Dec 18, 2024 · Gibson Dunn recently published a mid-year update on the False Claims Act (FCA) collections for the first half of the year, noting that “ [t]he first half of 2024 is a reminder that [the flow of enforcement] can surge at any moment, bringing with it massive settlements.” The update notes that the Department of Justice (DOJ) continues to focus on cybersecurity and has reached False Claims ...

Dec 17, 2024 · Blue Cross Blue Shield (BCBS) – with 33 of its member companies – recently reached a proposed settlement, agreeing to pay $2.8 billion to settle allegations that BCBS plans violated antitrust laws by suppressing competition and underpaying providers

Jan 8, 2025 · 2025 will be a busy year for healthcare. Here is a list of healthcare conferences and links to registration. Special thanks to Peter Grant and Global Healthcare LLC (GHC) for providing the initial list. Digital Health Summit @ CES 2025January 7-10,

Dec 23, 2024 · The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Revisions to Payment Policies under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare Part B Final Rule, which includes proposals related to Medicare physician payments and the Quality Payment Program (QPP). Under the Final Rule, average payment rates under the PFS will be reduced by 2. ...

Nov 11, 2024 · Oak Street Health, a wholly-owned subsidiary of CVS Health since 2023, has agreed to pay $60 million to resolve allegations that it violated the False Claims Act (FCA) by paying kickbacks to third party insurance agents in exchange for their recruiting of seniors to Oak Street Health’s primary care clinics. The United States alleged that prior to CVS’ ownership, in 2020, Oak Street Health ...

Nov 8, 2024 · With Donald Trump now confirmed as the President-elect, the life sciences industry is bracing for significant policy shifts that could impact everything from drug pricing to regulatory practices. Trump’s previous term may offer clues about his likely approach to healthcare, Food and Drug Administration (FDA) regulations, and trade policies, all of which hold meaningful implications for ...

Jan 2, 2025 · McKinsey & Company Inc., a management consulting firm, recently agreed to pay $650 million to resolve a civil and criminal…

5 days ago · Legal, Regulatory, and Compliance Issues

Jan 22, 2025 · The Academy of Managed Care Pharmacy (AMCP) recently released its second annual report, Access, Affordability and Outcomes: The…

Jan 17, 2024 · Recently, a Pennsylvania doctor and his wife were indicted and pled guilty for participating in schemes to solicit and receive kickbacks and bribes in exchange for ordering genetic tests. Yitzchok “Barry” Kurtzer and his wife, Robin Kurtzer, pled gui