Wade’s Health Law Highlights for August 11, 2026
Read the issue: Wade’s Health Law Highlights for August 11, 2026False 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 and a customs duties settlement exceeding half a billion dollars, the largest of its kind. As…
Recent issues
CMS Proposes to Expand 36-Month Rule to Hospice Agencies
Ragini A. Acharya, for HuschBlackwell: The 36-Month Rule, found at 42 C.F.R. § 424.550(b), provides that where there is a change in majority ownership (“CIMO”) of…
Texas Lawyer Convicted of Conspiracy and Perjury for Laundering Kickbacks
This was intentional criminal conduct of conspiracy and perjury related to Anti-Kickback Statute violations. From a U.S. Attorney’s Office for the Eastern District of Texas Press…
Mark Cuban’s Drug Company Will Soon Be Selling Its Medicine Directly to Hospitals
Will Maddox, for D Magazine: Mark Cuban Cost Plus Drug Co. CEO Dr. Alex Oshmyansky is always busy disrupting the healthcare system. The latest iteration? Selling…
Complex AKS/Stark Complaint Survives Rule 9(b) Particularity Challenge – A Guide for FCA Complaints
Francis C. Oroszlan, Brett Barnett and Timothy Fry, for McQuireWoods: Generally, a complaint will survive a motion to dismiss if it states a plausible claim and…
CMS Proposes Payment Cuts in CY24 Medicare Physician Fee Schedule
Victoria Baily, for Revcycle Intellegence: The agency has said that proposed payment increases for primary care and other direct patient care providers meant that payment cuts…
Texas Data Privacy and Security Act, Data Breaches Notification
From Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., posted on National Review: Texas has joined the growing list of states enacting comprehensive consumer data privacy…
The 2023 DOJ Health Care Fraud Enforcement: Big Dollars or Clever Packaging?
Zachary S. Taylor and Sarah M. Hall, for Epstein Becker Green: Of the numerous cases, three specific areas comprised the vast majority of the $2.5 billion…
FDA Approves the First Over-The-Counter Birth Control Pill
Beth Mole, for ArsTechnica: The OTC-approved pill is the Opill (norgestrel), a once-a-day progestrin-only pill manufactured by the Dublin-based company Perrigo. The company said it expects…
OIG Advisory Opinion 23-04 – Favorable Opinion Regarding the Use of an Online Health Care Directory by Federal Health Care Program Beneficiaries
A website offers users the ability to search for physicians and other health care providers who have paid a fee to be included in the database.…