Connecting Justice-Involved Populations to Health Coverage and Care -
Editor’s Note: The importance of connecting justice-involved populations to health coverage and care is evident from the high levels of physical and...more
Mental Health and Minors: Proceed With Caution! -
Imagine representing a party in a lawsuit concerning coverage for mental health services. The lawsuit was brought by the parents of a minor child. The client received a...more
Since the passage of the Affordable Care Act (ACA), the payment of healthcare premiums by third parties has been the subject of controversy. As Congress develops its plan to repeal and replace the ACA, it is uncertain how...more
The Future of Essential Health Benefits -
Editor's Note: The Essential Health Benefits (EHB) rule may be among the many parts of the Affordable Care Act (ACA) that are on the chopping block as the Trump Administration and...more
3/24/2017
/ Affordable Care Act ,
Antitrust Immunity ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Essential Health Benefits ,
False Claims Act (FCA) ,
Health Insurance ,
Healthcare Reform ,
Insurer Liability ,
Medicaid ,
Premiums ,
Repeal ,
Trump Administration
Latest Healthcare False Claims Act Roundup and Top 3 Best Practices to Reduce Exposure -
As the legal landscape in healthcare becomes increasingly complex, healthcare companies that receive federal program funds face...more
9/25/2015
/ Affordable Care Act ,
Amarin ,
Anti-Bribery ,
Anti-Competitive ,
Anti-Corruption ,
Audit Policies ,
Bribery ,
Centers for Medicare & Medicaid Services (CMS) ,
Class Action ,
Clinical Laboratories ,
Clinical Trials ,
Compensation Standards ,
Compliance ,
Corporate Integrity Agreement ,
Cost-Sharing ,
Damages ,
Department of Justice (DOJ) ,
Dodd-Frank ,
False Claims Act (FCA) ,
FERA ,
Food and Drug Administration (FDA) ,
Foreign Corrupt Practices Act (FCPA) ,
Fraud Abuse and Waste ,
Government Investigations ,
Health Care Providers ,
Health Insurance ,
Healthcare Reform ,
HEAT ,
Hiring & Firing ,
Hospitals ,
KBR v ex rel Carter ,
Kickbacks ,
Medicaid ,
Medicaid Expansion ,
Medicaid Reimbursements ,
Medicare ,
Medicare Advantage ,
Non-Compete Agreements ,
Nurses ,
Off-Label Promotion ,
OMIG ,
Penalties ,
Physician Compensation Arrangements ,
Public Health Insurance Marketplace ,
Qui Tam ,
Recordkeeping Requirements ,
Recruitment Policies ,
Relators ,
Required Documentation ,
SCOTUS ,
Self-Reporting ,
Tuomey ,
Value-Based Purchasing ,
Wage and Hour ,
Whistleblowers
"No-poach" agreements, under which employers agree not to steal each other's employees, have long been a feature of industries in which key talent is in short supply. But such agreements can restrict competition in employment...more
9/25/2015
/ Anticompetitive Behavior ,
Class Action ,
Compensation Standards ,
Department of Justice (DOJ) ,
Health Care Providers ,
Healthcare ,
Hospitals ,
Non-Compete Agreements ,
Nurses ,
Recruitment Policies ,
Wage and Hour
Examining Fee Splitting Statutes in the Context of Value-Based Healthcare -
Editor’s note: One of the goals of the Affordable Care Act (ACA) is to align incentives among provider communities and their patients and...more
6/23/2015
/ Affordable Care Act ,
Cardinal Health ,
Federal Trade Commission (FTC) ,
Fee-Splitting ,
Hospital Mergers ,
Hospitals ,
Licensing Boards ,
Medicare Shared Savings Program ,
Mergers ,
Pharmaceutical Industry ,
Pharmacies ,
Prescription Drugs ,
Radiopharmaceuticals ,
SCOTUS ,
Value-Based Fees