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Insights on Health Care

1112 total results. Page 1 of 45.

Investigations Blog
Seventh Circuit Reverses AKS Conviction Involving Allegations of Illegal Marketing and Advertising
April 18, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, John M. Hindley, Pascal Naples

Headlines that Matter for Companies and Executives in Regulated Industries

Alerts
Gender-Affirming Care for Minors: Executive Order 14187 and Its Implications for Hospitals and Health Systems
April 16, 2025
Gayland O. Hethcoat II, David P. Grosso, Aida Al-Akhdar

President Trump’s Executive Order (EO) 14187, “Protecting Children from Chemical and Surgical Mutilation,” represents a significant shift in federal policy regarding gender-affirming care (GAC) for minors.

Alerts
Vertex’s Attempt to Redefine AKS Falls Short: Key Insights for Pharma Manufacturers
April 15, 2025
Stephanie Trunk, Hillary M. Stemple, Aida Al-Akhdar

In a series of recent legal challenges initiated by the pharmaceutical industry against the US Department of Health and Human Services Office of the Inspector General (OIG), manufacturers have contested the OIG’s long-standing interpretation of the Anti-Kickback Statute (AKS).

Health Care Counsel Blog
FDA’s Attempt to Regulate Lab-Developed Tests Struck Down in Federal Court
April 9, 2025
Emily Cowley Leongini, Wayne H. Matelski, Jack R. Bierig, Gayland O. Hethcoat II

On March 31, a judge in the Eastern District of Texas vacated the US Food and Drug Administration’s (FDA) rule that sought to regulate laboratory-developed tests (LDTs) as medical devices under the Federal Food, Drug, and Cosmetic Act (FDCA).

News
Greenberg Quoted on Health Insurer Risk of AI Use in Claim Adjudications
April 8, 2025
David S. Greenberg

Partner David Greenberg was quoted on a series of patient lawsuits challenging the alleged use of artificial intelligence (AI) and algorithms by health insurers, commenting on the potential hazards of insurers using the technology.

Events
CSHA 2025 Annual Meeting & Spring Seminar
April 6, 2025
Debra Albin-Riley

Health Care Partner Debra Albin-Riley will participate in a session titled “Emerging Medical Staff Trends” at the California Society for Healthcare Attorneys’ (CSHA) 2025 Annual Meeting & Spring Seminar on April 6, 2025.

Investigations Blog
Jury Acquitted Lab Owners in Nearly $40 Million COVID-19 Fraud Case
April 4, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, James G. Pizzo, Apeksha Vora

Headlines that Matter for Companies and Executives in Regulated Industries

Trump’s Policy Playbook
Grimm Quoted on Concerns Over Increased Immigration Enforcement Impacting Health Care Facilities
April 1, 2025
Douglas A. Grimm

Health Care Practice Leader Douglas A. Grimm was quoted by Relias Media, urging hospitals and health care providers to prepare for potential Immigration and Customs Enforcement raids at their locations, following the Trump administration’s revocation of policies that previously made hospitals off-limits for immigration enforcement.

Alerts
Navigating the Increased Prevalence of Massachusetts Skilled Nursing Facility Receiverships
March 31, 2025
Todd A. Feinsmith, Anne M. Murphy

This past year, in the wake of significant economic challenges facing the health care industry, an unprecedented number of receiverships were imposed upon skilled nursing facilities in Massachusetts. Historically, Massachusetts receiverships have been used sparingly as a tool to address distressed or insolvent situations, with bankruptcy being the favored option.

Health Care Counsel Blog
Navigating Out-of-Network Claims: Key Takeaways for Providers From Surgery Center Case in New York Federal Court
March 28, 2025
Alison Lima Andersen, Katie Heilman, Hannah Z. Shlaferman

The US District Court for the Eastern District of New York in Manalapan Surgery Ctr., et al. v. 1199 SEIU National Benefit Fund, No. 23-CV-03525 (EDNY March 12, 2025), recently granted a motion to dismiss a complaint filed by four out-of-network ambulatory surgery centers against 1199 SEIU National Benefit Fund.

Investigations Blog
Medical Group and Related Parties to Pay Over $62 Million to Resolve FCA Claims for False Diagnoses
March 28, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, Shoshana Golden, Apeksha Vora

Headlines that Matter for Companies and Executives in Regulated Industries

Alerts
Major Restructuring of the US Department of Health and Human Services
March 27, 2025
Douglas A. Grimm, Karen Ellis Carr

On March 27, the US Department of Health and Human Services (HHS) announced a significant restructuring initiative in accordance with President Trump’s Executive Order, “Implementing the President’s Department of Government Efficiency Workforce Optimization Initiative.”

Alerts
As Healthcare AI Expands, States Are Passing Laws to Protect Consumers
March 21, 2025
Anne M. Murphy

In the last year, state activism in healthcare consumer protection has surged, with new laws that heighten oversight of for-profit investors’ engagement with healthcare marketplaces and scrutinize pharmaceutical pricing practices. As part of this activism, several state legislatures have enacted laws regulating use of artificial intelligence (AI) in healthcare delivery.

Investigations Blog
Long Island Businessman Arrested in $22 Million Medicare Fraud Scheme
March 21, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, Shoshana Golden, Meghan F. Hart

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
Federal Court Holds That Pathology Group States Viable Claims Against Multiplan and Cigna for Failing to Ensure In-Network Payment
March 20, 2025
Katie Heilman, Pascal Naples

A federal court recently rejected arguments by MultiPlan, Inc. and Cigna Health and Life Insurance Company that they had no obligation to ensure payments at the contractually negotiated, in-network rate to Anatomic and Clinical Laboratory Associates, P.C. (ACLA).

Health Care Counsel Blog
Navigating Pharma Changes in 2025: The Future of Off-Label Promotion
March 17, 2025
Stephanie Trunk

Join AFS Life Sciences Partner Stephanie Trunk and Darshan Kulkarni, Life Sciences regulatory and compliance attorney, as they explore the major shifts occurring in the pharmaceutical industry under the Trump Administration.

Health Care Counsel Blog
Implications of New Federal Immigration Policies for Health Care Facilities, Part 2: Patient Privacy Concerns
March 11, 2025
Annie Chang Lee, Berin S. Romagnolo, Gayland O. Hethcoat II, Moyosore O. Koya

On January 20, the US Department of Homeland Security (DHS) rescinded 2021 guidelines that previously designated hospitals, clinics, and other health care facilities as “protected areas” and limited immigration enforcement actions in or near such locations.

Press Release
Healthcare Group Purchasing Organizations Continue to Adapt and Innovate in a Changing Healthcare Marketplace
March 11, 2025

GPOs seek to promote innovation and cost savings despite large changes in the healthcare supply chain, according to the latest report by industry ethics monitor HGPII.

Investigations Blog
FCA Enforcement & Compliance Digest — Winter 2025 False Claims Act Newsletter
March 10, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, Pascal Naples, Meghan F. Hart, Nardeen Billan

Welcome to the Winter 2025 issue of “FCA Enforcement & Compliance Digest,” our quarterly newsletter in which we compile essential updates on False Claims Act (FCA) enforcement trends, litigation, agency guidance, and compliance tips. We bring you the most recent and significant insights in an accessible format, concluding with our main takeaways — aka “And the Fox Says…” — on what you need to know.

Investigations Blog
Jury Clears SuperValu of Liability in Whistleblower FCA Prescription Pricing Case
March 7, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, Nardeen Billan, Elizabeth Satarov

Headlines that Matter for Companies and Executives in Regulated Industries

Health Care Counsel Blog
HHS Rescinds Richardson Waiver and Signals Reduced Opportunity for Public Comment on Agency Action
March 4, 2025
David S. Greenberg, Emily Cowley Leongini, Moyosore O. Koya, Aida Al-Akhdar

On March 3, the US Department of Health and Human Services (HHS) published a change in policy that could result in fewer opportunities for stakeholders and members of the public to weigh in on HHS regulatory action related to agency management or personnel, public property, loans, grants, benefits, or contracts.

Investigations Blog
Home Health Care Company to Pay $3 Million to Resolve FCA Allegations
February 28, 2025
D. Jacques Smith, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Laura Zell, Nardeen Billan, Rebekkah R.N. Stoeckler

Headlines that Matter for Companies and Executives in Regulated Industries

Events
2025 Chief of Staff Boot Camp
February 28, 2025
Lowell C. Brown, Annie Chang Lee

Health Care Partners Lowell Brown and Annie Lee and Counsel Sarah Benator will present at The Institute for Medical Leadership’s Chief of Staff Boot Camp in Los Angeles, California.

Health Care Counsel Blog
Massachusetts Enacts Drug Pricing Legislation: Introducing PBM Licensure, Mandatory Cost Reporting, and Consumer Cost-Sharing Limits
February 27, 2025
Anne M. Murphy, Stephanie Trunk, Aida Al-Akhdar

On January 8, Massachusetts Governor Maura Healy signed into law “An Act Relative To Pharmaceutical Access, Costs And Transparency.” The Act will have a profound impact on all parties involved in setting and applying drug prices, including Pharmacy Benefit Managers (PBMs), health insurance plans, pharmaceutical manufacturers, and retail pharmacies.

Events
Regulatory Issues for Life Sciences Companies in 2025
February 27, 2025
Philip S. English*, David R. Hamill, Wayne H. Matelski, Stephanie Trunk, Brian P. Waldman, Joy Marie Virga*

ArentFox Schiff professionals will discuss recent matters that directly impact the life sciences industry and its trajectory.

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