Rachel E Lusk Klebanoff

April 01, 2021 | The Legal Intelligencer

On March 3, the U.S. Department of Justice (DOJ) announced that it had reached a settlement with Geisinger Health (Geisinger) and Evangelical Community Hospital (Evangelical) that would resolve the DOJ's ongoing civil antitrust litigation challenging Geisinger's "partial acquisition" of Evangelical.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

February 25, 2021 | The Legal Intelligencer

While gift cards themselves have been a topic of several advisory opinions in the past, this opinion offers insight as to how the OIG may distinguish acceptable inducements to support care from more problematic programs that offer beneficiary inducements merely as an incentive for patients to obtain federally reimbursable items and services.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

7 minute read

November 30, 2020 | The Legal Intelligencer

Private equity and other nondoctor investment in U.S. health care has grown significantly over the past decade thanks to investors who have been keen on getting into a large market with potentially high returns.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

7 minute read

November 02, 2020 | The Legal Intelligencer

On June 23, a federal district court upheld the Centers for Medicare and Medicaid Services' (CMS) Hospital Price Transparency Final Rule, which will require hospitals to provide patients with easily accessible information about standard changes for items and services offered by the hospital, including privately negotiated payment rates with insurers.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

7 minute read

October 05, 2020 | The Legal Intelligencer

The hospital, which has several subsidiaries and a physician network, has agreed to pay the federal government $50 million to resolve allegations that it violated the False Claims Act by knowingly submitting claims to Medicare that resulted from violations of the Physician Self-Referral Law and the Anti-Kickback Statute.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

August 31, 2020 | The Legal Intelligencer

On July 17, the U.S. Court of Appeals for the District of Columbia reversed a lower court's decision and held that the Department of Health and Human Services (HHS) has the authority to cut Medicare payments to hospital off-campus facilities to bring them in line with independent physician practices and other outpatient payments.

By Vasilios J. Kalogredis and Rachel E. (Lusk) Klebanoff

6 minute read

August 03, 2020 | The Legal Intelligencer

After nearly a decade of litigation, Novartis Pharmaceuticals Corp. (Novartis) has agreed to pay over $678 million in separate settlements to resolve claims that it systematically violated the federal False Claims Act and the Anti-Kickback Statute.

By Vasilios J. Kalogredis and Rachel E. Lusk Klebanoff

6 minute read