Healthcare Deals This Week: Merck, Sofinnova, Lilly
Merck and Eli Lilly announced billion-dollar transactions set to give them an in on new treatments. Pfizer was victorious after beating out GLP-1 maker Novo Nordisk in a battle for Metsera. Law360 looks at the big deals from the past week.
Doctors, Lawmakers Fight Downcoding, Citing Patient Harm
Healthcare providers are sounding the alarm on automated downcoding, an aggressive cost-saving strategy by health insurers. While health plans say downward coding combats improper upcoding, the issue has the attention of state lawmakers and triggered a lawsuit against UnitedHealthcare.
Feds Look To 'False Certification' FCA Strategy
Prosecutors shifted strategy in a kickback case against a biotech giant. FCA attorneys are closely watching the Regeneron case for clues on how the DOJ will establish causation in a growing number of states implicated by recent circuit court rulings.
Healthcare Deals This Week: Merck, Sofinnova, Lilly
Merck and Eli Lilly announced billion-dollar transactions set to give them an in on new treatments. Pfizer was victorious after beating out GLP-1 maker Novo Nordisk in a battle for Metsera. Law360 looks at the big deals from the past week.
Doctors, Lawmakers Fight Downcoding, Citing Patient Harm
Healthcare providers are sounding the alarm on automated downcoding, an aggressive cost-saving strategy by health insurers. While health plans say downward coding combats improper upcoding, the issue has the attention of state lawmakers and triggered a lawsuit against UnitedHealthcare.
Feds Look To 'False Certification' FCA Strategy
Prosecutors shifted strategy in a kickback case against a biotech giant. FCA attorneys are closely watching the Regeneron case for clues on how the DOJ will establish causation in a growing number of states implicated by recent circuit court rulings.
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Deals & Corporate Governance More
Bankrupt hospital operator Steward Health has filed hundreds of millions in new claims in Texas bankruptcy court against its former CEO and other executives, including allegations that they orchestrated a sale... (more story)
The Federal Trade Commission formally dropped its administrative case challenging GTCR BC Holdings LLC's acquisition of a medical coatings supplier after an Illinois federal judge refused to put the deal on hold.
The U.S. Supreme Court said Monday that it will not review the Fourth Circuit's decision to back the dismissal of a proposed class action accusing drugmakers of conspiring and inflating the price of a medicati... (more story)
The Federal Trade Commission withdrew its administrative case challenging GTCR BC Holdings LLC's acquisition of a medical coatings supplier to consider whether to drop the case entirely after an Illinois feder... (more story)
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Digital Health & Technology More
A California federal judge granted preliminary approval Tuesday to a settlement of at least $46 million from three Kaiser Permanente entities to resolve claims by 13.1 million patients across the country who s... (more story)
A couple who sold their healthcare software business to an interest of Elevate RCM Holdings LLC before the buyer allegedly resold it for a reported $1 billion sued for company records in Delaware's Court of Ch... (more story)
The U.S. Department of Health and Human Services has completed a decision-making process and established a new policy under which the agency will share certain Medicaid information with U.S. Immigration and Cu... (more story)
A Pennsylvania federal judge partially quashed part of a U.S. Department of Justice subpoena seeking health records for minors receiving gender-affirming care at The Children's Hospital of Philadelphia, ruling... (more story)
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Policy & Compliance More
A Washington appeals court refused to revive a nurse's suit claiming she was fired from an app-based medical provider for complaining that it underpaid and overworked independent contractors, ruling she failed... (more story)
A group of independent pharmacies must arbitrate their proposed class claims that UnitedHealth-owned OptumRx gatekeeps its network of Medicare prescription patients by imposing unfair fees, a Washington federa... (more story)
A former Michigan pharmacist who pled guilty to orchestrating a $4 million Medicare scam was sentenced by a federal judge to 46 months in prison and ordered to pay restitution and forfeit property as part of a... (more story)
The Ninth Circuit affirmed Monday a $7.3 million compensatory sanction and asset-freeze injunction against executives behind the "Success By Health" pyramid scheme, rejecting their argument, among others, that... (more story)
A Massachusetts federal judge should toss a proposed class action accusing a Teamsters healthcare plan of failing to protect plan participants' personal information, the plan argued, seeking dismissal of a sui... (more story)
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