On April 20, 2023, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) published a new toolkit titled “Analyzing Telehealth Claims to Assess Program Integrity Risks” designed to analyze claims data for telehealth services and identify
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DOJ’s evolving ‘carrot and stick’ approach to increasing health care fraud corporate compliance
The carrot or the stick … which motivates compliance conduct more? Consider it a rhetorical question for now, but it’s once again a tactic being deployed by the U.S. Department of Justice to motivate or cajole corporate compliance. In separate…
New USAO policy for voluntary self-disclosure in corporate criminal enforcement actions provides greater predictability for health care organizations facing potential fraud or other misconduct
On February 22, 2023, the Department of Justice (DOJ) announced a new Voluntary Self-Disclosure Policy establishing uniform, transparent guidelines for how United States Attorneys’ Offices (USAOs) will determine whether a company has made a voluntary self-disclosure and the benefits to…
DOJ withdraws three long-standing antitrust policy statements, leaving health care organizations in limbo
On February 3, 2023, the Antitrust Division of the U.S. Department of Justice (DOJ) withdrew three health care policy statements, which have provided antitrust enforcement guidance to various segments of the health care industry for the past few decades.…
Diagnosing a proposal to eliminate non-competes: Five ways it impacts the health care industry
By Nicole Jobe & Kevin Kifer
On January 5, 2023, the Federal Trade Commission (“FTC”) proposed an all-encompassing new rule to bar employers from including non-compete clauses in contracts with their employees.
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Five considerations for health care providers’ marketing of Medicare Advantage Plans
During the Medicare Advantage (MA) annual enrollment period, health care providers may be looking to inform their patients of their MA options. Below are five considerations to keep in mind when sharing information related to MA organizations with patients.1. Know…
Dr. Lee Sacks on the future of health care: What does it look like in 2030?
From policy to patients and everything in-between, the health care industry is constantly evolving. Check out this discussion with Eric Tower and Dr. Lee Sacks regarding the shifts in society to understand where health care is headed. The pair addresses…
Eric Tower, Hector Torres and David Morlock on the future of health care: What does it look like in 2030?
By Publisher
From policy to patients and everything in-between, the health care industry is constantly evolving. Check out this discussion with Eric Tower, Hector Torres and David Morlock regarding the shifts in society to understand where health care is headed. David…
Robert Friesen on the future of health care: What does it look like in 2030?
From policy to patients and everything in-between, the health care industry is constantly evolving. Check out this discussion with Eric Tower and Robert Friesen regarding the shifts in society to understand where health care is headed. Robert addresses population health…
Mackenzie Wallace discusses the latest trends and challenges facing today's health care market on AHLA podcast
Thompson Coburn partner Mackenzie Wallace was the featured guest on a recent episode of AHLA’s Speaking of Health Law Podcast, where she sat down with Bob Paskowski, Consulting Principal, PYA, to discuss the latest trends and challenges facing the…