On May 22, 2025, the U.S. Department of Health and Human Services, Department of Treasury and Department of Labor (the “Agencies”) announced new steps intended to “strengthen healthcare price transparency.” ...more
5/27/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Labor (DOL) ,
Disclosure Requirements ,
Drug Pricing ,
Employer Group Health Plans ,
Health Insurance ,
Hospitals ,
Prescription Drug Coverage ,
Prescription Drugs ,
Reporting Requirements ,
Request For Information ,
Transparency ,
U.S. Treasury
In what it describes as a “First-of-its-Kind Healthcare Generative AI Investigation”, the Texas Attorney General (AGO) recently reached a settlement agreement with an artificial intelligence (AI) healthcare technology...more
11/6/2024
/ Artificial Intelligence ,
Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Criminal Investigations ,
Department of Justice (DOJ) ,
False Billing ,
False Claims Act (FCA) ,
False Statements ,
Health Care Providers ,
Health Technology ,
Hospitals ,
Medicare Advantage Organizations (MAOs) ,
Mental Health ,
Proposed Legislation ,
Regulatory Oversight ,
Settlement ,
State Attorneys General ,
Unfair or Deceptive Trade Practices
In early May 2024, the University of Pittsburgh Medical Center (UPMC) agreed to pay $38 million to resolve a False Claims Act case based on alleged Stark Law violations. The size of the settlement in United States ex rel. J....more
6/4/2024
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
Fair Market Value ,
False Claims Act (FCA) ,
Health Care Providers ,
Hospitals ,
Patient Referrals ,
Physicians ,
Relators ,
Settlement ,
Stark Law
On March 27, 2020, the U.S. Department of Health and Human Services (HHS) approved the waiver request submitted by the Minnesota Department of Human Services (DHS) earlier this month (the “Minnesota Waiver”). In addition to...more