• May 25, 2016

    Houston Pair Arrested For $6M Ambulance Billing Scheme

  • May 25, 2016

    Deals Rumor Mill: Stada Arzneimittel, Yahoo, Infraero

    German health care products company Stada Arzneimittel could sell to CVC Capital Partners for up to $4.1 billion, AT&T is still in the running to buy Yahoo's core internet business, and Brazilian airport oversight agency Infraero hopes to raise $1.4 billion by selling stakes in five airports.

  • May 25, 2016

    Aetna-Humana Deal Will Hurt Competition, Missouri Says

    The proposed megamerger of health insurance giants Aetna and Humana would cause excessive harm to competition in Missouri and must be restructured to win approval, state regulators said in a decision released Wednesday.

  • May 25, 2016

    Texas, 10 Others Sue Over Obama's Trans Bathroom Guidance

    Texas Attorney General Ken Paxton announced Wednesday that Texas has been joined by 10 other states in its push against an Obama administration directive to allow transgender students to use the bathroom that matches their gender identity, filing an official lawsuit challenging the rule in Texas federal court Wednesday.

  • May 25, 2016

    Horizon Weighs In For Paytime In 3rd Circ. Data Dispute

    A previous decision by the Third Circuit requiring data breach victims to show concrete injury should lead the appellate court to affirm dismissal of claims against Paytime Inc. by a proposed class of workers over a 2014 hack, Horizon Healthcare Services said in a support brief Tuesday.  

  • May 25, 2016

    2nd Circ. Upholds Zurich Win In Lantheus' $70M Coverage Bid

    The Second Circuit affirmed Wednesday that Zurich doesn't have to cover Lantheus Medical Imaging Inc.'s claim for $70 million in lost business tied to the shutdown of a nuclear reactor struck by lightning, agreeing with a New York district court that a policy exclusion for corrosion bars coverage.

  • May 25, 2016

    3rd Circ. Puts Pa. Hospital Merger On Hold For FTC Appeal

    The Third Circuit agreed late Tuesday to temporarily bar the pending merger of Penn State Hershey Medical Center and PinnacleHealth System while the court hears an appeal of a decision rejecting arguments from federal regulators that the deal would stifle health care competition in central Pennsylvania.

  • May 24, 2016

    FTC Says Chicago-Area Hospital Merger Would Raise Costs

    The Federal Trade Commission told an Illinois federal court Tuesday that evidence in a hearing over a bid to block a proposed merger of two Chicago-area hospitals shows the combination would hurt competition and raise prices for services.

  • May 24, 2016

    Fla. Clinic, Medical Device Co. Settle Row Over Award

    The owner of a physical therapy clinic specializing in treating Parkinson’s disease and a Swiss medical device manufacturer he had partnered with told a Florida federal court Monday they settled a dispute over the confirmation of an arbitral award arising out of their failed venture.

  • May 24, 2016

    OIG Audits Laden With 'Legal Defects,' AHA Says

    Audits of hospital billing by the Office of Inspector General for the U.S. Department of Health and Human Services contain "numerous legal defects" and result in wildly excessive repayment demands, the American Hospital Association charged in a letter released Tuesday.

  • May 24, 2016

    2 Cos. Ready IPOs Totaling $341M While Bank Nets $80M

    A blank check company formed to pursue acquisitions and a health care data provider set terms on initial public offerings totaling $341 million, while a Midwest bank raised $80 million Tuesday after pricing at the bottom of its already downsized range, kicking off a potentially busy week for deals.

  • May 24, 2016

    Citing Zika Risk, House Cuts Pesticide Rules Amid Veto Threat

    The U.S. House passed a bill Tuesday that would get rid of Environmental Protection Agency permitting rules on using pesticides near bodies of water, after a veto threat from the White House maintaining the measure would not actually stop the spread of the Zika virus.

  • May 24, 2016

    Ringleader In $2M Medicare Fraud Gets 15 Months

    The former owner of a home health care business will spend 15-months in prison for running a $1.8 million scheme to send inflated patient bills to Medicaid, according to a judgment entered Monday in Illinois federal court.

  • May 24, 2016

    HFF Lines Up $43M For Dallas Senior Community

    Holliday Fenoglio Fowler LP recently secured a $42.9 million construction loan for the developer of a 134-unit luxury assisted living facility outside of Dallas, the commercial real estate services provider said Tuesday.

  • May 24, 2016

    ACLU Seeks Docs On Catholic Hospitals' Pregnancy Care

    The American Civil Liberties Union on Tuesday accused the federal government of violating the Freedom of Information Act by failing to produce complaints against Catholic hospitals that allegedly withheld appropriate care from pregnant women. 

  • May 24, 2016

    US Backs Mass. Sick Time Law In Row With CSX And Amtrak

    The federal government told a Massachusetts federal court on Monday that the commonwealth’s new paid sick leave law is not preempted by a federal law that provides wage replacement for sick railroad workers, a boost for the state as it faces a lawsuit from CSX Transportation Inc. and Amtrak.

  • May 24, 2016

    CMS Demands Indian Health Service Fix SD Hospital Issues

    The Centers for Medicare & Medicaid Services told an Indian Health Service-operated hospital in South Dakota on Monday that CMS will terminate the hospital’s Medicare agreement unless it addresses an emergency room problem that poses an immediate risk to its patients.

  • May 24, 2016

    Medtronic Can't Shake FCA Kickback Claims

    A Massachusetts federal judge said Monday he would let most of a False Claims Act suit against Medtronic Inc. go through, including allegations of kickbacks and whistleblower retaliation, but dismissed claims regarding improper off-label promotion.

  • May 24, 2016

    Green Lights Ahead For Medical Pot Legal Work In Pa.

    The board that oversees the conduct of Pennsylvania attorneys is mulling a change to professional rules that would allow lawyers to advise clients taking advantage of the state’s new medical marijuana legislation, according to a newsletter circulated Tuesday.

  • May 24, 2016

    OrbiMed Nets $307M For Israel Health Care Fund

    Health care investment firm OrbiMed Advisors LLC said Monday that it has closed a new fund focused on biopharmaceutical, digital health, medical device and diagnostics companies in Israel with $307 million.

Expert Analysis

  • Who Won In High Court's Luis Decision?

    James J. Bell

    Obviously, the Sixth Amendment’s right to counsel was a big winner after the U.S. Supreme Court's recent decision in Luis. But practically speaking, there may be no winners, says James Bell of Paganelli Law Group LLC.

  • The Risk Of Data Misuse By Health Care Co. Employees

    Tina Sciocchetti

    A recent decision from the Southern District of Florida highlights the risks companies that collect or maintain sensitive personal information face when a rogue employee compromises data security. Data privacy and security policies and procedures should address and limit unauthorized access not only to external sources, but also to internal sources who may act outside the scope of their employment, say attorneys at Nixon Peabody LLP.

  • An FCA Update As We Await High Court's Escobar Decision

    Brad Robertson

    The federal False Claims Act may soon be reshaped. With a case pending before the U.S. Supreme Court on the controversial theory of implied false certification, a pair of interesting cases in the Second Circuit and a recent House Judiciary Subcommittee raising issues of FCA reform, the law may face changes in text or interpretation, say attorneys with Bradley Arant Boult Cummings LLP.

  • Unclaimed Property Auditors Move Beyond Life Insurers

    Wilson G. Barmeyer

    The same contingency-fee unclaimed property auditors that targeted life insurance companies are now turning their focus to other types of insurance, like health insurance and property and casualty insurance, raising a host of unique issues, say Wilson Barmeyer and Mary Jane Wilson-Bilik at Sutherland Asbill & Brennan LLP.

  • Panama Papers: Reminders About Law Firm Cybersecurity

    Sean Doherty

    Nowhere is the attractiveness of law firms as cybercrime targets more evident than the recent Mossack Fonseca hack, believed to be the most significant data theft event in history. Firms represent a treasure trove of information and historically have had dreadful cybersecurity practices. There has been some progress, but firms can also commit to better defending their information by taking a simple, three-step approach, says Sean D... (continued)

  • 4th Circ. Takes A Conservative Approach To LGBT Rights

    Susan Warner

    While the Fourth Circuit’s recent ruling in Grimm v. Gloucester County School Board has been referred to as a landmark victory for transgender rights by some, a more careful reading of the decision indicates that the ruling was not necessarily a breakthrough for transgender rights, but a decision based on a conservative judicial approach to executive agency deference, says Susan Warner at Nelson Mullins Riley & Scarborough LLP.

  • Insurers Shouldn't Overreach In Gov't Investigations

    Nicholas P. Basco

    Insurance companies should be careful not to coordinate too closely with state agencies when assisting on insurance fraud investigations, so as to prevent possible civil rights and constitutional claims from individuals who may be investigation targets, like in Patel v. Allstate at the Third Circuit, says Nicholas Basco at Bressler Amery & Ross PC.

  • OPINION: Sotomayor's Solution To Pro Bono Is Incomplete

    David A. Lash

    In calling for mandatory pro bono service, U.S. Supreme Court Justice Sonia Sotomayor is effectively using her bully pulpit to advance the cause of access to justice for the poor. Her courageous leadership is a clarion call to action that must be heeded. But bold as it may be, the pronouncement is incomplete, says David Lash, managing counsel for pro bono at O’Melveny & Myers LLP and a member of the Association of Pro Bono Counsel.

  • Creating Barclay Damon: Lessons From A Law Firm Merger

    John P. Langan

    Joining two firms with long histories meant not only combining cultures, philosophies and deeply rooted ways of doing business, but also combining two IT systems, two accounting systems, and two ways of handling many other administrative functions. It didn't help that the firms had different fiscal year ends, says John Langan, managing partner of Barclay Damon LLP.

  • Breaking The Health Company Compliance Program Monopoly

    Michael Peregrine

    The new governmental focus on enforcing antitrust laws apart from the M&A area has specific implications to the health care industry. Many aspects of health company operations and strategy could potentially implicate civil and criminal antitrust laws addressing price-fixing, market allocation and similar illegal conduct, say partners with McDermott Will & Emery LLP.