Health

  • July 27, 2016

    Anthem's New Merger Defenses Won't Rattle DOJ

    Anthem is previewing its counterattack against the DOJ’s challenge to a proposed merger with Cigna, but observers on Wednesday were skeptical of the insurance giant’s claims about cost savings and stronger competition.

  • July 27, 2016

    Fed. Claims Judge Rips HHS For Canceling Contract

    A Federal Claims judge has taken the U.S. Department of Health and Human Services to task over the “inescapable” fact that the agency arbitrarily canceled a solicitation rather than follow a bid protest decision recommendation that likely would have kicked out the chosen contractor.

  • July 27, 2016

    Colorado Pot Shop Fights IRS To Restore Tax Write-Offs

    A Boulder, Colorado, marijuana dispensary has challenged the IRS’ decision to raise its taxable income by over a half-million dollars after determining the business wasn’t eligible for expense deductions for trafficking a federally controlled substance, telling U.S. Tax Court in a petition made available Wednesday that selling the drug in Colorado where it has been legalized does not violate the Controlled Substances Act.

  • July 27, 2016

    Barnes & Thornburg Adds Insurance Trio From Anderson Kill

    Barnes & Thornburg LLP picked up a team of former Anderson Kill PC insurance lawyers, including the firm’s former co-managing shareholder, in Los Angeles and Dallas, bolstering its capability to handle insurance disputes for clients in the financial services, health care, technology, hospitality and automotive industries.

  • July 26, 2016

    4 Traits Of The Top Litigation Firms

    All litigation powerhouses boast talented trial lawyers, but the 20 firms at the top of their game don't just rely on their litigators. Here, we talk about the four traits that led the elite of the Litigation Powerhouses to become the go-to firms for bet-the-company cases.

  • July 26, 2016

    5 Small(er) But Mighty Litigation Shops

    Five relatively small but fearsome law firms landed a spot on Law360's 2016 list of 50 Litigation Powerhouses after they laced up their gloves and brought the pain in their fights for clients, winning some of the biggest cases over the past year.

  • July 26, 2016

    Law360 Names Top 50 Firms For Litigation

    Historic, precedent-setting wins in class action litigation. Jaw-dropping jury verdicts in courts across the country. Victories in the smartphone wars. Dramatic upsets on appeal. Law360's Litigation Powerhouses leveraged their deep legal talent to score remarkable wins for their clients over the past year, landing them a spot on our inaugural ranking of the top firms for litigation.

  • July 26, 2016

    3rd Circ. Grills FTC Over Yardstick For Pa. Hospital Merger

    The Third Circuit pressed the Federal Trade Commission on Tuesday to show why a proposed hospital merger’s fiscal impact on insurers is a more pertinent factor than its effect on patients to determine whether the tie-up would be anticompetitive, suggesting that the patient data was also relevant.

  • July 26, 2016

    U of M Health System Seeks Sanctions For 'Baseless' Bias Suit

    The University of Michigan Health System on Tuesday asked a judge throw out a lawsuit accusing it of race discrimination and to sanction the former worker who filed the complaint and her attorney, arguing the employee has known all along that her allegations are untrue.

  • July 26, 2016

    Bharara Probing De Blasio's Role In LICH Sale: Reports

    U.S. Attorney for the Southern District of New York Preet Bharara is investigating the role of New York City Mayor Bill de Blasio in the sale of Long Island College Hospital in Brooklyn for redevelopment, according to late Monday reports.

  • July 26, 2016

    Hospital Can't Challenge Medicare Data, DC Circ. Rules

    The D.C. Circuit on Tuesday said it doesn’t have the authority to review which data the U.S. Department of Health and Human Services uses to determine Medicare reimbursements for hospitals with a disproportionate share of low-income patients, shooting down an appeal from Tampa General Hospital.

  • July 26, 2016

    Birth Control Mandate Limited To Religious Groups, HHS Says

    The U.S. Department of Health and Human Services told the Third Circuit on Monday that a secular anti-abortion nonprofit shouldn’t be exempt from providing health insurance covering contraception, arguing that a lower court rightly ruled that the group is not a religious organization and isn’t losing any fundamental rights.

  • July 26, 2016

    Judge Says 6-Yr Sentence A Warning To Medicare Providers

    The woman behind a $15.6 million Medicare overbilling scheme got six years in prison Tuesday for using patients as “her own personal cash register,” with a federal judge saying it was time Illinois health care companies got the message that cheating a government-run health plan will land them in major trouble.

  • July 26, 2016

    Fla. Psychiatrist Sentenced To 12 Years For Fraud

    A Florida psychiatrist who pled guilty to conspiring to defraud the federal government in a health care and immigration scheme was sentenced on Monday to more than 12 years in prison and ordered to pay more than $50 million in restitution, the U.S. Department of Justice said.

  • July 25, 2016

    Arnold & Porter Ducks DQ In Defense Of Menendez Pal

    A Florida federal judge on Monday rejected federal prosecutors' bid to disqualify Arnold & Porter LLP from representing a doctor — separately charged with bribing Sen. Robert Menendez, D-N.J. — in a Medicare fraud case, ruling it is too late in the case to disqualify the doctor's attorneys.

  • July 25, 2016

    11 States Back FTC's Ill. Hospital Merger Challenge In 7th Circ.

    Eleven state attorneys general filed an amicus brief Friday supporting the Federal Trade Commission’s recent push in the Seventh Circuit to block the merger of two Chicago health care systems.

  • July 25, 2016

    Immigrants Slam Ariz. Medicaid Office Over Reduced Benefits

    A proposed class of low-income immigrants residing in Arizona filed a complaint in federal court Monday accusing the state's Medicaid program of violating the Medicaid provisions of the Social Security Act by withholding full-scope coverage to eligible immigrants in favor of emergency-only coverage.

  • July 25, 2016

    Cigna Liable For Home Health Co. In FCA Suit, Relator Says

    A whistleblower accusing Addus Homecare and a Cigna Corp. subsidiary of Medicare and Medicaid fraud on Friday told an Illinois federal court that the insurer should be held responsible for the actions of its relatively new subsidiary, as the companies have been closely tied since before the 2013 purchase.

  • July 25, 2016

    Ex-Health Co. Exec Pushes To Uphold $25M Jury Verdict

    The former health care staffing company president who won a $25.4 million verdict against the company’s former vice president in a bitter business dispute urged an Arizona federal judge to keep the jury’s decision in place, saying the evidence overwhelmingly supports it.

  • July 25, 2016

    Blue Cross Seeks New Trial In $26M Contract Suit

    Blue Cross Blue Shield of Louisiana has told a federal judge that it was entitled to either judgment in its favor or a new trial after a jury found in favor of Encompass Office Solutions, which claimed the insurer deprived it of $25 million in future revenue, because it brought the claims too late.

Expert Analysis

  • The Internet Of Health Things: Privacy And Security Issues

    Kimberly C. Metzger

    While "internet of health things" devices share many privacy and security concerns with their smart kin, other issues are heightened by — or unique to — the health care environment and the sensitive nature of health data, says Kimberly Metzger at Ice Miller LLP.

  • Legal Aid, Meet Legal Tech

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    Because there will never be enough free lawyers to satisfy demand from low-income Americans, we need to leverage technology to allow the legal expertise of one lawyer to reach hundreds or thousands of clients at once, say Jonathan Petts and Rohan Pavuluri, co-founders of startup nonprofit Upsolve.

  • Common Mistakes Employers Of Calif. Domestic Workers Make

    Scott Liner

    Despite the fact that it has been over two years since California's Domestic Workers Bill of Rights was enacted, many household employers are still unaware of their employment obligations and the associated risks. As a result, there are a growing number of claims and lawsuits alleging substantial amounts of unpaid wages and owed penalties, say Scott Liner and Tiffany Caterina at Liner LLP.

  • Testing The UBE: Portable But Inaccurate Bar Exam Scores

    Suzanne Darrow-Kleinhaus

    While there is not much that is new about the uniform bar exam’s components, what is new is that where you take the bar exam may make the difference between passing and failing. Half of the score depends on the strength of the applicant pool in the jurisdiction where the candidate wrote the exam, which may lead to “UBE shopping,” says Suzanne Darrow-Kleinhaus, director of bar programs at Touro Law Center.

  • Benefiting From FDA's Medical Device Risk-Benefit Guidance

    Daniel S. Wittenberg

    Medical device manufacturers should understand the U.S. Food and Drug Administration's considerations for benefit-risk assessments so they can advocate for favorable FDA decisions by using the enumerated factors to illustrate the high benefits and low risks of the company’s device, say Dan Wittenberg and Tim Scalo at Snell & Wilmer LLP.

  • Testing The UBE: Missouri Benefits From Uniform Bar Exam

    Jim Nowogrocki

    We in Missouri do not take lightly to new trends or frothy ideas. Yet, the uniform bar exam has allowed us to meet the challenges of an increasingly mobile legal profession and the changing needs of clients, and to ensure that a newly admitted attorney has the knowledge, character and fitness to practice in the Show-Me State, says Jim Nowogrocki, president of the Board of Law Examiners in Missouri — the first state to adopt the UBE.

  • Mitigating The Risk Of Post-Merger Legacy Board Factions

    Steven J. Steinman

    As occurred in the case of Cogentix, loyalties to the legacy constituent corporations of a merger can create serious issues for the ongoing governance and management of the post-merger corporation. The risk is heightened when the controller, former CEO or founder of the smaller constituent company continues as a director or manager of the merged company, say attorneys with Fried Frank Harris Shriver & Jacobson LLP.

  • Aveta And The Use Of Confidential Info In FCA Cases

    James M. Koukios

    A recent case in the District of Puerto Rico — U.S. v. Aveta — highlights several issues surrounding the use of privileged and confidential information by both plaintiffs and the government in False Claims Act suits. Much to the dismay of contractors like Aveta, the government and relators may be able to utilize confidential or privileged information in the course of investigating and prosecuting false claims, say James Koukios and... (continued)

  • IRS Ruling Is Cause For Tax-Exempt Provider Concern

    David A. Manko

    A recent ruling by the IRS highlights a practical consideration that many tax-exempt providers have had with respect to their participation in accountable care organizations or other clinically integrated networks that include diverse not-for-profit and for-profit providers, causing many to pause and carefully examine their participation in such networks, say David Manko and Kate Heptig at Rivkin Radler LLP.

  • How Law Firms Can Create Next-Generation Office Spaces

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    Law firms today are recognizing that the process of creating a next-generation workplace is far more complex than relocating to a more modern space in a trendier part of town. The challenge is more significant for larger firms with multiple generations represented within their executive teams, says Tere Blanca, founder of Miami-based Blanca Commercial Real Estate Inc.