Healthcarelawinsights.com

DOJ Continues Enforcement Efforts Against Provider-Owned …

WEBLarge managed care plans have been squarely in DOJ’s crosshairs for years, but a late July 2023 Justice Department settlement agreement with one regional …

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URL: https://www.healthcarelawinsights.com/2023/08/doj-continues-enforcement-efforts-against-provider-owned-managed-care-plans/

Cybersecurity in Healthcare: Pending Bill Calls for Tougher …

WEBU.S. Senators Angus King (I-ME) and Marco Rubio (R-FL) recently introduced a bill addressing cybersecurity protections and oversight in the healthcare …

Category: Health Go Health

Federal Guidance on Balance Billing: The No Surprises Act and its

WEBOn July 1, 2021, the Office of Personnel Management (“OPM”), the Internal Revenue Service (“IRS”), the Department of Treasury (“Treasury”), the Employee Benefits …

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New Rules Promotes Patient Access to Personal Healthcare …

WEBInteroperability Rule Timeline. By January 1, 2021, CMS-regulated payers must implement the patient access API. Due to the COVID-19 pandemic, a CMS …

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New Regulations on Health Care Transactions in California

WEBThe regulations have been proposed pursuant to California Health & Safety Code §§ 125507-125507.6, part of an omnibus health care law enacted in 2022 which …

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Revised California Regulations for Reporting Health Care …

WEBIn July of this year, the California Office of Health Care Affordability (“OHCA”) released draft regulations requiring the advance reporting of certain …

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Mental Health Parity and Addiction Equity Act: Comprehensive …

WEBIn the United States, mental health (“MH”) and substance use disorder (“SUD”) (collectively “MH/SUD”) have continued to represent areas of intense concern. …

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Unique Considerations in Healthcare M&A Part 1 – Due Diligence

WEBDue diligence is one of the first steps of any transaction and involves a buyer undertaking an in-depth examination of the target to evaluate the business and uncover …

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Hospital Turns Tables on Whistleblower: Federal Judge Sends …

WEBIn the world of qui tams, it is usually the whistleblower pushing cases to trial.But on February 23, 2023, a federal judge in West Virginia set down for trial a …

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Not Worth the [Compliance] Risk! OIG's New Integrated Approach

WEBOn November 6, 2023, the Office of Inspector General (“OIG”) issued its long-awaited General Compliance Program Guidance (“Guidance”) “to help advance the industry’s …

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Federal Judge Acquits Physician Following Criminal E/M Fraud …

WEBThe Justice Department took that rare step in Maryland in connection with a practice in which Dr. Ron Elfenbein, a physician, billed Medicare and private payors a …

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Information Blocking: Ready or Not, Here it Comes!

WEBOn May 1, 2020, the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology (ONC) released its final rule …

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Developing a Regulatory Compliance Checklist for Ketamine …

WEBOn October 10, 2023, the FDA issued another warning to both patients and healthcare providers that “compounded ketamine products” (including oral formulations) …

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Ketamine Clinics: Five Legal Considerations for Psychedelic …

WEBNatasha is well-versed in historical and current psychedelic research including recent FDA-approved studies on MDMA and psilocybin use for mental health …

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Gift Card Giveaway Does Not Violate Anti-Kickback Statute, HHS …

WEBThe plan of a healthcare consulting firm (the “Firm”) to give gift cards to physicians in exchange for referrals to new customers does not violate the Federal Anti …

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Trial Lost, $400+ Million Liability Looming: Quick Takeaways From …

WEBOn February 27, 2023, a jury in Minnesota federal court rendered a verdict in favor of the United States and against a surgical product distributor following a False …

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Judgment Entered in Equal Pay Case for Female Physician

WEBPosted in Labor & Employment. The U.S. Equal Employment Opportunity Commission (EEOC) and the Denton County Public Health Department resolved a …

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OSHA, Workplace Violence, and the Healthcare Industry

WEBIntegra Health Management, No 13-1124 (March 4, 2019), the Occupational Safety and Health Review Commission (OSHRC) upheld a violation of the General Duty …

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Federal Court Reduces FCA Penalties by 82 Percent Because of …

WEBHusch Blackwell’s False Claims Act team previously covered the results of a rare False Claims Act (FCA) trial in which a federal jury found that a surgical product …

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