It’s now 3–1, with the First Circuit (2025) aligning with the Sixth (2023) and Eighth (2022) Circuits finding the meaning of the words “resulting from” — as used in a 2010 amendment to the federal ...

Federal authorities have recovered more than $61 million since 2019 from alleged healthcare kickback schemes involving ...

Subsidized federal health insurance plans offered under the Patient Protection and Affordable Care Act could cause the Anti-Kickback Statute and by extension the False Claims Act to reach beyond ...

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...

On May 20, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published Advisory Opinion 26-11, concluding that ...

HHS recently released a report that provides observations on the effect healthcare fraud and abuse laws have on the industry’s transition to value-based payment models. HHS released the report ...

In a year-end set of new regulations, the Centers for Medicare & Medicaid Services and the HHS Inspector General finalized the Stark law exemption, which allows hospitals to fund up to 85 percent of ...

TrumpRx is officially launched, and the jury is still out on whether the platform will do much to decrease healthcare costs for most U.S. patients. But as more pharma companies partner with TrumpRx or ...

Device industry group AdvaMed on Wednesday pledged its support for proposed the Department of Health and Human Services (HHS) changes to modernize and clarify the regulations that interpret the ...

The U.S. 2nd Court of Appeals recently revisited a whistleblower lawsuit against Novartis, a Swiss pharmaceutical company, creating a new development in the enforcement of the Anti-Kickback Statute, ...

In a case that could define what is and is not an illegal kickback in health care, the U.S. 7th Circuit Court of Appeals has overturned a Chicago businessman's conviction for paying an advertising ...