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April 18, 2025
Health Law Weekly

Featured Articles

Hospital-Based Specialists: Current Trends and Developments

Seventh Circuit Reverses Criminal Kickback Conviction, Holds That Government’s Interpretation of AKS Is Too Broad

  • Scott R. Grubman, Chilivis Grubman

The Evolving Role of the Chief Compliance Officer

Current Topics

Antitrust

Home Health Staffing Exec Convicted in Nurse Wage-Fixing Conspiracy

FTC Seeks Public Comments on Reducing Anticompetitive Regulations

Fraud and Compliance

DME Company Owner Pleads Guilty to $3.3 Million Medicare Fraud Conspiracy

Florida Pharmacy Pleads Guilty to Health Care Fraud, Will Pay $1 Million Civil Settlement

Minnesota Couple Indicted for $15 Million Overbilling Scheme

Ohio Doctor Pleads Guilty in $14 Million Medicare Billing Scheme

Pennsylvania Doctor Convicted for Health Care Fraud, Unlawful Distribution of Opioids Schemes

Pharmacist Charged with Defrauding Texas Medicaid Program of More Than $2 Million

Physician Sentenced to Three Years in Prison for $41 Million Telemedicine Fraud Conspiracy

Third Circuit Rejects Whistleblower Action Against Bayer, J&J Alleging Fraudulent Inducement of Antibiotic Approvals

U.S. Court in DC Rejects Drug Maker’s Challenge to Unfavorable Advisory Opinion on Fertility Support Program

Government Reimbursement

CMS Proposes 2.4% Payment Increase for Inpatient Psychiatric Facilities

CMS Proposes 2.6% Payment Bump for IRFs in FY 2026

Medicare Hospice Payments Would Increase $695 Million Under Proposed Rule

Nursing Homes Would See 2.8% Payment Boost Under FY 2026 Proposed Rule

Proposed Rule Includes $4 Billion Bump in Medicare Hospital Payments in FY 2026

Health Information

Hospital Agrees to $25k Settlement with OCR over Ransomware Attack

Health Insurance

U.S. Court in Maine Says Health Plan’s Exclusion of Weight Loss Drugs Was Not Discriminatory

Health Law Policy and Administration Hub

Commerce Department Investigating Pharmaceutical Imports

Trump Issues Executive Order on Lowering Drug Prices

U.S. Court in DC Allows Some Claims in Action Challenging DOGE Access to Sensitive Agency Data to Proceed

Labor and Employment

Third Circuit Won’t Revive Unvaccinated ER Physician’s Religious Discrimination Lawsuit Against Hospital

Life Sciences

FDA Limits Industry Employees from Serving on Agency Advisory Committees

Reproductive Health Law Hub

Idaho Judge Says “Non-Negligible” Risk of Death Triggers “Medical Emergency” Exception to State’s Abortion Law
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Health Law Weekly Issue - April 18, 2025