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North Dakota Laws Establishing Primary Call List and Fee Schedule for Air Ambulance Operators Held Preempted
  • Holland & Knight LLP
  • USA
  • April 12 2016

In an important preemption decision for the air ambulance industry, the US District Court for the District of North Dakota permanently enjoined the


House and Senate overrule OFCCP on TRICARE subcontractors
  • Littler Mendelson PC
  • USA
  • December 21 2011

TRICARE is the federal government’s healthcare program for active duty and retired military members and their families


The HEAT is on, Chicago: practical tips to get you ready
  • Foley & Lardner LLP
  • USA
  • May 16 2011

In May 2009, the Department of Justice (DOJ) and Department of Health & Human Services, Office of the Inspector General (HHS-OIG) announced, with great fanfare, a new initiative to combat health care fraud: the Health Care Fraud Prevention and Enforcement Action Team (HEAT


FCA watch August 2014
  • Weil Gotshal & Manges LLP
  • USA
  • August 5 2014

In United States ex rel. Shea v. Cellco Partnership, No. 12-7133, 2014 WL 1394687 (D.C. Cir. Apr. 11, 2014), the D.C. Circuit Court of Appeals


Efforts to stop health insurance fraud through the use of contractors under fire
  • Akerman LLP
  • USA
  • August 25 2014

In recent reports, from June 25, 2014 and August 13, 2014, the Government Accountability Office (GAO) highlights the mixed results achieved by the


Excellus is latest in line of BCBS insurers experiencing cyberattack
  • Cooley LLP
  • USA
  • September 18 2015

Excellus, a BlueCross BlueShield (BCBS) provider servicing upstate New York, announced last week that it was the latest in a string of BCBS providers


Another setback for health insurance exchanges
  • Barnes & Thornburg LLP
  • USA
  • November 19 2012

Controversy erupted when the Centers for Medicare and Medicaid Services awarded a contract to Quality Software Services Inc. (QSSI) to construct an integral part of the federal health insurance exchange


Supreme Court decision upholding Affordable Care Act affirms contracting opportunities in insurance exchanges and Medicaid
  • Wiley Rein LLP
  • USA
  • July 26 2012

In the July 16, 2012 edition of Bloomberg BNA’s Health Care Policy Report, Wiley Rein attorneys Jim Slattery, Kathryn Bucher, Daniel P. Graham and Kate R. McDonald published an article on the implications for health care contractors of the Supreme Court’s decision in Nat’l Fed’n of Indep. Bus. v. Sebelius, No. 11-393, slip op. (U.S. June 28, 2012


Two major health care companies pay $137.5 million and $3.8 million, respectively, to settle violations against the False Claims Act
  • Bricker & Eckler LLP
  • USA
  • June 8 2012

Recently, the U.S. Department of Justice announced that Florida-based WellCare Health Plans and Georgia-based Radiotherapy Clinics of Georgia LLC have paid $137.5 million and $3.8 million, respectively, to settle charges that they violated the False Claims Act


New Medicare reporting requirements for self-insured contractors to kick in: many questions remain unanswered
  • Wiley Rein LLP
  • USA
  • October 9 2009

Government contractors that are self-insured against third-party liabilities and may pay claims submitted by Medicare-eligible individuals that arise from bodily injury must register with the Centers for Medicare & Medicaid Services (CMS) and then comply with Medicare reporting requirements that kick in early next year