Health Law Highlights

The Fifth Circuit, sitting en banc, vacated the federal regulations governing how insurers calculate the qualifying payment amount under the No Surprises Act. In Texas Medical…

A Houston-area pharmacist was convicted of conspiracy to pay health care kickbacks after paying more than $2 million for patient referrals Tronown Thomas owned and operated…

False Claims Act settlements and judgments announced in the first half of 2026 total more than $1.8 billion The total includes two nine-figure Medicare Advantage resolutions…

A Dallas clinical laboratory, its owners, and its investors agreed to pay $24 million to resolve False Claims Act allegations that it billed Medicare for medically…

Laboratory Corporation of America will pay $14,500,000 to resolve False Claims Act allegations that it billed Medicare Part B for medically unnecessary urine drug testing under…

Ruthia He, founder and former CEO of digital mental health company Done Global Inc., was sentenced to six years in prison and a $1 million fine…

OIG Advisory Opinion No. 26-15 concludes that a home health agency’s payment of subscription fees to a vendor for online referral management software would generate prohibited…

The Justice Department charged 455 defendants, including 90 doctors and licensed medical professionals, in the 2026 National Health Care Fraud Takedown tied to more than $6.5…

OIG Advisory Opinion No. 26-14 grants a favorable determination to a pharmaceutical manufacturer sponsoring free antibody testing to identify patients potentially eligible for its drug. Under…

CMS has proposed a rule that would cut $774.8 billion in state and federal Medicaid spending over 10 years by capping State Directed Payments (SDPs), far…