On May 1, a whistleblower filed a complaint under the federal False Claims Act (FCA) against Aetna, Elevance Health (formerly Anthem) and Humana alleging that the insurers paid hundreds of millions of dollars in illegal kickbacks to induce brokers including GoHealth, eHealth and SelectQuote (the “Brokers”) to steer beneficiaries to their Medicare Advantage plans. While
Practice Transitions for the Practicing Dentist
On Thursday, May 29 at 12:00 PM, Rivkin Radler Partners Benjamin Malerba and Sean Simensky will present the webinar “Practice Transitions for the Practicing Dentist.”
This lecture is designed to inform dentists of some of the legal and practical issues surrounding practice transitions. Ben and Sean will explore the differing perspectives of the buyer and
It’s more than just the money: The importance of analyzing both economic and noneconomic key issues for a successful health care transaction
Rivkin Radler’s Norton Travis wrote an article, “It’s More Than Just the Money: The importance of analyzing both economic and noneconomic key issues for a successful health care transaction,” which was published in the April 14 issue of Medical Economics.
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Unpacking NY Laboratory Regulations and Recent Enforcement Trends
- Requirements to obtain a clinical lab permit and the exception for physician office
Lab Co-Owners Acquitted in Alleged COVID-19 Testing Scheme
A Florida jury recently found two laboratory co-owners of Innovative Genomics LLC (“IGX”) not guilty in connection with an allegedly fraudulent COVID-19 testing scheme.
The Government alleged that from November 2019 through June 2023, the co-owners conspired to defraud Medicare and the Health Resources and Services Administration COVID-19 Uninsured Program by billing healthcare benefit plans
In trend, court limits drug rebate AKS charges to easier ‘but-for’ standard
An article in the March 10 issue of Part B News, “In trend, court limits drug rebate AKS charges to easier ‘but-for’ standard,” discussed a recent ruling on the False Claims Act (FCA) implications of the federal Anti-Kickback Statute (AKS). Rivkin Radler’s Jeff Kaiser was quoted in the article.
“Every time a
After deported M.D. case, keep alien providers safe, especially if they travel
An article in the March 27 issue of Part B News, “After deported M.D. case, keep alien providers safe, especially if they travel,” discussed potential concerns for U.S. medical practices that employ foreign nationals. Rivkin Radler’s Henry Mascia was quoted in the article.
Henry said he has not seen immigration officials coming
Quality of Care Considerations in OIG’s Nursing Facility Compliance Guidance
Rivkin Radler’s John Queenan, Mary Aperance and Jeff Ehrhardt wrote the article “Quality of Care Considerations in OIG’s Nursing Facility Compliance Guidance” for the spring 2025 issue of USLAW Magazine.
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The Status of Providing Gender-Affirming Care to Minors in NY
In recent months, Executive Orders issued by the current Administration regarding gender-affirming care of minors have been the subject of much debate and litigation. The crux of these lawsuits is largely two Executive Orders: Executive Order 14187 (Protecting Children From Chemical and Surgical Mutilation) and Executive Order 14168 (Defending Women From Gender Ideology Extremism and
The Evolving Opportunities to Strategically Partner or Sell Your Practice
- Consideration of strategic partners
- The advantages of having a transaction