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May 26, 2023

Health Law Weekly

Featured Articles

Health Care Data Governance: How to Build a Culture of Compliance

New York Enacts Law to Require Advance Notice for Certain Health Care Transactions

The Lighter Side of Health Law – May 2023

Current Topics

Behavioral Health

SAMHSA Awards Grants to Communities to Expand Mobile Crisis Response Teams

Fraud and Compliance

Doctor Pays $136,000 to Resolve Allegations of Unapproved Botox Treatments for Medicare Patients

Home Health Company, CEO, Two Doctors Settle Kickback Allegations

Massachusetts Eye and Ear Pays $5.7 Million to Resolve Allegations Compensation Plans Violated Stark Law

Naturopath, Practice Pay $400K to Settle Improper Billing Allegations

Physician Handed Six Years in Prison for Fraud, Controlled Substance Violations

U.S. Court in Georgia Allows Whistleblower Claim Alleging DME Company Non-Compliant with Florida Licensing Regulations

Vascular Surgeon Sentenced to Over Six Years in Prison, Will Pay Up to $43.419 Million for Health Care Fraud Scheme

Government Reimbursement

CMS Proposes Ramping up Oversight of Medicaid Drug Prices

Health Insurance

Eleventh Circuit Says Out-of-Network Hospitals’ Lawsuit Against Cigna for Alleged Underpayments Should Move Forward

U.S. Court in Michigan Tosses ERISA Action Against Third-Party Administrator Over Coverage Denials

U.S. Court in New Jersey Says Hospital Failed to Sufficiently Plead ERISA Claims Against Insurer

Health Policy and Administration

HHS Awards $65 Million to Health Centers to Help Improve Maternal Health Care

Medical Staff, Credentialing, and Peer Review

Ninth Circuit Nixes Surgeon’s Due Process Claims over Allegedly Erroneous State Investigative Report

Current Issue

Health Law Weekly Issue - May 26, 2023