On April 14, 2025, the United States Court of Appeals for the Seventh Circuit reversed the conviction of the owner of a durable medical equipment (“DME”) distributor, ruling that there was insufficient evidence to support a...more
5/13/2025
/ Anti-Kickback Statute ,
Appeals ,
Criminal Prosecution ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Marketing ,
Medical Devices ,
Medicare ,
Physicians ,
Whistleblowers
News Briefs - Hospitals Lose Supreme Court HHS Payment Case - The U.S. Supreme Court sided with the U.S. Department of Health and Human Services in a lawsuit brought by more than 200 hospitals that serve low-income...more
5/9/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Health Care Providers ,
Healthcare Costs ,
Healthcare Facilities ,
Healthcare Fraud ,
Healthcare Workers ,
Hospitals ,
Medicare ,
Physicians ,
Trump Administration
News Briefs - Congress Extends Telehealth Flexibilities for Another Six Months - Pandemic-related telehealth flexibilities set to expire March 31 have recently been extended for another six months as federal lawmakers approve...more
3/24/2025
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
CMMI ,
Cybersecurity ,
Health Care Providers ,
Healthcare ,
Hospitals ,
Medicare ,
Nurses ,
Opioid ,
Patient Safety ,
Pharmaceutical Industry ,
Supply Chain ,
Telehealth
News Briefs - Analysts Predict Increase in 2025 P.E. Healthcare Dealmaking - Following a steady, but modest, year of private equity dealmaking in healthcare, 2025 could see higher levels of activity as market conditions...more
3/17/2025
/ Artificial Intelligence ,
Cybersecurity ,
Health Care Providers ,
Healthcare Facilities ,
Long Term Care Facilities ,
Medicare ,
Mergers ,
Nursing Homes ,
Pharmacy Benefit Manager (PBM) ,
Physician Fee Schedule ,
Physicians ,
Private Equity
News Briefs - Trump Signs Executive Order to Improve Health Price Transparency - U.S. President Donald Trump signed an executive order aiming to improve price transparency on healthcare costs by directing federal agencies to...more
3/11/2025
/ Artificial Intelligence ,
Department of Health and Human Services (HHS) ,
Executive Orders ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Hospitals ,
Medicare ,
Physicians ,
Price Transparency ,
Rural Health Care Providers ,
Telehealth
News Briefs - Proposed Budget Cuts Could Greatly Impact Healthcare Sector - House Republicans unveiled a budget resolution that asks the Energy and Commerce Committee, which oversees Medicare and Medicaid, to find $880...more
2/21/2025
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
Data Privacy ,
Digital Health ,
Health Care Providers ,
Healthcare ,
Healthcare Facilities ,
Hospice ,
Hospitals ,
Medicaid ,
Medical Research ,
Medicare ,
Physicians ,
Public Health ,
Rural Health Care Providers
News Briefs - 2024 Healthcare Bankruptcies Down, Still Second Highest on Record - Senior care, pharmaceutical companies, and physician practices led healthcare provider bankruptcies in 2024 despite an overall dip in Chapter...more
2/11/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Data Privacy ,
Drug Pricing ,
Health Care Providers ,
Healthcare ,
Healthcare Facilities ,
Hospitals ,
Medicare ,
Nursing Homes ,
Pharmaceutical Industry ,
Prescription Drugs ,
Skilled Nursing Facility ,
Telehealth
News Briefs - Federal Judge Rejects Attempt to Stop Nursing Home Staffing Rule - A federal judge has rejected a bid by 20 Republican state attorneys general to block enforcement of a new rule adopted by the outgoing Biden...more
1/30/2025
/ Artificial Intelligence ,
Data Breach ,
DEA ,
Department of Health and Human Services (HHS) ,
Federal Trade Commission (FTC) ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Healthcare Facilities ,
Medical Devices ,
Medicare ,
Nursing Homes ,
Private Equity ,
Telehealth
News Briefs - New FDA Guidelines Aim to Make TV Drug Ads Clearer, More Direct - The ever-present TV drug ads showing patients hiking, biking, or enjoying a day at the beach could soon have a different look, as new rules...more
12/2/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Healthcare Facilities ,
Hospice ,
Hospitals ,
Medicare ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs
News Briefs - Congressional Extension of Telehealth Waivers Left in Limbo - Pandemic-era telehealth waivers that allowed providers to expand their virtual care footprint will end this year unless Congress takes action. The...more
11/18/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Hospice ,
Medical Devices ,
Medicare ,
Prescription Drugs ,
Skilled Nursing Facility ,
Telehealth ,
Telemedicine
News Briefs - DOJ National Nursing Home Initiative Aims to Boost Enforcement - The Department of Justice's new report details how the bureau is tackling crimes against older adults and how some providers have found themselves...more
11/11/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
Department of Justice (DOJ) ,
Drug Pricing ,
Health Care Providers ,
Healthcare ,
Medicare ,
Nursing Homes ,
Pharmaceutical Industry ,
Pharmacy Benefit Manager (PBM) ,
Physicians
All Medicare-certified skilled nursing facilities (“SNFs”) must be surveyed annually and not more than every 15 months, as well as on other occasions, such as for complaint investigations and revisits to determine compliance...more
News Briefs - 75% of Hospitals Spending More on Tech to Boost Cybersecurity - Three-quarters of hospitals and health systems spent more on information technology last year and many will continue to do so, with greater focus...more
10/15/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
Drug Pricing ,
Health Care Providers ,
Healthcare Facilities ,
Hospice ,
Hospitals ,
Medicare ,
Physicians ,
Prescription Drugs ,
Telehealth
News Briefs - HHS Drops Appeal of Court's Ruling in Hospital Web Tracking Case - The Department of Health and Human Services is dropping its appeal of a June U.S. District Court ruling that vacated the government's...more
9/11/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Healthcare ,
Medical Devices ,
Medicare ,
Physicians ,
Popular ,
Ransomware ,
Rural Health Care Providers ,
Telehealth ,
Web Tracking
News Briefs - State Governments Taking Steps to Make Rules on Healthcare AI - In the absence of federal guardrails on artificial intelligence in healthcare, state governments are figuring out their own rules of the road....more
8/21/2024
/ Artificial Intelligence ,
Drug Pricing ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Hospitals ,
Medical Devices ,
Medicare ,
Prescription Drugs ,
Private Equity ,
Rural Health Care Providers ,
Surprise Medical Bills
AGG’s Government Investigations Team Insights provides periodic updates covering legal and regulatory topics. Our team, which includes former federal prosecutors, SEC enforcement attorneys, and federal agency attorneys, has...more
7/23/2024
/ Administrative Authority ,
Administrative Law Judge (ALJ) ,
Artificial Intelligence ,
Drug Trafficking ,
Expert Testimony ,
Expert Witness ,
False Claims Act (FCA) ,
Federal Rules of Civil Procedure ,
Fraud ,
Government Agencies ,
Government Investigations ,
Health Care Providers ,
Jury Trial ,
Medicare ,
Qui Tam ,
Regulatory Authority ,
SCOTUS ,
SEC v Jarkesy ,
Securities and Exchange Commission (SEC) ,
Statutory Authority ,
Whistleblowers
News Briefs - Texas Federal Court Ruling Puts Noncompete Ban on Hold - A Texas federal court issued a preliminary injunction against the Federal Trade Commission's noncompete ban, which if implemented would allow existing...more
7/12/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Hospice ,
Hospitals ,
Medical Devices ,
Medicare ,
Nursing Homes ,
Prescription Drugs ,
Shared Savings Program
News Briefs - New Foreign Nurse Visas Frozen by State Department - The State Department has essentially frozen foreign nurse visas for the rest of the fiscal year amid high demand, and health groups are warning it threatens...more
6/28/2024
/ Department of Health and Human Services (HHS) ,
Foreign Workers ,
Health Care Providers ,
Healthcare Workers ,
Hospitals ,
Labor Shortage ,
Medicare ,
Nurses ,
Pharmaceutical Industry ,
Pharmacies ,
Prescription Drugs ,
Telemedicine ,
Visas
The United States Court of Appeals for the Seventh Circuit recently considered a district court’s nearly $6 million judgment in a qui tam False Claims Act (“FCA”) suit based on Anti-Kickback Statute (“AKS”) violations. The...more
News Briefs - Groups Urge Appeals Court to Revive Drug Price Negotiation Suit - Healthcare and drug industry groups urged a U.S. appeals court to revive their challenge to a law requiring manufacturers to negotiate the prices...more
5/13/2024
/ Centers for Disease Control and Prevention (CDC) ,
Coronavirus/COVID-19 ,
Cyber Attacks ,
Drug Pricing ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Workers ,
Hospital Mergers ,
Hospitals ,
Medicare ,
Non-Compete Agreements ,
Nurses ,
Telehealth ,
Whistleblowers
News Briefs - Medicare Proposal Would Require Hospitals to Report Emissions - Hospitals for the first time could be asked to report their greenhouse gas emissions to the federal health department. A new Medicare proposal to...more
4/26/2024
/ Artificial Intelligence ,
Cyber Attacks ,
Cybersecurity ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Workers ,
Hospitals ,
Labor Shortage ,
Medicare ,
Non-Compete Agreements ,
Nursing Homes ,
Physicians ,
Prescription Drugs ,
Section 340B
News Briefs - Telehealth Access Challenged as Internet Subsidy Program Ends - More than 23 million low-income households -- urban, suburban, rural, and tribal -- are enrolled in the federal discount program Congress created...more
4/15/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Cybersecurity ,
DEA ,
Department of Health and Human Services (HHS) ,
Drug Pricing ,
Health Care Providers ,
Healthcare Facilities ,
Hospitals ,
Medicare ,
Prescription Drugs ,
Rural Health Care Providers ,
Telehealth
News Briefs - U.S. to Accelerate Medicare Payments in Wake of Cyberattack - The U.S. government said it will accelerate Medicare and Medicaid payments to some hospitals hurt by a hack at insurer UnitedHealth's technology unit...more
3/15/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Cyber Attacks ,
Cybersecurity ,
Health Care Providers ,
Health Insurance ,
Hospice ,
Medicaid ,
Medicare ,
Pharmacies ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Ransomware
News Briefs - Massive Cyberattack Could Spur Movement in Healthcare Industry - As the disruption caused by the cyberattack at Change Healthcare stretches beyond its tenth day, cybersecurity experts say the incident could spur...more
3/13/2024
/ Artificial Intelligence ,
Cybersecurity ,
Drug Pricing ,
Health Care Providers ,
Healthcare Facilities ,
Healthcare Workers ,
Hospitals ,
Labor Shortage ,
Medicare ,
Non-Compete Agreements ,
Nursing Homes ,
Price Transparency
News Briefs - House to Consider 19 Bills That Will Impact Healthcare System - The House of Representatives will consider 19 bills that affect various aspects of the U.S. healthcare system. The House Energy & Commerce...more
12/14/2023
/ Cyber Attacks ,
Cybersecurity ,
Department of Health and Human Services (HHS) ,
Health Care Providers ,
Hospitals ,
Medicaid ,
Medicare ,
Physician Fee Schedule ,
Private Equity ,
Ransomware ,
Risk Management ,
Telehealth