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Behavioral Health
Business Law and Governance
Fraud and Abuse
Health Care Liability and Litigation
Health Information and Technology
Hospitals and Health Systems
In-House Counsel
Labor and Employment
Life Sciences
Medical staff, Credentialling, and Peer Review
Payers, Plans, and Managed Care
Physician Organizations
Post-Acute and Long Term Services
Regulation, Accreditation, and Payment
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September 20, 2024
Health Law Weekly
Featured Articles
Eighth Circuit Tosses FCA Claims Against Broker, Insurers Alleging MA Marketing Schemes
FTC Sues Three Largest PBMs Alleging Rebating System Inflated Insulin Prices
Health Care Corporate Governance: Implications of Corporate Officerships
Site-Neutral Payment Policy Considerations in Health Care Transactions
Current Topics
Antitrust
Express Scripts Sues FTC for Retraction of “False and Misleading” PBM Report
Behavioral Health
HRSA Awards $240 Million to Health Centers for Expanding Mental Health Services
Fraud and Compliance
Addiction Treatment Facility Owner Convicted in Kickback Scheme
Anesthesiologist Pleads Guilty to Controlled Substance Violation
California Home Health Operators Indicted for Alleged $60 Million Medi-Cal Fraud
Health Insurer to Pay $7.6 Million for Using Excluded Medicaid Provider
Hospital Agrees to Pay $12.7M to Resolve Alleged Anti-Kickback Statute Violations
Licensed Professional Counselor Indicted in $2 Million Health Care Fraud Scheme
Louisiana Physician Indicted for Alleged Role in $32.7 Million Medicare Fraud Scheme
Medical Device Distributor to Pay More Than $1 Million for Alleged Improper Billing of Acupuncture Devices
Oak Street Health to Pay $60 Million to Resolve Kickback Allegations
OIG Revises Performance Standards for Assessing MFCU Effectiveness
Psychiatrist Pleads Guilty to Unlawful Opioid Distribution
U.S. Court in Pennsylvania Says Hospital Must Face Claims It Improperly Obtained State Uninsured Patient Funds
U.S. Court in West Virginia Orders Supplemental Briefings on Loper Bright's Impact in FCA Action Alleging Stark Violation
Walgreens Agrees to Pay $106.8 Million to Resolve Claims of Billing for Prescriptions That Were Never Picked Up
Youth Counseling Center Managers Draw Prison Terms for $2.5 Million Medicaid Fraud
Government Reimbursement
HRSA Warns J&J About “Unapproved” Rebate Model for 340B Drug Discounts
Health Information
House Panel Votes to Extend Medicare Telehealth Flexibilities for Two Years
Health Insurance
U.S. Court in New Jersey Rejects Out-of-Network Hospitals’ ERISA Action Against Cigna for Alleged $100 Million in Underpayments
U.S. Court in Utah Says UnitedHealthcare Failed to Sufficiently Explain Claims Denial as Unproven Wildness Therapy
Reproductive Health Law Hub
Fifth Circuit Remands Abortion Pill Challenge to District Court
Current Issue