Two New York residents were recently indicted in the Eastern District of New York federal court in Central Islip for conspiracy to commit healthcare fraud, among other charges. The defendants allegedly paid kickbacks and submitted fraudulent claims to government payors,
Rivkin Rounds
Your prescribed dose of health law news
Rivkin Rounds, published by Rivkin Radler, covers a broad spectrum of legal topics relevant to individuals and businesses, with a focus on regulatory compliance, healthcare law, corporate governance, and litigation. The blog addresses issues such as Medicaid fraud enforcement, healthcare privacy and HIPAA compliance, corporate transparency laws, and legal considerations in business transactions including mergers and acquisitions. It also discusses developments in elder law, insurance coverage, labor and employment, intellectual property, and real estate law. The content is aimed at providing updates and practical insights on evolving legal requirements and enforcement trends affecting various industries and practice areas.
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Carbon Health Settlement Highlights Scrutiny of MSOs
California Attorney General Rob Bonta recently announced a proposed settlement with Carbon Health Technologies, Inc., which operates primary care clinics throughout the state. The settlement follows allegations that the company’s physician practice management structure ran afoul of California’s corporate practice…
Resolving Payment Disputes Under the No Surprises Act
On Thursday, July 23, in the next installment of Rivkin Radler’s Health Law Executive Briefings, Chris Kutner and Emily Manning will present “Resolving Payment Disputes Under the No Surprises Act: An Analysis of the Federal IDR Process.”
The federal Independent…
OIG Green-Lights Free Testing by Pharmaceutical Manufacturer
The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) recently issued a favorable Advisory Opinion (No. 26-14) to a pharmaceutical manufacturer that is proposing to offer free antibody testing to patients.
In the proposed arrangement, the…
NYS Hospitals, Nursing Homes Must Adopt Violence Prevention Programs
New workplace safety mandates are on the horizon for certain New York healthcare providers. Under recently enacted Public Health Law section 2832, covered facilities – defined as general hospitals and nursing homes – must establish workplace violence prevention programs by…
DOJ Sues New York and PPL Over Alleged Fraud in Revamping CDPAP Program
On June 16, The Department of Justice (DOJ) sued the New York Department of Health (DOH), the DOH Medicaid Director, and Public Partnerships LLC (PPL) – the Georgia-based company selected by DOH in 2025 to manage New York’s Consumer Directed…
American College of Physicians Issues Position Paper on Private Equity in Healthcare
The American College of Physicians (ACP) recently issued a new position paper entitled “Regulatory Framework for Private Equity and Corporatization in Health Care” that examines the impact of private equity on healthcare costs, access, equity, innovation, and clinical…
HHS Finalizes Major Reforms to IDR Process under NSA
On May 28, the U.S. Department of Health and Human Services (HHS) finalized regulations intended to make the Independent Dispute Resolution (IDR) process under the No Surprises Act (NSA) more efficient and transparent in helping to resolve out-of-network payment disputes…
Aspen Dental Reaches CPOM Settlement with CA AG
Aspen Dental, one of the nation’s largest dental service organizations (DSOs), recently settled charges alleging violations of California’s corporate practice of medicine (CPOM) and unfair competition laws. This was not the first time similar charges had been lodged against Aspen…
DOJ Announces New Measures to Promote Meritorious Qui Tam Actions Targeting Fraud Against Benefits Programs
On May 27, in furtherance of the March 16, 2026 Executive Order on Eliminating Fraud, Assistant Attorney General Brett A. Shumate issued a memo titled “Accelerating Review and Enhancing Enforcement in Benefits Fraud Matters.” The Memo announced new…