Topic
Kickbacks
273 published works
The FCA Insider
Marketing, Misconduct and Healthcare: Ninth Circuit Issues First EKRA Appellate Ruling
On July 11, 2025, in United States v. Schena, the U.S. Court of Appeals for the Ninth Circuit issued the first appellate decision interpreting the Eliminating Kickbacks in Recovery Act…
The FCA Insider
$18.5 Million DOJ Settlement On Free Housing For Substance Abuse Patients
On June 26, the Department of Justice announced an $18,500,000 settlement agreement with NUWAY Alliance (NUWAY), a substance use disorder treatment clinic, arising out of medical necessity and kickback allegations.…
Inside the False Claims Act
Ninth Circuit Ruling Outlining Kickback Limits Under EKRA
I commented on a recent Ninth Circuit ruling clarifying a 2018 law that prohibits kickbacks for referring patients to medical testing labs and addiction treatment centers under the Eliminating Kickbacks…
Regulatory Oversight
State AGs Join $202M Settlement Over HIV Drug Kickback
By Troutman Pepper Locke State Attorneys General Team, Timothy Shyu
What Happened On July 16, 49 attorneys general (AGs) announced that they joined a $202 million settlement with Gilead Sciences, Inc. (Gilead). Previously announced by the Department of Justice in…
Healthcare Law Blog
Inside the Ninth Circuit’s Interpretation of EKRA: Clarity for Kickback Law
By Erica Kraus, Courtlyn Ward, Rebecca James
On July 11, 2025, in United States v. Schena,[1] the Ninth Circuit adopted an expansive interpretation of the Eliminating Kickbacks in Recovery Act (EKRA), applying the law to any payment…
Rivkin Rounds
FCA Case Against Insurers Alleges Kickbacks and Discriminatory Practices
On May 1, a whistleblower filed a complaint under the federal False Claims Act (FCA) against Aetna, Elevance Health (formerly Anthem) and Humana alleging that the insurers paid hundreds of…
Regulatory Oversight
Massachusetts AG Indicts Health Care Providers and Owners for Submission of Allegedly False Medicaid Claims
By Troutman Pepper Locke State Attorneys General Team, Michael Lafleur, Daniel Waltz
The Office of Massachusetts Attorney General (AG) Andrea Campbell announced the criminal indictment of several Massachusetts-based health care providers and their owners in connection with allegedly false claims they submitted…
The CLS Blue Sky Blog
Reimagining Corporate Monitorships
By Todd Haugh, Hui Chen
On March 11, 2008, Congress held its first ever hearing on corporate monitors. The hearing began with questions to John Ashcroft, the former U.S. Attorney General who then headed a…
Zalma on Insurance
Guilty Paying Kickbacks and Cappers to Defraud Insurers
By Barry Zalma
Lawyer Convicted of Workers’ Compensation Fraud Post 5031 See the full video at https://rumble.com/v6r8bl0-guilty-paying-kickbacks-and-cappers-to-defraud-insurers.html and at https://youtu.be/ZXEaXW1pGZs In The People v. Jon Woods, G061948, California Court of Appeals, Fourth District,…
Duane Morris Health Law
First Circuit Embraces More Restrictive View of False Claims Act Kickback Enforcement Provision
By Duane Morris
By Daniel R. Walworth, Christopher H. Casey, Frederick R. Ball, Erin M. Duffy and Joseph R. Welsh The United States Court of Appeals for the First Circuit’s opinion in United States v. Regeneron…