King & Spalding LLP on Tuesday announced that a former Kirkland & Ellis LLP restructuring partner has become the fifth partner to join its new Chicago office.
Horizon Blue Cross Blue Shield of New Jersey is discriminating against low-income women who are pregnant or may become pregnant by refusing to designate an infectious disease laboratory as an “in-network” provider for a Medicaid-managed care plan, according to a complaint filed Tuesday in New Jersey federal court.
Blue Cross Blue Shield of California has agreed to pay $7 million to settle allegations that it refused to cover residential and outpatient treatment for mental health or substance use-related disorders, a putative class of customers told a California federal judge on Monday.
Scripps Networks Interactive has reportedly shortlisted two Manhattan buildings as possibilities for a new headquarters, Piedmont Office Realty Trust is said to have sold a Florida building for $13.58 million, and Empire State Realty Trust has reportedly leased space in the Empire State Building to both cancer radiation therapy software company RaySearch and BTS.
A company that helps primary care providers test for and treat allergies accused two Blue Cross units and Humana in Louisiana federal court on Friday of conspiring to shut it down by refusing to pay for testing and treatment not conducted by specialists or a lab.
A Ninth Circuit panel on Friday said a physician can bring a False Claims Act suit accusing a former Lockheed Martin health care subsidiary of submitting false claims to the U.S. Department of Veterans Affairs, finding he had sufficient pleadings even without access to the full contract between the company and the government.
An Illinois federal judge gave the final nod on Tuesday to a $29.5 million settlement in a class action accusing Ascension Health of violating the Employee Retirement Income Security Act, calling the deal a good result for the class despite a recent adverse U.S. Supreme Court ruling.
Law360 congratulates the winners of its 2017 Practice Group of the Year awards, which honor the law firms behind the litigation wins and major deals that resonated throughout the legal industry in the past year.
Law360’s Firms of the Year rose above the competition with a combined 24 Practice Group of the Year awards after helping their clients win game-changing judgments and close record-breaking deals in 2017. Here’s a closer look at how they landed at the top.
The First Circuit on Friday decided federal prosecutors can move forward with charges against three former pharmacists who allegedly prescribed drugs to “Wonder Woman,” “Chester Cheeto,” “Filet O'fish” and other fake patients from a Massachusetts compounding facility linked to a fatal meningitis outbreak.
A former California hospital owner will spend more than 5 years in prison, give up $10 million and liquidate his vintage cars after he pled guilty to orchestrating a 15-year health care fraud scheme that ran up $500 million in phony bills, prosecutors said Friday.
Chicago nursing home network Alden Management Services Inc. hit the Illinois Department of Healthcare and Family Services with a putative class action in Illinois federal court Friday, alleging the state’s monthslong hold on approving Medicaid eligibility has delayed payments for those staying in Alden’s skilled nursing facilities, putting patient care at risk and hurting Alden’s operations.
The Trump administration indisputably flouted the Affordable Care Act by cutting off millions of dollars in reimbursement for reduced copays and deductibles, a nonprofit health insurer told the U.S. Court of Federal Claims on Friday.
A British surgeon was given a yearlong, out-of-prison sentence that includes 120 hours of volunteer work and a £10,000 ($14,000) fine for burning his initials onto two patients’ livers during liver transplant surgery, the U.K.'s Crown Prosecution Service said Friday.
A doctor accused of performing more than 60 plastic surgeries on patients after losing his license was also indicted Friday on new charges that he ran a $1.3 million disability insurance and welfare fraud scheme, the New York Attorney General’s Office announced.
Two shareholders in behavioral health outcome assessment firm Outcome Referrals Inc. filed suit late Thursday in Delaware Chancery Court, seeking inspection of the company’s books and records to investigate alleged self-dealing by its president and controlling shareholder.
CVS Pharmacy Inc. urged a Pennsylvania federal judge on Thursday to deny a motion aimed at certifying a class of current and former employees who allege the company failed to pay them for time spent completing online training.
Controversial former pharmaceutical executive Martin Shkreli urged a New York federal judge Thursday to reject the government’s demands that he forfeit $7.3 million following his August conviction on securities fraud and conspiracy charges, arguing that he made no profit from the alleged crimes.
A Connecticut federal judge agreed Friday to push to September the False Claims Act trial of a former Insys Therapeutics Inc. sales manager accused of bribing doctors to prescribe the company's opioid painkiller, but didn’t respond to his request to ban the words “opioid crisis” from that trial.
In this week’s Taxation With Representation, SS&C Technologies Holdings Inc. bought DST Systems Inc. for $5.4 billion, the Blackstone Group LP purchased Pure Industrial Real Estate Trust for $3.05 billion and a Riverstone-Goldman Sachs joint venture snapped up Lucid Energy Group II for $1.6 billion.
Federal courts across the country are handing down important rulings interpreting the U.S. Supreme Court’s landmark decision on False Claims Act liability in Universal Health Services v. Escobar. As the rulings keep pouring in, stay up to speed on Law360’s latest coverage and analysis of Escobar’s impact.
Although Attorney General Jeff Sessions' rescission of the Cole memo does not change federal law, negative response to the rescission across the cannabis sector and political landscape was strong, swift and unusually bipartisan, which may lead to congressional action in the future, say Jonathan Robbins and Joshua Mandell of Akerman LLP.
The volume of health care-related qui tam litigation under the False Claims Act remained robust last year. In the first of four articles on health care enforcement in 2017, Kevin McGinty of Mintz Levin Cohn Ferris Glovsky and Popeo PC discusses the important takeaways from a number of trends.
Little attention has been paid to a provision of the new tax law that requires federal agencies to specify, at the time of settlement of government claims, the portion of the settlement that may be deductible as a business expense. This is sure to impact False Claims Act and other settlements involving the government going forward, say attorneys with Fried Frank Harris Shriver & Jacobson LLP.
In an attempt to peek behind the corporate curtain and pick the brains of those with unrivaled access to their companies’ trade secrets, we surveyed 81 in-house attorneys who work on trade secret issues. We discovered many interesting findings — and one alarming trend, say attorneys with O’Melveny & Myers LLP.
New Jersey is one of the most competitive and heavily regulated states in terms of health care, making it a good barometer for how the industry is evolving nationally. As physicians and medical groups deal with issues like flat reimbursement from insurance providers and the rapidly rising costs of operating a medical practice, the ways in which doctors deliver health care will continue to change in 2018, says John Fanburg of Brach Eichler LLC.
Erich Potter, discovery counsel with Oles Morrison Rinker & Baker LLP, discusses six ways e-discovery will continue to excite and confound in 2018.
Brian Kriegler of Econ One Research concludes his series on statistical sampling by addressing several common misperceptions about random sampling requirements.
Two freight trains driving the opioid multidistrict litigation appear to be on a collision course. Journalistic investigations have revealed much about what the pharmaceutical industry knew about the opioid crisis, but just this week, Judge Dan Aaron Polster of the Northern District of Ohio made clear his plans to push the matter toward a global resolution in 2018, say Adam Fleischer and Kevin Harris of BatesCarey LLP.
Smart law firms are increasingly positioning professionals to proactively guide them as the legal landscape reshapes itself, harnessing six emerging roles within their organizational charts to embrace new approaches, tools and systems, says Rob MacAdam of HighQ.
In the third of four articles on statistical sampling in practice, Brian Kriegler of Econ One Research uses the example of a hypothetical Medicare reimbursement case to address various solutions for dealing with missing sample selections so that statistical inferences remain valid.