Anti-Kickback Statute Compliance Fraud & Abuse Medicaid Medicare Pharmaceuticals US Health Care HHS-OIG Issues Special Advisory Bulletin on Manufacturer Direct-to-Consumer Programs for Prescription Drugs By Sean Cenawood, Samantha Groden, Christopher Janney, and Gadi Weinreich
Compliance Fraud & Abuse Managed Care Medicare News Flash HHS-OIG Releases Long-Awaited Medicare Advantage Compliance Program Guidance By Janice Ziegler, Christopher Janney, and Margo Smith
Compliance Managed Care Medicare News Flash CMS Issues Proposed Changes to MA Risk Adjustment Process and RADV Audit Update By Janice Ziegler and Margo Smith
Compliance Corporate Digital Health Hospitals & Health Systems Managed Care Reimbursement US Health Care Direct Contracting for Self-Funded Health Plans: A Primer By Kate Sullivan Morgan and Paul Richmond
Compliance Digital Health Fraud & Abuse Medicaid Medicare HHS-OIG’s New RPM Report: Same Risks, Sharper Focus By Ramy Fayed and Danika Rothwell
Anti-Kickback Statute Compliance Fraud & Abuse The Government’s AKS End Run: How DOJ Is Dodging “But For” Causation in FCA Kickback Cases By Sean Cenawood and Danika Rothwell
Anti-Kickback Statute Compliance Fraud & Abuse Hospitals & Health Systems New HHS-OIG Advisory Opinions Suggest Increased Scrutiny of Business Terms By Christopher Janney, Samantha Groden, and Gadi Weinreich
Compliance Digital Health Health Care IT Hospitals & Health Systems Managed Care Medicare Reimbursement CMS Announces Prior Authorization Innovation Model in Traditional Medicare By Janice Ziegler, Holley Lutz, and Kate Sullivan Morgan
Compliance Fraud & Abuse News Flash HHS and DOJ Revive FCA Working Group By Margo Smith and Samantha Groden
Compliance Corporate Managed Care Federal Departments Suggest That New Mental Health Parity Regulations May Be Rolled Back By Sarah Winston, Kate Sullivan Morgan, Martin Moderson, and Kathy Babich
Compliance Managed Care Medicare CMS Announces Enhanced and Accelerated Medicare Advantage Risk Adjustment Audits By Janice Ziegler and Margo Smith
Compliance Corporate Fraud & Abuse News Flash US Health Care States Join Federal Government in Targeting Private Equity in Healthcare By Danika Rothwell