Archive
Wade Emmert
Unfavorable OIG Advisory Opinion Issued for a Proposed Venture with Surgeon Owners but Managed by Others
Tom Greeson, writing for ReedSmith: Although it is possible to enter into business ventures with referral sources, care needs to be taken to ensure that the…
Our Health Care System May Soon Receive a Much-Needed Cybersecurity Boost
Lily Hay Newman, writing for Wired.com and Ars Technica: The Advanced Research Projects Agency for Health (Arpa-H), a research support agency within the United States Department…
OIG Again Concludes That Online Health Care Provider Marketplace Does Not Violate Fraud and Abuse Laws
Douglas A. Grimm, Gayland O. Hethcoat II, writing for ArentFox Schiff: In Advisory Opinion No. 23-04, the US Department of Health and Human Services (HHS) Office…
Antitrust & Competition Healthcare Quarterly Update Q2 2023
Andrew Lacy, Arman Oruc, John Goheen Kevin Walsh, and Andrew Jensen, writing for Goodwin Procter: In the second quarter, the US antitrust agencies continued efforts to…
After Hearing Arguments, Future of Planned Parenthood in Texas Rests with Federal Judge
Dallas Morning News: Texas officially ousted the organization from the state’s Medicaid program in 2021 after four years of trying and a subsequent legal battle. Planned…
Hospital Mergers Double the Risk of a Data Breach, Study Shows
Joseph J. Lazzarotti, writing for JacksonLewis: A recent study suggests that the likelihood for hospitals to experience a data breach doubles during the year before and…
CMS Unveils New Changes to ACO REACH Model
By Noah Tong, for Fierce Healthcarel: Among numerous tweaks, CMS reduced the beneficiary alignment minimum for new entrant accountable care organizations from 5,000 to 4,000. It…
Texas Attorney General’s Medicaid Fraud Control Unit Helps Secure 49-Month Sentence and Over $5 Million Restitution in Orthopedic Supplies Fraud Case
This is a common tale. It seems like most of my time is spent explaining to clients why you cannot pay marketers a percentage of the…
OIG Issues Final Information Blocking Enforcement Rule and Highlights the Potential for Referrals to the FTC and FCA Liability
By Ryan P. Blaney & Jonian Rafti, for Proskauer: The Final Rule codifies the prohibition on “information blocking” introduced by the 21st Century Cures Act (“Act”),…
Healthcare Industry Faces Heightened Antitrust Scrutiny Under New Merger Guidelines, HSR Rules
By Wendy Arends, Mark Tobey & Kelsey Toledo, for HuschBlackwell: The draft Merger Guidelines were published on July 19, 2023, by the Agencies just weeks after…