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The Daily Scan

Last Updated: 12:15 PM EST


  • The city of Winston-Salem, NC initiated litigation in the United States District Court for the Middle District of North Carolina against pharmaceutical manufacturers for alleged false, deceptive, and unfair activities in furtherance of supporting the national opioid crisis and violation of the Racketeer Influenced and Corrupt Organizations (RICO) Act.

  • The owner of a Michigan home health agency pleaded guilty yesterday to charges for his role in a scheme involving Medicare claims for home health services that were procured through the payment of illegal kickbacks. The scheme is alleged to have resulted a loss of up to $1.8 million to the Medicare program by submitting claims to Medicare from 2013 through 2017 related to Medicare beneficiary information that he obtained by paying illegal kickbacks. (Justice.gov)

  • A New York podiatrist was sentenced on Friday to 1 year of probation, 50 hours of community service, and a $5,000 fine for committing health care fraud. As part of his guilty plea, Dr. Perrin D. Edwards admitted that he caused false and fraudulent claims to be submitted to Medicare and private insurance companies for podiatric medical services that he had not performed or that he knew would not be covered by insurance. (Justice.gov)

  • A California federal judge has slapped a law firm and a medical scrubs manufacturer with a $250,000 sanctions order after determining that they failed to adequately participate in discovery in litigation over a trademark dispute and ignored a court order to pay $21,886 in fees and costs. (Law360.com, Motion, Order)

Regulation & Legislation

  • The U.S. Government Accountability Office (GAO) publicly released a report yesterday recommending that CMS require prior authorization across the Medicare program in an effort to reduce spending. (GAO.gov)

  • In a speech this morning at the World Health Assembly in Geneva, Switzerland, HHS Secretary Alex Azar announced on behalf of President Trump that the U.S. is prepared to provide up to $7 million in additional aid to respond to the Ebola outbreak. (HHS.gov)

Private Sector

  • Aiming to relaunch the nation’s patient safety agenda with renewed energy and focus, the Institute for Healthcare Improvement (IHI) today hosts representatives from 24 organizations to begin work on a national strategy for reducing harm in the delivery of health care. The National Steering Committee for Patient Safety, with members from the health care, policy, regulatory, and advocacy communities, is charged with creating a National Action Plan to serve as a road map to accelerate progress. (IHI.org)

  • Kaiser Permanente announced an impact investing commitment on Friday of up to $200 million through its Thriving Communities Fund to address housing stability and homelessness, among other community needs. The organization’s initial focus will be on preventing displacement or homelessness of lower- and middle-income households in rapidly changing communities; reducing homelessness by ensuring access to supportive housing; and making affordable homes healthier and more environmentally sound. (KaiserPermanente.org)

  • TransUnion Healthcare announced on Friday its agreement to acquire Healthcare Payment Specialists (HPS), a leader in helping healthcare providers optimize Medicare reimbursement. Regulatory approval to finalize the transaction is expected in Q2 2018. (TransUnion.com)

#Litigation #Regulation #PrivateSector #Legislation


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