On Wednesday, July 2, 2025, the U.S. Department of Justice (DOJ) and the U.S. Department of Health and Human Services (HHS) announced the creation of a DOJ-HHS False Claims Act Working Group. The Working Group is a procedural...more
7/7/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Drug Pricing ,
Enforcement Actions ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Medicaid ,
Medical Devices ,
Medicare ,
Medicare Advantage ,
Trump Administration ,
Working Groups
The Supreme Court’s recent opinion in Thompson v. United States may have significant implications for the False Claims Act (FCA). In Thompson, the Court was tasked with interpreting 18 U.S.C. § 1014, which prohibits...more
6/25/2025
/ Anti-Kickback Statute ,
Causation ,
Controlled Substances Act ,
Enforcement Actions ,
False Claims Act (FCA) ,
False Statements ,
Government Agencies ,
Healthcare Fraud ,
Judicial Authority ,
Misleading Statements ,
SCOTUS ,
Statutory Interpretation ,
Thompson v United States ,
Whistleblowers
Companies are racing to harness the power of artificial intelligence. The applications are myriad. Insurers are using AI to replace administrative overhead and assist with claims processing. Software developers are...more
11/20/2024
/ Algorithms ,
Artificial Intelligence ,
Criminal Penalties ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Federal Contractors ,
Fraud ,
Government Agencies ,
Machine Learning ,
Risk Assessment ,
Software Developers