The U.S. Department of Justice (DOJ) and the Department of Health and Human Services (HHS) announced on July 2 their formation of a False Claims Act Working Group. The announcement and the formation of the Working Group...more
7/9/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Drug Pricing ,
Enforcement Priorities ,
False Claims Act (FCA) ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Medical Devices ,
Medicare ,
Trump Administration
With May having begun, we have entered the zone in which the Supreme Court will be announcing decisions in the most important cases of this term.
Among them is Federal Communications Commission v. Consumers’ Research, a...more
5/9/2025
/ Certiorari ,
Department of Health and Human Services (HHS) ,
FCC ,
Federal Communications Commission v Consumers Research ,
Government Agencies ,
Oral Argument ,
Regulatory Authority ,
Schools Health & Libraries Broadband Coalition v Consumers Research ,
SCOTUS ,
Separation of Powers ,
Statutory Authority ,
Telecommunications Act ,
USAC
In March 2024, the Federal Trade Commission (FTC), the Department of Justice (DOJ) and the Department of Health and Human Services (HHS) (collectively, Agencies) issued a request for information (RFI) seeking public comment...more
1/27/2025
/ Acquisitions ,
Antitrust Provisions ,
Competition ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Healthcare ,
Hospitals ,
Mergers ,
Physicians ,
Private Equity ,
Transparency
The Supreme Court’s recent ruling in Loper Bright Enterprises v. Raimondo (and its companion case, Relentless v. Department of Commerce), in which it overruled the Chevron doctrine, has received a great deal of attention...more
7/29/2024
/ Administrative Procedure Act ,
Affordable Care Act ,
Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Chevron Deference ,
Civil Rights Act ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Health Care Providers ,
Loper Bright Enterprises v Raimondo ,
Physician Medicare Reimbursements ,
Relentless Inc v US Department of Commerce ,
Sex Discrimination ,
Stark Law ,
Statutory Interpretation
In a prior post, we discussed the Federal Trade Commission’s (“FTC”) lawsuit against U.S. Anesthesia Partners (“USAP”) and the private equity firm Welsh, Carson, Anderson & Stowe (“Welsh Carson”). Most recently, the U.S....more
On March 6, the Federal Trade Commission (“FTC”), the Department of Justice’s Antitrust Division (“DOJ”), and the Department of Health and Human Services (“HHS”) (the “Agencies”) announced that they were “launching a...more
The U.S. Department of Health and Human Services Office of Inspector General (“OIG”) recently considered the question whether an employed physician can be paid bonus compensation relating to procedures performed by the...more
10/26/2023
/ Advisory Opinions ,
Ambulatory Surgery Centers ,
Anti-Kickback Statute ,
Bonuses ,
Compensation ,
Department of Health and Human Services (HHS) ,
Employees ,
Health Care Providers ,
OIG ,
Physicians ,
Remuneration ,
Safe Harbors
On August 18, the Office of Inspector General in the Department of Health and Human Services (“OIG”) issued Advisory Opinion 23-05 in which it concluded that a proposed arrangement involving the formation of a company...more
The Office of Inspector General (“OIG”) in the Department of Health and Human Services has longstanding concerns regarding physician-owned entities that derive revenue from selling items ordered by their physician owners for...more