On Dec. 11, 2024, the OIG issued a Special Fraud Alert (Alert) related to certain fraud and abuse risks associated with marketing arrangements between Medicare Advantage Organizations (MAOs) and health care professionals...more
12/23/2024
/ Bonuses ,
Brokers ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Fraud Alerts ,
Fraud and Abuse ,
Gift-Cards ,
Health Care Providers ,
Incentives ,
Marketing ,
Medicare ,
Medicare Advantage ,
Medicare Advantage Organizations (MAOs) ,
OIG ,
Open Enrollment ,
Patient Referrals ,
Unfair Competition
As the health care industry continues to shift its focus to emphasize the delivery and innovation of patient care outside of the hospital, ambulatory surgery centers (ASC) have taken center stage as lower-cost care sites. In...more
As anticipated, 2024 continues to bring increased scrutiny of restrictive covenants by employers. At both federal and state levels, noncompete agreements are being disfavored more than ever, with Pennsylvania being the latest...more
On June 28, 2024, the Supreme Court overruled Chevron, U.S.A., Inc. v. Nat. Res. Def. Council, Inc., and consequently invalidated the “Chevron Deference” — a cornerstone of administrative law since 1984. In the 6-3 decision...more
7/12/2024
/ Administrative Procedure Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Chevron Deference ,
Chevron v NRDC ,
Corner Post Inc v Board of Governors of the Federal Reserve System ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Federal Health Care Programs (FHCP) ,
Health Care Providers ,
Judicial Authority ,
Loper Bright Enterprises v Raimondo ,
Medicare ,
Regulatory Authority ,
SCOTUS ,
Statutory Interpretation
As anticipated, 2024 is bringing increased scrutiny of restrictive covenants by employers. At both the federal and state levels, non-compete agreements (“non-competes”) are being disfavored more than ever, with Maryland...more
On December 18, 2023, the Department of Justice (“DOJ”) and the Federal Trade Commission (“FTC”) (collectively, the “Agencies”) released the 2023 Merger Guidelines (the “Guidelines”), which are the result of a two-year...more