Recently, the Department of Health and Human Services Office of Inspector General (“OIG”) released Advisory Opinion (“Opinion”) 24-02 regarding patient assistance funds provided by a non-profit charitable organization (“Requestor”). This opinion marks the latest in a string of advisory opinions which have approved similar patient assistance programs (“PAPs”). As highlighted in previous advisory opinions, OIG reiterates the importance of the charity’s independence from pharmaceutical manufacturer influence.

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The Department of Justice (DOJ) is breathing new life into False Claims Act (FCA) enforcement based on the Stark Law (Stark), 42 U.S.C. § 1395nn, also known as the Physician Self-Referral Law. Over the past few months, DOJ has filed two FCA complaints-in-intervention focusing on Stark violations and announced at least two multimillion-dollar Stark-related settlements. […]

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Investigations Newsletter: Testing Facility Settles $2.5 Million Anti-Kickback Lawsuit

On May 15, the US Attorneys for the Southern District of New York announced that they had settled their civil fraud lawsuit against Balance Diagnostics USA, LLC, a diagnostic testing facility based in Cedarhurst, New York, for paying kickbacks to physicians and their medical practices in violation of the Anti-Kickback Statute.

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Medicare must boost physician pay, senators say

Doctors have long lamented that Medicare fails to pay enough to meet rising costs. Key members of the Senate Finance Committee said Thursday they agreed, and pledged to do something about it.

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Provider Strategy reports on market developments and insights related to the healthcare provider workforce. Our publication is committed to improving the healthcare professional workforce, utilization of providers, and ultimately supporting thought leadership in workforce innovation.

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