Social Media Ideas for Beneficiary Inducement Cmp

When Free Is Permissible: OIG Allows Free Supplemental Cancer Screening Reports for Eligible Patients

On May 20, 2026, the Department of Health and Human Services Office of Inspector General (“OIG”) posted a favorable opinion, AO 26-11, regarding an arrangement in which a precision...

DOJ's $46M Veloxis Settlement Signals Deeper Scrutiny of Pharma Referral Arrangements

HHS-OIG Issues Favorable Advisory Opinion Regarding Independent Charity Patient Assistance Program

Cooperation, Compliance, and Consequences: Inside DOJ's $46 Million Veloxis Settlement

When Food Is Medicine: OIG Clears the Way for FQHC Produce Benefits

The Department of Health and Human Services Office of Inspector General (“OIG”) recently issued a favorable opinion, AO 26-16, regarding a federally qualified health center’s (“FQH...

Complete Health Partners Holdings $14M FCA Settlement: Medicare Advantage Risk-Adjustment Fraud

Complete Health Partners Holdings, a Jacksonville-based management services organization overseeing affiliated provider groups in Florida, Alabama, and Colorado, has agreed to pay...

KKR Agrees to Historic $250 Million Penalty for Alleged Violations of HSR Act

Fifth Circuit Upholds Boston Heart Kickback Convictions in Anti-Kickback Scheme

The Fifth Circuit has affirmed the convictions of former Boston Heart Diagnostics executives and sales representatives in a criminal Anti-Kickback Statute case arising from what pr...

FTC Secures Largest Penalty to Date for HSR Violation

Omnicare LLC & CVS Reach $440M FCA Settlement

New Proposal Signals Big Changes Ahead for Embattled Drug Discount Program

“The breadth of the proposal suggests that many organizations will need to reassess existing policies, contractual relationships, and compliance programs if these reforms advance,...

Fifth Circuit Upholds Boston Heart Kickback Convictions in Anti-Kickback Scheme

The Fifth Circuit has affirmed the convictions of former Boston Heart Diagnostics executives and sales representatives in a criminal Anti-Kickback Statute case arising from what pr...

FTC’s Caremark Insulin Settlement Puts PBM Rebate Practices in the Antitrust Crosshairs

The FTC has announced a significant settlement with Caremark Rx LLC and Zinc Health Services LLC in its insulin-pricing antitrust matter, marking one of the clearest signals yet th...

Compliance Program Lessons from the Complete Health Settlement

On August 4, 2026, the United States Department of Justice (“DOJ”) on behalf of the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services announce...

FTC’s Caremark Insulin Settlement Puts PBM Rebate Practices in the Antitrust Crosshairs

The FTC has announced a significant settlement with Caremark Rx LLC and Zinc Health Services LLC in its insulin-pricing antitrust matter, marking one of the clearest signals yet th...

Crushing and Flexing: CMS Proposes to Expand Its Discretion to Deny and Revoke Medicare Enrollment

Compass Therapeutics: A 50% Price Cut Hiding A Regulatory Mispricing Opportunity

FTC Lands Record $12 Million HSR Settlement Over JC Medical Deal Structure

The FTC has secured what it says is the largest civil penalty ever obtained for a Hart-Scott-Rodino filing failure: a combined $12 million settlement with Edwards Lifesciences and...

FTC Lands Record $12 Million HSR Settlement Over JC Medical Deal Structure

The FTC has secured what it says is the largest civil penalty ever obtained for a Hart-Scott-Rodino filing failure: a combined $12 million settlement with Edwards Lifesciences and...

Not a Cost of Doing Business: DOJ and DHS Issue New Benchmark Guide for Trade Fraud Compliance

On 14 July 2026, the Department of Justice (DOJ) and the Department of Homeland Security (DHS) announced three significant developments in trade fraud enforcement. First, the agenc...

Wound Care Under the Microscope: DOJ’s Data-Driven National Takedown Targets Fraudulent Reimbursements and Kickback Sche...

On June 23, 2026, the U.S. Department of Justice (DOJ) announced that it charged 11 defendants in connection with over two billion dollars in fraudulent claims for amniotic wound a...

Off-Campus Outpatient Departments: CMS’ Proposed Rule for the New Mandatory Attestation Process

DOJ Seeks Record $250 Million HSR Penalty From KKR

The Justice Department has announced a proposed resolution with KKR that would impose a record $250 million civil penalty over alleged repeated violations of the Hart-Scott-Rodino...

Massachusetts Federal Court Rejects Disgorgement Theory Based on Alleged Cost Savings Under Chapter 93A