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February 14, 2020

Health Law Weekly

Current Topics

Fraud and Compliance

Man Pleads Guilty for Role in Home Health Care, Hospice Kickback Scheme

Mental Health Services Agency Owner Sentenced to over Three Years in Prison for Fraud Scheme

Patient Recruiter Draws Five-Year Prison Term

Pharmacy Worker Admits Role in Kickback Scheme

Physician Convicted for Approving Medically Unnecessary Tests

Tenet, California Affiliate Agree to $1.4 Million Settlement of Medicare Fraud Allegations

Tenth Circuit Finds Whistleblower Action Alleging Hospital Falsified Quality Data Fails to Clear Materiality Hurdle

Government Reimbursement

CMS Issues Final Rule to Implement SUPPORT Act Coverage and Reimbursement of Opioid Treatment

D.C. Circuit Denies Hospital’s Challenge to Medicare Wage Index That Included Faulty Labor Data

GAO: Accuracy Issues Exist in States' Medicaid Eligibility Determinations

Seventh Circuit Says Consultants Don’t Have Standing to Sue Illinois Medicaid, MCOs over Alleged Untimely Payments

Health Insurance

OIG: ACA Marketplace Improperly Determined Some Individuals’ Eligibility for Tax Credits

Labor and Employment

EEOC Sues Hospital for Requiring Older Physicians to Undergo Cognitive Testing

U.S. Court in Ohio Says Alleged HIPAA Violation Not Sufficient to Establish Wrongful Termination in Violation of Public Policy

Other News

Administration's Budget Looks to Trim Medicare, Medicaid Spending

D.C. Circuit Rebuffs Medicaid Work Requirement in Arkansas

House Panels Move Competing Versions of Surprise Medical Bill Ban

Key Considerations for Catholic Hospital Mergers

Current Issue

Health Law Weekly Issue - February 14, 2020