Health Care Law News and Insights

DOJ Targets COVID Related Fraud

Published: May 02, 2022
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On March 10, 2022, the Department of Justice ("DOJ") appointed a Director for COVID-19 Fraud Enforcement.1 As a part of this announcement, DOJ announced some of its priorities in Health Care Fraud enforcement. The priorities focus on kickbacks, utilizing the relaxed rules to bill for medically unnecessary or never performed services,...

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Kentucky Rewrites Its Assisted Living Law

Published: Apr 28, 2022
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In keeping with several states that have recently overhauled their assisted living laws, the Commonwealth of Kentucky has enacted sweeping changes to its regulatory framework for assisted living. Kentucky Senate Bill 11 ("SB 11") became law on March 18, 2022; however, an effective date for the changes is pending completion...

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New Pharmacy, Same Result: Seventh Circuit Holds That Objective Reasonableness Dooms “Usual And Customary” Pricing Case

Published: Apr 15, 2022
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On April 5, 2022, in a 2-1 decision, the Seventh Circuit applied the precedent it set in United States ex. rel. Schutte v. SuperValu Inc., 9 F.4th 455 (7th Cir. 2021) (discussed here) and found once again that a defendant retail pharmacy did not act with “reckless disregard” under the False Claims...

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