CMS Releases Proposed Rule on Accountable Care Organizations
After much anticipation, several federal agencies released documents today addressing legal issues regarding Accountable Care Organizations (ACOs). Significantly, the Centers for Medicare &...
View ArticleWith Boehringer Ingelheim FCA Settlement, Government Continues To Expand...
Boehringer Ingelheim Pharmaceuticals, Inc. (“BIPI”) is the latest pharmaceutical manufacturer to enter into a False Claims Act settlement with the Department of Justice (“DOJ”) predicated on off-label...
View ArticleIs Off-Label Enforcement Off Limits?
On Monday, the Second Circuit Court of Appeals issued a split decision in U.S. v. Caronia, vacating the criminal conviction of a pharmaceutical sales representative who was found guilty of misbranding,...
View ArticleTwo Months After Indictment, Medicare Fraud Mastermind and Doctor Plead Guilty
Mark Morad, the man who cooked up a $56 million Medicare fraud scheme, and his accomplice doctor pled guilty yesterday in federal court in Louisiana to various health care fraud charges. According to a...
View ArticleGovernment Joins Lawsuit Against Florida Doctor Alleging Fraud and Kickbacks
In a move demonstrating the government’s continued aim to combat health care fraud through its Health Care Fraud Prevention and Enforcement Action Team (HEAT), the Department of Justice announced today...
View ArticleFTC Seeks Public Comments in Advance of Health Care Competition Workshop
The Federal Trade Commission and the Antitrust Division of the Department of Justice will co-host a second workshop in the series “Examining Health Care Competition” on February 24-25, 2015, in...
View ArticleU.S. Supreme Court Denies Antitrust Protection for State Professional Boards
In a 6-3 decision in North Carolina State Board of Dental Examiners v. Federal Trade Commission, the United States Supreme Court ruled today that state professional boards comprised of active...
View ArticleDOJ/OIG Issue FY2014 Report: Health Fraud Recoveries and Case Filings Decline
In an annual report required by Congress and issued today, the Department of Health and Human Services (HHS-OIG) and Department of Justice (DOJ) detailed their FY 2014 results under their coordinated...
View ArticleWords Hurt: FTC Challenges Proposed Hospital Merger Using Parties’ Own...
The Federal Trade Commission (FTC or Commission) authorized action on November 6 to block the proposed merger of two hospitals located in Huntington, West Virginia. The FTC issued an administrative...
View ArticleDOJ Antitrust Head Remains Focused on Health Care in Era of Consolidation
Speaking at an industry conference on November 13, U.S. Assistant Attorney General Bill Baer reiterated the government’s focus on competition concerns in the health care industry. According to Baer,...
View ArticleJudge Has No Interest in DOJ’s Statement of Interest
In yet another demonstration of the benefits of lifetime tenure, a federal judge in Florida has told the Department of Justice to take a hike. It happened when the DOJ asked for permission to submit a...
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