DOJ
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DOJ turns enforcement gaze on hospital contracting practices
Federal regulators, including the DOJ and the FTC, are putting their focus on hospital contracting strategies, reflecting a broader debate over healthcare costs, competition, and market power.
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Financial regulation 2.0: What EU regulatory evolution means for practitioners
Regulation targeting the financial sector continues to evolve. We explore the EU’s future approach, where reforms are balanced with core safeguards – alongside perspectives from other key markets for the Nordic and Baltic region.
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Adobe settles for $150m over hard-to-cancel subscriptions
The case shows the DOJ is still willing to go after large companies that use sticky subscription models, even though some have criticized the settlement as lenient.
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Medicare Advantage risk-coding dispute ends in $117.7m Aetna settlement
Insurer agreed to resolve US allegations that inaccurate diagnosis data for plan members inflated risk-adjusted payments from federal Medicare program.
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FCA Healthcare roundup: Three cases of billing medically unnecessary products and services
Our in-brief, biweekly roundup of notable DOJ False Claims Act cases related to healthcare fraud.
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First-ever DOJ-wide corporate enforcement policy announced
The new policy supersedes the existing patchwork of voluntary self-disclosure policies, replacing them with a framework applicable across the DOJ.
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Texas DME operator receives 7.5 years in prison for $59m Medicare fraud scheme
The owner and operator of three DME companies paid illegal kickbacks to doctors for medically unnecessary orthotics braces to fund a lavish lifestyle.
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GRIP Extra: Fed terminates Wells Fargo enforcement, US mulls national security-based chip framework
Our in-brief roundup of notable stories from the last week.