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December 6, 2024
Health Law Weekly

Featured Articles

A Look at the Recent Verdict Against Blue Cross Blue Shield of Louisiana

Advising Health Care Boards on Post-Election Policy Change

  • Michael W. Peregrine, McDermott Will & Emery
  • Eric Zimmerman, McDermott Will & Emery

Groundbreaking Ruling, Insurance Can Provide Relief for Health Care Providers Facing False Claims Act Suits

  • Fritz E. Berckmueller, Calfee Halter & Griswold LLP
  • Michael G. VanBuren, Calfee Halter & Griswold LLP
  • Tae Andrews, Calfee Halter & Griswold LLP

Marketing Arrangements in Health Care: Latest Trends and Developments

Current Topics

Fraud and Compliance

Man Charged in $70.6 Million Kickback Scam

Behavioral Health Provider, Owners Agree to $2.5 Million Settlement of Medicaid Fraud Allegations

DME Company Owner Gets Five Years in Prison for False Billing Scheme

Four Defendants Sentenced in Telemedicine Kickback Scam

Imaging Company, CEO Agree to $5.3 Million Settlement of Kickback Allegations

Kickback Allegations Involving Neuromonitoring Company Draw over $2 Million Settlement

OIG Says Ambulance Supplier May Bill Insurance and Waive Cost Sharing for “Treatment in Place” Services

Physician Assistant Pleads Guilty to $7.3 Million Telemedicine Fraud Conspiracy

Physician Handed Ten Years in Prison for Telehealth Fraud Scheme

Podiatrist, Patient Recruiter Handed Prison Terms for $8.5M Compounding Fraud Conspiracy

Proposed Rule Would Codify OIG Exclusion Authorities for Outpatient Drug Misclassifications, Fraud

Two Physicians Agree to Pay $2.4 Million to Resolve Kickback Allegations

Woman Convicted in Medicare Fraud Kickback Scheme

Government Reimbursement

BMS Latest Drug Maker to Sue HHS over 340B Rebate Model Shift

CMS Finalizes Mandatory Payment Model to Improve Kidney Transplant Access

Proposed Rule Would Expand Medicare, Medicaid Coverage of Anti-Obesity Drugs, Adopt New MA Plan Restrictions

U.S. Court in Texas Orders CMS to Recalculate UnitedHealthcare Plans’ MA Star Rating for Improperly Lowering Call Center Score

Health Care Finance and Transactions

Novartis Reaches Licensing Deal with PTC Therapeutics for Huntington’s Disease Treatment

Health Information

OCR Levies $1.19 Million Penalty Against Provider for HIPAA Violations

Pennsylvania Hospital Pays $35K to Resolve Alleged HIPAA Violation Involving PHI Disclosure

Health Insurance

CMS Touts 988,000 New Consumer Sign-ups for ACA Marketplace Coverage

Health Policy and Administration

Final Rule Lifts Restrictions on Organ Transplants from Donors with HIV to Recipients with HIV

Reproductive Health Law Hub

Idaho’s Application of State’s Abortion Law to Provider Out-of-State Referrals Remains Enjoined After Ninth Circuit Ruling

Ninth Circuit Partly Revives Enforcement of Idaho Abortion Trafficking Law
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Health Law Weekly Issue - December 6, 2024