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
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.
Latest from Rivkin Rounds - Page 3
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
By Jeff Kaiser
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…
Medicaid Provider Freebies Create Risk, Per OIG
Health care providers may want to offer free or discounted services to help patients, and that instinct may be good. Most providers, however, don’t think of “free care” as a kickback issue in the same way they might think about…
OIG Opinion: Free Orthodontic Services Did Not Trigger AKS Risk
The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) recently issued a favorable Advisory Opinion (No. 26-09) regarding certain free treatment that would be offered to patients of a pediatric dental clinic. Specifically, the clinic planned…
DOJ Launches New FCA Initiative
By Jeff Kaiser
The U.S. Department of Justice (DOJ) recently announced a new initiative to enhance its working relationship with data miners who bring cases as whistleblowers under the False Claims Act (FCA). The initiative is dubbed “FOCUS,” an acronym for Fraud Oversight…
Overview of the Federal IDR Process
[Note: On May 28, HHS finalized new regulations on the IDR process, as discussed here.]
The No Surprises Act (NSA), enacted in 2020, was designed to protect patients from unexpected medical bills in certain healthcare settings. The law primarily…
NJ Pharmacy Exec Jailed for Kickback Scheme
By Syma Levine
Adam Brosius, a former pharmacy executive, was recently sentenced to 24 months in prison and ordered to pay $33 million in restitution and $27 million in forfeiture.
Brosius was the director and then the president of Main Avenue Pharmacy, a…