DOJ recently formed the Antitrust Division’s (the “Division”) Task Force on Health Care Monopolies and Collusion (“HCMC”), signaling anticompetitive activity in health care markets as an enforcement priority....more
9/6/2024
/ Anti-Competitive ,
Antitrust Division ,
Collusion ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Healthcare ,
Monopolization ,
Pharmacy Benefit Manager (PBM) ,
Public Comment ,
Request For Information ,
Unfair or Deceptive Trade Practices
Without stable housing, recovery for substance use disorder is nearly impossible. “Recovery housing” (or more commonly referred to as a “sober home” or a “sober living residence”) is a broad term that describes a safe,...more
Employers must check its employees, contractors and vendors to see if an individual or organization is excluded from participating in federal and/or state programs. While there are a variety of exclusion programs at the...more
6/10/2024
/ Affordable Care Act ,
Children's Health Insurance Program (CHIP) ,
Department of Health and Human Services (HHS) ,
Employees ,
Employer Liability Issues ,
Exclusions ,
False Claims Act (FCA) ,
Healthcare ,
Healthcare Fraud ,
List of Excluded Individuals/Entities (LEIE) ,
Medicaid ,
Medicare ,
OIG
On April 11, 2024, a jury convicted Northern Kentucky Center for Pain Clinic owner Dr. Timothy Ehn (who was not a medical doctor) and medical director, Dr. William Lawrence Seifert, for their roles in a scheme that defrauded...more
On April 16, 2024, the U.S. Department of Health and Human Services (HHS) finalized a rule modifying the Confidentiality of Substance Use Disorder (SUD) Patient Records (the Final Rule) codified at 42 C.F.R. Part 2 (Part 2)....more
5/24/2024
/ Confidential Information ,
Consent Order ,
Data Privacy ,
Department of Health and Human Services (HHS) ,
Drug & Alcohol Abuse ,
Final Rules ,
Health Insurance Portability and Accountability Act (HIPAA) ,
HITECH Act ,
Medical Records ,
New Rules ,
Substance Abuse
The United States Department of Justice (“DOJ”) recently made clear that acquiring entities involved in mergers and acquisitions must conduct thorough due diligence of acquired companies and, if relevant, undergo a voluntary...more
On January 13, 2023, the United States Supreme Court granted certiorari1 to review the False Claims Act (“FCA”) scienter standard in two FCA whistleblower cases from the Seventh Circuit, U.S. ex rel. Schutte v. SuperValu...more