Hospitals and physicians rarely enter into a referral relationship involving Medicare patients without first considering the Stark law, but until recently, the government's enforcement efforts largely ignored Medicaid. Now,…more
A San Diego pharmaceutical company will pay more than $11 million to the Justice Department to settle allegations that it improperly induced doctors to prescribe its products.
Victory Pharma, Inc., has agreed to pay $1.4…more
Kentucky Spirit, one of the three Medicaid managed care companies serving Kentucky, has informed the Cabinet for Health and Family Services of its intention to prematurely terminate its three-year contract.
The company also…more
Successfully completing a major transaction such as a merger, acquisition, or divestiture is a tall order. Integrating information technology issues and involving the respective information technology departments is a vitally…more
Regulatory overhauls are in full swing, particularly in the areas of reimbursement, technology, and accountability. Concern over the changing landscape has renewed health care providers' interest in discussions regarding…more
This was the message the U.S. Supreme Court made clear in its per curiam opinion in last month's Marmet Health Care Center v. Brown, in which the court rebuffed West Virginia's attempt to carve out an exception to the…more
One key concept in Medicare reform is to base payments on the quality of care, rather than the quantity. In other words, Medicare payments in the future will in part be based on the results providers achieve for patients,…more
On December 3, 2010, the acting United States Solicitor General filed the long-awaited amicus curiae brief of the United States in the case of Maxwell-Jolly v. Independent Living Centers of California. Independent Living…more
The new healthcare reform legislation known as the Patient Protection and Affordable Care Act of 2010 (PPACA) has significantly increased potential liability for healthcare providers. The PPACA includes new provisions designed…more
Lawmakers have a knack for regulating the business of healthcare with a host of unique laws. As a result, transactions that are customary in other industries may be blatantly illegal when attempted in healthcare. If you are…more
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