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Insights on Health Care

1199 total results. Page 6 of 48.

Investigations Blog
Federal Government Urges Court of Appeals to Uphold Constitutionality of FCA Qui Tam Provisions
January 10, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Mattie Bowden, Shoshana Golden

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
What Private Equity Investors and Real Estate Investment Trusts Need to Know About the Newly Enacted Massachusetts Health Oversight Law
January 9, 2025
Anne M. Murphy, Michele L. Gipp, Douglas A. Grimm, Aida Al-Akhdar

On December 30, 2024, the Massachusetts state legislature passed House Bill 4653 (the Act), which significantly enhances regulatory oversight in the Massachusetts health care market. As signed into law by Governor Maura Healy on January 8, the Act will have profound effects for private equity (PE) investors and real estate investment trusts (REITs) engaging with the Massachusetts health care market. Passage of the Act comes on the heels of prominent PE-backed hospital failures in Massachusetts.

Health Care Counsel Blog
At Long Last, the OIG Issues Its Compliance Program Guidance for Nursing Facilities
January 8, 2025
Michele L. Gipp, Anne M. Murphy, Jill A. Steinberg

On November 20, 2024, the US Department of Health and Human Services, Office of Inspector General (OIG) issued its Industry Segment-Specific Compliance Program Guidance for Nursing Facilities (Nursing Facility ICPG).

Investigations Blog
Second Circuit Partially Affirms Novartis’ Motion to Dismiss AKS Claims
January 3, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Shoshana Golden, Apeksha Vora

Headlines that Matter for Companies and Executives in Regulated Industries

Alerts
Important Recent Developments in Massachusetts Affecting Assisted Living Residence Operators
December 23, 2024
Anne M. Murphy, Rachel J. Richardson, Kathryn L. Steffen*, Alyssa L. Gould

In November, we wrote about Massachusetts legislative and regulatory updates that impact both nursing homes and assisted living residences.

Investigations Blog
California Doctor to Pay $3 Million for Insider Trading
December 20, 2024
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Elizabeth Satarov, Apeksha Vora

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
HIPAA Reproductive Privacy Rule Takes Effect Amid Legal and Political Uncertainties
December 19, 2024
Jill A. Steinberg, Gayland O. Hethcoat II, Aida Al-Akhdar

As of December 23, health care providers, health plans, and health care clearinghouses (covered entities) and their business associates (collectively, regulated entities) must comply with new reproductive health care privacy protections under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Enforcement will begin against the backdrop of a pending lawsuit challenging the validity of the new protections and an incoming Trump Administration with an uncertain enforcement posture.

Investigations Blog
Florida Telemarketer Sentenced to 15 Years in Prison for $67 Million Medicare Fraud Scheme
December 13, 2024
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Elizabeth Satarov

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
FCA Enforcement & Compliance Digest — Fall 2024 False Claims Act Newsletter
December 9, 2024
D. Jacques Smith, Hillary M. Stemple, Nadia Patel, Michael F. Dearington, Roberto Martinez, John M. Hindley

Welcome to the Fall 2024 issue of “FCA Enforcement & Compliance Digest,” our quarterly newsletter in which we compile essential updates on False Claims Act (FCA) enforcement trends, litigation, agency guidance, and compliance tips. We bring you the most recent and significant insights in an accessible format, concluding with our main takeaways — aka “And the Fox Says…” — on what you need to know.

Investigations Blog
Seventh Circuit Considers When Legal Marketing Transforms Into Illegal Kickbacks
December 6, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Rebekkah R.N. Stoeckler

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
Owner, Operator of Texas Lab Charged for $79 Million Medical Testing Fraud Scheme
November 22, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Mattie Bowden, Rebekkah R.N. Stoeckler

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
The 2025 Final Hospital Outpatient Prospective Payment System and Physician Fee Schedule Rules: What Pharma Stakeholders Need to Know
November 21, 2024
Stephanie Trunk, Shoshana Golden

This past July, we reported on the Centers for Medicare & Medicaid Services (CMS) release of the 2025 proposed Hospital Outpatient Prospective Payment System (HOPPS) and Physician Fee Schedule (PFS) rules. CMS has now released the 2025 final rules, though they will not be published in the Federal Register for several more weeks.

Investigations Blog
UCHealth Settles FCA Violations for $23 Million
November 15, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Mattie Bowden, Heather M. Zimmer

Headlines that Matter for Companies and Executives in Regulated Industries

Events
2024 CSHA Fall Seminar
November 15, 2024
Gayland O. Hethcoat II

Health Care Counsel Gayland Hethcoat will lead a session on California’s Data Exchange Framework (DxF) at the California Society for Healthcare Attorneys’ (CSHA) 2024 Fall Seminar in Sacramento, California, on November 15, 2024.

Investigations Blog
Judge Orders Government to Pay Relators a Cut of FCA Settlement
November 8, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, John M. Hindley, Heather M. Zimmer

Headlines that Matter for Companies and Executives in Regulated Industries

2024 Election Analysis
Alerts
ArentFox Schiff 2024 Election Analysis
November 7, 2024
Byron Dorgan*, Philip S. English*, Dan H. Renberg, Jon S. Bouker, Craig Engle, David P. Grosso, David Tafuri, Cissy Jackson, Laura E. Doyle*, Oliver Spurgeon III*, Daniel Sjostedt*, Starshine S. Chun*, Katherine Kramer*

The United States awoke on November 6 to a changed and improbable political landscape. The nation has re-elected Donald J. Trump as President and has given him a US Senate Republican majority and potentially a US House of Representatives Republican majority as well. As fatigued and steadfast local and state election workers continue to sort through ballots, we continue to look to the finalization of tallies for some remaining Senate and House races to determine the nature and size of Congressional majorities.

Press Release
US News and Best Lawyers Rates 35 ArentFox Schiff Practices Among Best in the Country
November 7, 2024

ArentFox Schiff has been nationally recognized with 35 top rankings in the 2025 edition of Best Law Firms®, which honors firms for professional excellence based on consistently positive ratings from clients and peers.

Events
Webinar: The New 340B ADR Final Rule Process: Overview and Implications for the Future
November 7, 2024
Douglas A. Grimm

Health Care Practice Leader Douglas Grimm will co-lead a CLE webinar on the new 340B Administrative Dispute Resolution (ADR) Final Rule process for the American Health Law Association’s (AHLA) Education Center on November 7, 2024.

Health Care Counsel Blog
Health Care Provider Loses Tax-Exempt Status in Fifth Circuit Decision
November 6, 2024
Douglas A. Grimm, Shira Helstrom, Craig Engle, Cameron Custard

On October 28, the US Court of Appeals for the Fifth Circuit held that a nonprofit corporation that coordinates health care for privately insured patients does not qualify for tax exemption under Section 501(c)(4) because it is not “operating exclusively for the promotion of social welfare.”

Alerts
Massachusetts Senior Living Facilities Legislative and Regulatory Fall 2024 Update
November 1, 2024
Anne M. Murphy

How Massachusetts senior living providers need to be thinking about the recently enacted Long Term Care Reform Law and a recent Centers for Medicare & Medicaid Services audit of nursing homes.

Investigations Blog
Connecticut State Court Finds Defunct Pharmacy Liable for $39.2 Million in Damages and Penalties
November 1, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, John M. Hindley, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
San Diego Physician and Medical Practice Pay $3.8 Million to Resolve FCA Allegations
October 25, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Rebecca W. Foreman, Laura Zell

Headlines that Matter for Companies and Executives in Regulated Industries

Investigations Blog
Teva Pharmaceuticals Agrees to Pay $450 Million to Resolve FCA Claims
October 18, 2024
D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Rebecca W. Foreman, Roberto Martinez

Headlines that Matter for Companies and Executives in Regulated Industries

Alerts
California Requires Disclaimers for Health Care Providers’ AI-Generated Patient Communications
October 15, 2024
Gayland O. Hethcoat II

In a significant move toward regulating artificial intelligence (AI) in health care, Assembly Bill (AB) 3030 will require health facilities, clinics, and physician practices in California to provide disclaimers to patients about their use of generative AI (GenAI).

Health Care
Health Care Counsel Blog
Silence Is Golden: Court of Appeal Expands Legal Protections for California Medical Staffs
October 14, 2024
Debra Albin-Riley, Lowell C. Brown

Expanding on the peer review protections established in Bonni v. St. Joseph Health System, the California Court of Appeal in Dignity Health v. Mounts held that a wide array of medical staff communications regarding peer review and patient care are absolutely protected from legal liability.

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