In our annual report, we examine health care enforcement trends, predict how health care enforcement may evolve, and offer practical guidance about what these trends and predictions mean for health care providers, payors, and...more
On January 13, 2025, California Attorney General Rob Bonta (the California AG) issued two Legal Advisories regarding the utilization of artificial intelligence (AI). The first Legal Advisory provides guidance to consumers and...more
1/23/2025
/ Artificial Intelligence ,
California ,
Compliance ,
Data Privacy ,
Health Insurance ,
Healthcare ,
Patient Privacy Rights ,
Privacy Laws ,
State Attorneys General ,
Transparency ,
Unfair Competition Law (UCL)
In 2024, the Department of Justice (DOJ) resolved several noteworthy False Claims Act (FCA) cases against hospitals and health systems. In particular, DOJ obtained a number of large recoveries in cases where Stark Law and...more
1/17/2025
/ Anti-Kickback Statute ,
Compliance ,
Department of Justice (DOJ) ,
Enforcement ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Hospitals ,
Medicaid ,
Medical Bills ,
Medicare ,
Physicians ,
Stark Law
Governor Newsom signed over 1300 bills and vetoed almost 190 bills in 2024. Consistent with prior years, in 2024, California enacted multiple laws significantly impacting the health care industry. From artificial intelligence...more
12/27/2024
/ Artificial Intelligence ,
California ,
CLIA ,
Compliance ,
Enforcement Actions ,
Healthcare ,
Legislative Agendas ,
Medicaid ,
Medical Debt ,
Medicare ,
Prior Authorization