1/3/2024 3:06:00 PM Health Care Mergers at Risk: New Guidelines Enhance Agencies’ Powers to Challenge Mergers By Ed Harvey Nicole Williams On December 18, 2023, the Federal Trade Commission (“FTC”) and the Antitrust Division of the Department of Justice (“DOJ”) issued a final...
12/15/2023 3:07:00 PM Class Actions Highlight AI-Assisted Payer Denials By Mackenzie Wallace Ashton Dietrich As health care payers increasingly rely on artificial intelligence (“AI”) to speed up patient claim adjudication and prior-authorization...
12/1/2023 3:07:00 PM OIG Update Modernizes Compliance Program Guidance By Bryan Looney April Kirkley For the first time in 15 years, the Office of Inspector General (OIG) has issued updated compliance program guidance. The release of this...
11/2/2023 2:08:00 PM OCR Issues New Telehealth Guidance By Thompson Coburn Last week, the Office for Civil Rights (“OCR") released two new resources designed to assist patients in understanding the privacy and...
10/2/2023 2:08:00 PM Upcoming Changes to Various Federal Laws Impacting the Health Care Industry By Nicole Jobe Catherine Feorene Bryan Looney Pumpkin spice is on all the shelves and the winter holidays are fast approaching. But as we enter into the final few months of 2023, the...
9/13/2023 2:08:00 PM OIG Publishes New “Featured Topic” on Managed Care Oversight By Nicole Jobe On August 28, 2023, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) published a new “Featured Topic”...
7/24/2023 2:09:00 PM Subjective Intent in False Claims Act: Navigating Ambiguity in Health Care Reimbursement Claims By Joy Hennessy Nicole Jobe At the intersection of law and business, ambiguity can present significant challenges. But one thing seems apparent under the False...
5/25/2023 2:10:00 PM New OIG toolkit: Analyzing Telehealth Claims for Program Integrity Risks By Milada Goturi Kevin Kifer On April 20, 2023, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) published a new toolkit titled...
3/13/2023 2:11:00 PM DOJ’s evolving ‘carrot and stick’ approach to increasing health care fraud corporate compliance By Thompson Coburn The carrot or the stick … which motivates compliance conduct more? Consider it a rhetorical question for now, but it’s once again a...
3/8/2023 3:11:00 PM New USAO policy for voluntary self-disclosure in corporate criminal enforcement actions provides greater predictability for health care organizations By Tonya Oliver Rose Catherine Feorene Jan Miller Maria Zschoche +1 more... Show less On February 22, 2023, the Department of Justice (DOJ) announced a new Voluntary Self-Disclosure Policy establishing uniform, transparent...
2/24/2023 3:11:00 PM DOJ withdraws three long-standing antitrust policy statements, leaving health care organizations in limbo By Ed Harvey Nicole Williams Mackenzie Wallace On February 3, 2023, the Antitrust Division of the U.S. Department of Justice (DOJ) withdrew three health care policy statements, which...
2/10/2023 3:12:00 PM Diagnosing a proposal to eliminate non-competes: Five ways it impacts the health care industry By Nicole Jobe Kevin Kifer On January 5, 2023, the Federal Trade Commission (“FTC”) proposed an all-encompassing new rule to bar employers from including...
12/12/2022 3:12:00 PM Five considerations for health care providers’ marketing of Medicare Advantage Plans By Nicole Jobe Kevin Kifer Catherine Feorene During the Medicare Advantage (MA) annual enrollment period, health care providers may be looking to inform their patients of their MA...
10/21/2022 2:13:00 PM Mackenzie Wallace discusses the latest trends and challenges facing today's health care market on AHLA podcast By Mackenzie Wallace Thompson Coburn partner Mackenzie Wallace was the featured guest on a recent episode of AHLA's Speaking of Health Law Podcast, where she...
9/23/2022 2:13:00 PM CMS seeks stakeholder feedback on COVID-19 waivers in new request for information By Catherine Feorene On September 6, 2022, the Centers for Medicare & Medicaid Services (CMS) released a Request for Information (RFI) seeking public input to...
8/23/2022 2:13:00 PM Civil Monetary Penalties for non-compliance with the Hospital Price Transparency Rule have arrived By Nicole Jobe The Hospital Price Transparency Rule (the “Rule”) became enforceable as of January 1, 2021 and is designed to make it easier for...