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Another Circuit Court Weighs in on Marketing and Promotion Under the AKS

By Christopher Janney, Samantha Groden, and Margo Smith
  • Medicaid
  • Medicare
  • News Flash
  • Pharmaceuticals
  • US Health Care

New Executive Order Focused on Drug Prices Suggests Changes Coming Through Wide-Ranging Measures

By Callan Smith
  • Compliance
  • Digital Health
  • Hospitals & Health Systems
  • Medicaid
  • Medicare
  • Reimbursement
  • US Health Care

CMS Issues 2025 Marketplace Integrity and Affordability Proposed Rule

By Kate Sullivan Morgan
  • Anti-Kickback Statute
  • Compliance
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First Circuit Weighs in on AKS Causation Standard for FCA Liability

By Samantha Groden, Christopher Janney, and Gadi Weinreich
  • Hospitals & Health Systems
  • Medicaid
  • Medicare
  • Pharmaceuticals
  • Reimbursement

Congressional Check-Up: Examining Health Care Policies in the Lame-Duck Session and Beyond

By Callan Smith
  • Compliance
  • Digital Health
  • Fraud & Abuse
  • Medicaid
  • Medicare

ICYMI: OIG Report Pushes for Enhanced Oversight in Medicare RPM, Provides Recommendations for Change

By Danika Rothwell and Ramy Fayed
  • Anti-Kickback Statute
  • Compliance
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  • Hospitals & Health Systems
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Federal Court Issues Major AKS Decision on Bundled Discounts

By Samantha Groden, Christopher Janney, and Gadi Weinreich
  • Compliance
  • Fraud & Abuse
  • Managed Care
  • Medicaid
  • Medicare

CMS Proposes New Overpayment Rule, Addressing Both “Identified” Definition and Six-Month Investigation Period

By Ramy Fayed and Christopher Janney
  • Compliance
  • Health Care IT
  • Hospitals & Health Systems
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  • Medicaid
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Medicaid Final Rules Add to HHS Regulatory Flurry

By Charles Luband, Janice Ziegler, Claire Bornstein, and Callan Smith
  • Compliance
  • Fraud & Abuse
  • Managed Care
  • Medicaid

“Identifying” an Overpayment: The Long and (Still) Winding Road

By Christopher Janney
  • Compliance
  • Fraud & Abuse
  • Managed Care
  • Medicaid

HHS-OIG Announces First Round of Industry Segment-Specific Compliance Program Guidance

By Stephanie Murtagh
  • Compliance
  • Health Care IT
  • Managed Care
  • Medicaid
  • Medicare

CMS Finalizes Interoperability and Prior Authorization Rule, Creating New Requirements for Payers and Providers

By Janice Ziegler and Callan Smith

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