Corporate counsel singled out nearly 100 litigators as the most client service-driven in their field thanks to their innate ability to deliver solid outcomes, effectively communicate litigation strategy and prioritize their clients' business interests.
The U.S. Department of Health and Human Services on Monday announced that, along with federal prosecutors, the agency recovered $4.2 billion in overpayments for Medicare and other health programs in 2012, surpassing the previous year's record of $4.1 billion.
Medicare improperly paid more than $120 million for health care for prison inmates and illegal immigrants from 2009 to 2011, according to reports released Thursday by the U.S. Department of Health and Human Services' Office of the Inspector General.
Sen. Orrin Hatch, R-Utah, said Thursday that Medicaid needed an urgent overhaul to ensure its long-term solvency, following the release of a U.S. Government Accountability Office report he claimed showed billions of dollars in wasteful Medicaid spending.
The American Medical Association said Wednesday that the U.S. health insurance market suffers from a widespread lack of competition that has resulted in higher premiums or reduced benefits.
States will save a total of $10 billion over 10 years if they all agree to expand Medicaid under the Affordable Care Act, and states that choose to expand will see a huge increase in federal dollars for their Medicaid populations, according to a nonpartisan report released Monday.
For more than two years, Humana Insurance Co. failed to prevent unallowable partial fills of drugs with a high potential for abuse while under contract with the U.S. Centers for Medicare & Medicaid Services, according to a federal report released Thursday.
The investigation into the causes and extent of a widespread meningitis outbreak could lead to drug shortages for providers that buy drugs from Ameridose LLC, a compounding pharmacy affiliated with the compounder blamed for the outbreak, the U.S. Food and Drug Administration said Saturday.
An inspector general's report released Tuesday found Medicaid is still overpaying for some prescription drugs and recommended that the program quickly implement changes — opposed by the pharmacy industry — that would lower the maximum reimbursement for these drugs.
Of the thousands of criminal cases against alleged Medicare and Medicaid fraudsters, medical facilities and equipment suppliers account for 40 percent of criminal cases, according to a report released Tuesday by the U.S. Government Accountability Office.
Health regulators and law enforcement officials arrested 91 people, including hospital executives, doctors and nurses, for allegedly defrauding Medicare of about $430 million, the attorney general and health secretary announced Thursday.
Private whistleblowers are driving Texas' recovery of Medicaid fraud settlements with pharmaceutical companies, which have paid Texas more than any other state —at least $354 million since 1991, according to a report released Thursday by Public Citizen.
Private health insurance coverage has spiked among young Americans because of a provision in the Patient Protection and Affordable Care Act allowing adult children to remain on parents’ policies until their 26th birthday, according to a study released Monday that squares with findings elsewhere.
When dealing with high-stakes litigation, there are four top-notch firms that in-house counsel dread seeing on the other side of the courtroom, according to a new survey of corporate counsel.
President Barack Obama's health care law will likely lead to little change in the number of people covered by employer-sponsored health insurance, although statistical studies and employer surveys vary widely in their predictions, according to a report released Monday.
A majority of employers expect their health care plan costs to rise under the Affordable Care Act, with the wallets of retail and hospitality employers that employ part-time, low-paid workers feeling the biggest bite, consulting firm Mercer LLC said Wednesday.
Florida and Texas are dramatically outpacing the national average when it comes to questionable billing of Medicare for home health services, according to a government audit issued Thursday that recommends temporarily halting enrollment of new providers and suppliers in the states.
The U.S. Supreme Court’s ruling allowing states to opt out of a Medicaid expansion means health reform will cost tens of billions of dollars less than expected and that millions more people will remain uninsured, the nonpartisan Congressional Budget Office reported Tuesday.
The health care reform law could encourage small employers to self-insure in order to avoid new regulations intended to protect patients and consumers, according to an independent report issued Thursday that underscores concerns voiced by the Obama administration.
The health care law's changes to hospital payment rates, which try to incentivize better care by tying payments to certain performance measures, could disadvantage the hospitals that treat the poorest and most vulnerable patients, according to a study published Monday.
In upholding a general liability policy involving medical data breach, a California federal court in Hartford Casualty Insurance Company v. Corcino & Associates underscored that there may be valuable data breach coverage under so-called “traditional” or “legacy” policies that should not be overlooked, says Roberta Anderson of K&L Gates LLP.
When researching an expert, look for whether the expert’s opinion and methodology in the case is consistent with the expert’s approach outside of litigation. Inconsistency in an expert’s opinion not only is great fodder for cross-examination, but might also point to a more serious methodological problem that can form the basis for a Daubert challenge, says Matthew Whitley of Beck Redden LLP.
From dog sniffs and DNA to the Voting Rights Act and DOMA, the U.S. Supreme Court had its hands full in the last term. And 2013 brings an equally lively docket, with decisions expected on campaign spending, recess appointments and affirmative action, to name a few. There will also be more cases on Fourth and Fifth Amendment issues, and no fewer than eight cases involving the U.S. Environmental Protection Agency, says Jason Steed of Bell Nunnally & Martin LLP.
In a perfect world, two separate federal laws that both require employers to provide health and welfare benefits to employees would be consistent with each other and, if there is an apparent conflict, government agencies would walk employers through how to comply. Unfortunately, we don’t live in a perfect world, say Kenneth Weckstein and Shlomo Katz of Brown Rudnick LLP.
If the U.S. Food and Drug Administration's Nov. 15 decision that partially hydrogenated oils are no longer generally recognized as safe is finalized, it would be the first time the agency will have withdrawn an ingredient based on concerns about long-term disease risk, say attorneys with Covington & Burling LLP.
As seen by several recent health care fraud cases, October 2013 could well be dubbed the physician convictions and indictments month. Such cases suggest that employers should require physicians to notify them within a specified number of days after they become aware of an investigation of their practices by Medicare, Medicaid or other third-party payors, says Robert Wolin of BakerHostetler LLP.
On Oct. 31, 2013, the IRS issued guidance relaxing the use-or-lose rule applicable to health flexible spending arrangements under employers’ cafeteria plans. Employers with calendar year plans that want to adopt this carryover provision for unused health FSA balances remaining at the end of 2013 will need to act quickly, say Marcus Wu and Lori Partrick of Pillsbury Winthrop Shaw Pittman LLP.
Fair Laboratory Practices Associates v. Quest Diagnostics Inc. presented the Second Circuit with a question that has the potential to keep corporate executives up at night — can an in-house attorney use confidential communications to blow the whistle on a former client? say Christopher Myers and Michelle Hess of Holland & Knight LLP.
The U.S. Chamber of Commerce’s Institute for Legal Reform has proposed reforms that would improve the fairness, rationality and effectiveness of the False Claims Act. For example, instituting a descending set of award ranges applicable to increasing recoveries will reduce the prevalence of enormous jackpots that spur frivolous suits and needlessly drain away funds more properly reserved for taxpayers, say David Ogden and Jonathan Cedarbaum of WilmerHale.
Without additional guidance and measurable benchmarks or criteria established of when generic drug label changes are required, the implementation of the U.S. Food and Drug Administration's proposed new rules may lead to confusion and uncertainty, with a risk of companies overreporting or underreporting safety information to the FDA, say attorneys with Duane Morris LLP.