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Health Law Highlights
Advisory Opinion 23-7 OIG Issues Favorable Opinion Regarding Proposal to Pay Bonuses to Its Employed Physicians Based on Net Profits
From Health Law Diagnosis, by Nathaniel Arden & Michael Lisitano: On October 13, 2023, the Office of Inspector General (OIG) published Advisory Opinion 23-07, in which…
UnitedHealth Defends Lucrative Billing Tactic in Appeals Court
From Bloomberg Law, by Jacklyn Wille: “Cross-Plan Offsetting” is the practice by an insurer of clawing back benefits it says were overpaid to a provider under…
Ozempic’s Success Treating Other Ailments Is Bad News for Rivals
From Bloomberg Law, by Madison Muller: Ozempic, and other GLP-1 receptor agonists, are diabetes medications that have become popular for weight loss. Now, there is evidence…
False Claims Act Risks for Cyber Device Manufacturers Arising Under New Requirements Subject to FDA Enforcement Beginning October 1, 2023
From GibsonDunn, by Winston Chan, Jonathan Phillips, Gustav Eyler, John Partridge, Christopher Rosina, Carlo Felizardo, and Nicole Waddick: The FDA approval process for digital health “cyber…
Woman’s Death After IV Therapy Leads to License Suspension for Frisco Anesthesiologist
From D Magazine, by Will Maddox: The Texas Medical Board suspended Frisco anesthesiologist Dr. Michael Gallagher after a mother of four died in July at a…
Congress Eyeing Broker Payments Behind Booming Medicare Sales
From Bloomberg Law, by John Tozzi: About 31 million people – more than half of Medicare enrollees – opt to get their coverage through private plans…
CMS Publishes Updated Data on Stark Law Voluntary Disclosures
From Policy & Medicine, by Thomas Sullivan: 2022 was a stand-out year for Stark Law self-disclosures. It was the highest year in both the number of…
Labs Take Note New OIG Opinion Highlights That Fair Market Value Per Test Payments Can Still Violate the Anti-Kickback Statute Publications
From Bass, Berry & Sims, by Jennifer E. Michael & Danielle M. Sloane: The U.S. Department of Health and Human Services Office of Inspector General (OIG)…
HHS OIG Introduces Managed Care Strategic Plan
From Squire Patton Boggs, by Bevan Blake: In response to the continued growth of managed care in government-sponsored health plans over the last several years, the…
Patient Privacy: Preventing Data Leakage in Healthcare
From Security Boulevard, by Chantel Rodrigues: Tracking pixels are tiny, invisible images or code snippets embedded in web pages, emails, or mobile apps. They can be…