-Nation Prescription Drug...

5/19/2025 8:02:55 PM

Enhancing Pharmacy Oversight and Auditing Practices

By Jeffrey Low Jed Smith

The following discussion highlights key compliance considerations for both existing pharmacies and new market entrants looking to thrive...

5/14/2025 3:32:02 PM

CMS Civil Monetary Penalties and Intermediate Sanctions Issued in 2025 – Themes your Medicare Plan Should Look Out For

By Jeffrey Low Dorothy DeAngelis

This year there have been several Civil Monetary Penalties1 (CMP) and an Intermediate Sanction2 issued by the Centers for Medicare and...

4/9/2025 6:15:27 PM

Time Is of the Essence - The Overlooked Threats to Healthcare Transactions

By Ricardo Pabon-Deglans Jeff O'Brien

We have all heard the saying before, “The biggest killer of a deal is time.” Whether an owner gets cold feet about selling the business...

2/13/2025 8:43:13 PM

CMS Announces Selected Drugs for 2027 Maximum Fair Price Negotiations; New Administration Issues Executive Order Affecting the IRA – Then Clarifies

By Katherine Norris Stephanie Lewko Jed Smith +1 more...

The Centers for Medicare and Medicaid Services (CMS) recently announced the second cohort of Medicare Part D drugs selected for Maximum...

2/3/2025 2:01:21 PM

Achieving Success: Quorum Health’s Strategic Acquisition with Ankura’s Expertise

By Vin Phan Chamira Jayamanne

Background Quorum Health Corporation (Quorum), an operator of 12 acute care hospitals in nine states, completed an acquisition of certain...

12/18/2024 6:25:32 PM

Navigating the Complex Landscape: Bona Fide Service Fees, Government Price Reporting, and the Inflation Reduction Act

By CJ DeKreek

“Manufacturers are responsible for meeting all four parts of the definition of bona fide service fee before a fee can qualify as a bona...

12/16/2024 2:23:09 PM

HIPAA Reproductive Health Care Final Rule - Compliance Requirements Begin December 23, 2024. Is Your Organization Ready?

By Lisa Taylor

On April 26, 2024, the U.S. Department of Health and Human Services (HHS) issued the Health Insurance Portability and Accountability Act...

11/12/2024 2:00:47 PM

Artificial Intelligence: DOJ Update to the Evaluation of Corporate Compliance Programs

By Ana Simon Lisa Taylor

On Sept. 23, the U.S. Department of Justice (DOJ) updated its Evaluation of Corporate Compliance Programs (ECCP)1 guidance document for...

9/16/2024 1:00:52 PM

CMS Proposes Protocols for Enhanced Oversight of Medicare Part C Utilization Management Requirements

By Kelli Howe

In 2024, the Centers for Medicare & Medicaid Services (CMS) leveraged its existing oversight channels1 to assess plans’ compliance with...

9/10/2024 8:16:31 PM

Leading the ASC Market: Advanced Strategies for Health Systems to Stay Ahead

By Erin Nelson Katie Reilley Michelle Mader

Between 2023 and 2030, the ambulatory surgery market in the U.S. is expected to grow by nearly 50%, increasing from a market value of $40...

9/9/2024 1:00:24 PM

Is there room for AI in the ICU? Guiding Principles and Compliance Considerations

By Emily Petersen Lisa Taylor Jacqueline Voss

Introduction Artificial Intelligence (AI) offers unprecedented opportunities to enhance patient care, streamline clinical documentation,...

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