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Insights on Health Care

1139 total results. Page 26 of 46.

Investigations Blog
Ten Former NFL Players Charged with Defrauding League's Health Care Benefits Plan
December 13, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
Update: California Court of Appeal Orders Publication of Natarajan V. Dignity Health
December 9, 2019
Lowell C. Brown, Debra Albin-Riley

Natarajan addressed an important question: When may physicians who are the subject of a peer review hearing challenge the hearing officer in their cases on the ground that the hearing officer is biased?

Investigations Blog
Defense Vehicle Manufacturer Accused of Defrauding the Government by $1.2 Billion
December 6, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
The “Reasonable Licensee” Defense – When Things Go Wrong Despite A Health Facility’s Reasonable Steps To Do Things Right
December 5, 2019
Thomas E. Jeffry, Jr.

The California Court of Appeal gave licensees of health care facilities good news by expanding the scope of the “reasonable licensee” defense when the California Department of Public Health (CDPH) issues a citation and imposes penalties.

Health Care Counsel Blog
CMS Proposes Increased Scrutiny of Medicaid Supplemental Payments and Related State Financing Arrangements
November 25, 2019
Anne M. Murphy

In what is widely considered to signal intensified focus by the Federal government on Medicaid supplemental payments and related State Medicaid financing mechanisms, the CMS on November 18, 2019 proposed the Medicaid Financing and Accountability Regulation.

Investigations Blog
Kentucky Hospital Agrees to Pay $10 Million to Resolve False Claims Act Allegations
November 22, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
CMS Kicks the Can Down the Road
November 21, 2019
Stephanie Trunk

CMS issued an Interim Final Rule with comment period that further delays the inclusion of the US territories in the definitions of “States” and “United States” for purposes of the Medicaid Drug Rebate Program from April 1, 2020 until April 1, 2022.

Investigations Blog
Compound Ingredient Supplier to Pay Over $22 Million to Resolve Allegations Brought Under Qui Tam Provisions of FCA
November 15, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

News
Patel Featured on Patent Hurdles Faced by Biosimilars to Get to Market
November 13, 2019
Sailesh K. Patel

Biosimilars Patent and Antitrust Perspectives Virtual Panel

Investigations Blog
Third Circuit Holds False Claims Act Relator Lacks Standing and Right to Intervene in Related Criminal Case
November 8, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Press Release
US News and Best Lawyers Rate 25 Arent Fox Practices Among Best in the Country
November 6, 2019

Twenty-five Arent Fox LLP practices have been recognized in the 2020 “Best Law Firms” rankings that are published annually by US News & World Report and Best Lawyers.

Investigations Blog
Kickback Allegations Settled for $20.25 Million
November 1, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
Former Drugstore Executive Receives Two-Year Sentence, Ordered to Pay $6.3 Million for Kickback Scheme
October 25, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
Court of Appeal Rejects Bias Challenge to Peer Review Hearing Officer
October 23, 2019
Lowell C. Brown

In a decision very favorable to California hospitals and medical staffs, the Court of Appeal rejected a physician’s argument that he was denied due process during his peer review hearing because of hearing officer alleged bias.

Health Care Counsel Blog
FTC Antitrust Decision Provides A Reminder: Emails and Texts Can and Will Be Used Against You
October 21, 2019
Brian D. Schneider

The Federal Trade Commission issued a decision last week illustrating that even sophisticated executives need reminding that emails and texts will be “Exhibit A” of an antitrust violation.

Investigations Blog
DOJ Issues Guidance on Ability-to-Pay in False Claims Act Cases
October 18, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
Genetic Testing Company and Three Principals Settle FCA Allegations for $42.6 Million
October 11, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
Pharmaceutical Company Agrees to Pay More than $108 Million to Resolve False Claims Act Allegations
October 4, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
Fair and Accurate Medicaid Pricing Act Becomes Law: Officially Closes AMP “Loophole” Related to Authorized Generics
October 2, 2019
Stephanie Trunk

Late Friday, September 27, 2019, President Trump signed the Fair and Accurate Medicaid Pricing Act into law as part of the Continuing Appropriations Act.

Alerts
DC District Court Judge Rules Against CMS’s Site-Neutral Policy, Vacates CY 2019 Outpatient Prospective Payment System (OPPS) Final Rule
October 1, 2019
Douglas A. Grimm

The US District Court for the District of Columbia ruled that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it cut the Medicare payment rates for hospital services provided in the grandfathered off-campus provider-based department setting.

Press Release
Health Care Partner Stephanie Trunk Recognized by LMG Life Sciences
September 30, 2019

WASHINGTON — Arent Fox LLP is pleased to announce that Health Care Co-Leader Stephanie Trunk has once again been selected to the LMG Life Sciences Award List in the “Healthcare Pricing & Reimbursement” category.

Alerts
Guilt by Affiliation: New CMS Regulations Require Provider Disclosure of Past Association with “Bad Actors”
September 27, 2019
Thomas E. Jeffry, Jr., David S. Greenberg

On September 10, 2019, CMS ssued a final rule with comment period, titled Program Integrity Enhancements to the Provider Enrollment Process (the “Final Rule”), which enhances the government’s authority to deny or revoke health care providers from participating federal health care programs.

Investigations Blog
Third Circuit Upholds Convictions in $100 Million Referral Scheme
September 27, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
FDA issues guidance for industry on wholesale distributor verification requirement for saleable returned drug product
September 24, 2019
Brian P. Waldman

FDA issued a Compliance Policy delaying enforcement of the DSCSA’s saleable returns verification requirement by one year. So now, instead of wholesale distributors having to comply by November 27, 2019, FDA will exercise enforcement discretion until November 27, 2020.

Investigations Blog
34 Individuals Charged in $258 Million Medicare and Medicaid Fraud Schemes
September 20, 2019
D. Jacques Smith, Stephanie Trunk, Randall A. Brater, Alexander S. Birkhold, Michael F. Dearington, Rebecca W. Foreman, Nadia Patel, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

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